Form Mv-82b - Boat Registration Title Application

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New York State Department of Motor Vehicles
FOR OFFICE USE ONLY
Batch File No.
BOAT REGISTRATION/TITLE APPLICATION
Original
Renewal
Activity
Duplicate
PLEASE PRINT WITH BLUE OR BLACK INK
OFFICE
Reg.
3 of
Sticker
SPECIAL CONDITIONS:
NF
OV
PA
SV
XR
No.
Name
USE
Status
Value
Jurisdiction
Rate
Out of State
Audit
Sales Tax
ONLY
Information
($)
TO BE COMPLETED ONLY BY A REGISTERED NEW YORK STATE BOAT DEALER
D
Alterations are not allowed in the lienholder sections.
IF A TEMPORARY REGISTRATION WAS ISSUED:
E
If you assigned a registration number to this boat, place the registration number sticker over this box.
A
LIENHOLDER INFORMATION - If none, enter “NONE”.
If the boat already has a valid New York registration number, enter the information below.
L
If more than one, also use space on page 2.
E
R
Lien Filing Code (Assigned by DMV)
Registration Number
Date Temp. Reg. Issued
O
Lienholder Name
N
L
Mailing Address - Number and Street
Y
Dealer Name
Dealer Facility Number
City
State
Zip Code
3
6
INSTRUCTIONS
1 2 4 5
7
COMPLETE BOXES
and
.
COMPLETE BOXES
AND
ONLY IF NECESSARY. PLEASE PRINT CLEARLY.
REGISTER this boat for the first time
REPLACE registration:
DOCUMENT/
STICKER
CHANGE registration (see page 2)
1
RENEW a registration
TITLE ONLY a 1987 or newer boat that is 14 feet or longer
CHANGE title (see page 2)
2
CLIENT ID NO. (from Driver License)
NAME OF REGISTRANT (Last, First, Middle)
DATE OF BIRTH
NAME CHANGE?
Month
Day
Year
YES
NO
(see page 2)
Is this registration for a
SEX
corporation or a partnership?
Yes
No
M
F
ADDRESS WHERE YOU GET YOUR MAIL — (Include Street Number and Name, Rural Delivery and/or box number)
.
DAY PHONE NO
(Optional)
Area Code
ADDRESS CHANGE?
YES
NO
CITY OR TOWN
STATE
ZIP CODE
COUNTY
ADDRESS WHERE YOU LIVE —
F DIFFERENT FROM MAILING ADDRESS — DO NOT GIVE PO BOX
I
COUNTY
OWNER CLIENT ID NO.
A different owner is only allowed if the boat is leased. IF YOU ARE NOT THE OWNER of this boat, the
3
(from Driver License)
owner must complete this section. Proof of ownership, proof of owner’s name and date of birth and
copy of the leasing agreement are required. NOTE - You do not have to fill in this section if you attach a
completed Registration Authorization (MV-95), or if you are renewing the boat, and the owner is the same.
NAME OF CURRENT OWNER
(Last, First, Middle)
DATE OF BIRTH
OWNER’S DAY PHONE NO.
(Optional)
Month
Day
Year
Area Code
(Include Street Number and Name,
ADDRESS WHERE OWNER GETS MAIL
Rural Delivery and/or box number)
Apt. No.
City or Town
State
Zip Code
County
AUTHORIZATION:
The registrant named in box
is authorized to register the boat described in box
.
2
4
(Owner’s/Authorized Signature-Co-owner’s Signature if applicable)
(Date)
4
HULL IDENTIFICATION NUMBER
YEAR
MAKE
LENGTH
FUEL
Feet
Inches
GAS
DIESEL
ELECTRIC
TYPE OF BOAT
PROPULSION
USE
OTHER
NONE
HULL MATERIAL
PLEASURE
MANUFACTURER
ALUMINUM
OPEN
CABIN
GOVERNMENT
LEASED
RENTAL
OUTBOARD
IN BOARD
WOOD
STEEL
COUNTY OF PRIMARY USE
HOUSE
COMMERCIAL PASSENGER:
UNDER 6
6 OR MORE
PLASTIC
INFLATABLE
I/O (IN/OUTBOARD)
DEALER
COMMERCIAL
FISHING - COMM.
OTHER_____________
SAIL
OTHER
FIBERGLASS
OTHER
5
HOW WAS BOAT OBTAINED?
Does this boat now have a
Yes
If “YES”, enter
New
Used
NY REGISTRATION No.?
No
NY Registration No.
Leased New
Leased Used
If Leased, MUST ATTACH copy of
If NO, are you in the process
Yes
Is this boat now DOCUMENTED
Yes
If “YES”, enter
Leasing Agreement
by you?
No
Document No.
of Documenting Boat?
No
Title
Lien
Lien
OFFICE
Prior
Old
Owner
Owner
Number
USE
Proof Submitted
Stop/Response
Operator
ONLY
(Name and Ownership)
Signature
MV-82B (6/07)
PAGE 1 OF 2

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