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
Sticker
3 of
Reg.
OFFICE
SPECIAL CONDITIONS:
NF
OV
PA
SV
XR
Name
No.
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
LIENHOLDER INFORMATION - If none, enter “NONE”.
IF A TEMPORARY REGISTRATION WAS ISSUED:
E
If you assigned a registration number to this boat, place the registration number sticker over
If more than one, also use space on page 2.
A
this box.
L
If the boat already has a valid New York registration number, enter the information below.
E
Lienholder Number
R
Lienholder Name
Registration Number
Date Temp. Reg. Issued
O
N
Mailing Address - Number and Street
L
Dealer Name
Dealer Facility Number
Y
City
State
Zip Code
INSTRUCTIONS #
1 2 3
4
7
5
6
COMPLETE BOXES
and
.
COMPLETE BOXES
AND
ONLY IF NECESSARY. PLEASE PRINT CLEARLY.
!
!
!
REPLACE registration: ! DOCUMENT/ ! STICKER
REGISTER this boat for the first time
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
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?
!
!
!
!
M
F
Yes
No
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
3
YEAR
MAKE
LENGTH
HULL IDENTIFICATION NUMBER
FUEL
Feet
Inches
Different Owner?
!
!
GAS
DIESEL
!
!
Yes
No
!
ELECTRIC
!
!
OTHER
NONE
HULL MATERIAL !
PROPULSION
!
!
TYPE OF BOAT
USE
ALUMINUM
PLEASURE
MANUFACTURER
!
!
!
!
!
!
!
!
!
OPEN
CABIN
WOOD
STEEL
OUTBOARD
IN BOARD
GOVERNMENT
LEASED
RENTAL
COUNTY OF PRIMARY USE
!
!
!
!
!
!
HOUSE
COMMERCIAL PASSENGER:
UNDER 6
6 OR MORE
I/O (IN/OUTBOARD)
PLASTIC
INFLATABLE
!
!
!
!
!
!
!
!
OTHER_____________
FIBERGLASS
OTHER
SAIL
OTHER
DEALER
COMMERCIAL
FISHING - COMM.
Title
Lien
Lien
Prior
Old
OFFICE
Owner
Owner
Number
USE
4
Does this boat now have a NY REGISTRATION No.?
If “YES”, enter
!
!
Yes
No
NY Registration No.
HOW WAS BOAT OBTAINED?
If “YES”, enter
!
!
!
!
!
!
Is this boat now DOCUMENTED by you (see page 2)?
Yes
No
New
Leased New
Used
Leased Used
Document No.
Proof Submitted
Stop/Response
Operator
OFFICE
(Name and Ownership)
Signature
USE
MV-82B (3/01)
PAGE 1 OF 2

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