Form MV-82 Vehicle Registration/Title Application - New York

Form MV-82 or the "Vehicle Registration/title Application" is a form issued by the New York State Department of Motor Vehicles.

Download a PDF version of the Form MV-82 down below or find it on the New York State Department of Motor Vehicles Forms website.

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Class
Office Use Only
VEHICLE REGISTRATION/
Batch
File No.
TITLE APPLICATION
Three of Name
Orig
Activity
Lease Buyout
This form is available at dmv.ny.gov
Dup
Activity W/RR
Sales Tax with Title
I WANT TO:
Plate Number
REGISTER A VEHICLE
RENEW A REGISTRATION
GET A TITLE ONLY
CHANGE A REGISTRATION
REPLACE LOST OR DAMAGED ITEMS
TRANSFER PLATES
1
NAME OF PRIMARY REGISTRANT (Last, First, Middle or Business Name)
NYS driver license ID number of PRIMARY REGISTRANT
DATE OF BIRTH
GENDER
Month
Day
Year
Male
Female
NAME OF CO-REGISTRANT (Last, First, Middle)
NYS driver license ID number of CO-REGISTRANT
DATE OF BIRTH
GENDER
Month
Day
Year
Male
Female
TELEPHONE NUMBER
MOBILE TELEPHONE NUMBER
Area Code
Area Code
NAME CHANGE?
YES
NO
ADDRESS CHANGE?
YES
NO
(
)
(
)
FORMER NAME (If name was changed you must present proof))
EMAIL
(Include Street Number and Name, Rural Delivery or box number. This address will be on the document.)
THE ADDRESS WHERE PRIMARY REGISTRANT GETS MAIL
Apt. No.
City or Town
State
Zip Code
County of Residence
THE ADDRESS WHERE PRIMARY REGISTRANT RESIDES IF DIFFERENT FROM THE MAILING ADDRESS
(DO NOT GIVE A P.O. BOX.)
.
Apt. No.
City or Town
State
Zip Code
VEHICLE DESCRIPTION
Body Type (mark one)
VEHICLE IDENTIFICATION NUMBER
2
Year
Make
2-Door
4-Door
Pick-up
Van
Type of Power (Fuel)
Convertible
Suburban/SUV
Trailer
Color
Unladen Weight
Gas
Diesel
Electric
Flex
CNG
Propane
None
Motorcycle
Tow
Other _________
For rentals,buses & taxis
For trailers & commercial vehicles
Office Use Only
For commercial vehicles
Cylinders
Maximum Gross Weight
Seating Capacity
Odometer Reading in Miles
Mileage Brand
Axles
Distance
A
E
N
CHANGES: Describe any vehicle changes and the reasons for the changes. (SUBMIT NYS TITLE IF ISSUED)
If the OWNER of the vehicle is DIFFERENT from the REGISTRANT, the OWNER must complete this section.
3
NYS driver license number of OWNER
NAME OF CURRENT OWNER(s) (Last, First, Middle)
DATE OF BIRTH
Month
Day
Year
NAME OF CO-OWNER
GENDER
Male
Female
THE ADDRESS WHERE OWNER GETS MAIL
(Include the Street Number and Name, Rural Delivery or box number)
County
Apt. No.
City or Town
State
Zip Code
(Signature of owner or authorized person, and signature of co-owner if applicable)
(Date)
DEALER USE ONLY - LIEN FILING -
Alterations are not allowed in the lienholder section below
Choose one
There are no liens
I am filing for the lienholder(s) listed below
Lien Filing Code
Lienholder Name
Lienholder Mailing Address (number, street, city, state, zip code)
NEW YORK DEALERS ONLY
Reg. Class
Did you issue plates to this vehicle?
Plate Number
Date Temp Issued
Facility ID Number
Yes
No
DEALER CERTIFICATION:
I certify that all information provided on this application is true.
____________________________________________________________
I take responsibility for the integrity of the papers delivered to the Motor Vehicles office.
(Signature of Dealer or Authorized Representative)
OFFICE USE ONLY
New
New
Ins. Co.
Special Conditions
Plate
Class
Code
AT
BV
CF
CO
EO
EX
FL
Sales Tax
Status
Value
Rate
Out of State
Jurisdiction
Audit
IO
NE
NF
NR
NU
OP
OV
($)
Prior
Issuance
Title
Lien
Lien
Lien Release
PA
PI
PK
RC
RE
SC
SO
State
Owner
Number
SP
SR
SS
SV
TE
TL
TO
Proof Submitted
TP
TR
TX
XR
X6
WO
Approved By
Date
Stop/Response/Scoff Law
Reg/Title ______________________________ State_________________
COMPLETE BOTH SIDES
MV-82 (12/16)
PAGE 1 OF 2
Class
Office Use Only
VEHICLE REGISTRATION/
Batch
File No.
TITLE APPLICATION
Three of Name
Orig
Activity
Lease Buyout
This form is available at dmv.ny.gov
Dup
Activity W/RR
Sales Tax with Title
I WANT TO:
Plate Number
REGISTER A VEHICLE
RENEW A REGISTRATION
GET A TITLE ONLY
CHANGE A REGISTRATION
REPLACE LOST OR DAMAGED ITEMS
TRANSFER PLATES
1
NAME OF PRIMARY REGISTRANT (Last, First, Middle or Business Name)
NYS driver license ID number of PRIMARY REGISTRANT
DATE OF BIRTH
GENDER
Month
Day
Year
Male
Female
NAME OF CO-REGISTRANT (Last, First, Middle)
NYS driver license ID number of CO-REGISTRANT
DATE OF BIRTH
GENDER
Month
Day
Year
Male
Female
TELEPHONE NUMBER
MOBILE TELEPHONE NUMBER
Area Code
Area Code
NAME CHANGE?
YES
NO
ADDRESS CHANGE?
YES
NO
(
)
(
)
FORMER NAME (If name was changed you must present proof))
EMAIL
(Include Street Number and Name, Rural Delivery or box number. This address will be on the document.)
THE ADDRESS WHERE PRIMARY REGISTRANT GETS MAIL
Apt. No.
City or Town
State
Zip Code
County of Residence
THE ADDRESS WHERE PRIMARY REGISTRANT RESIDES IF DIFFERENT FROM THE MAILING ADDRESS
(DO NOT GIVE A P.O. BOX.)
.
Apt. No.
City or Town
State
Zip Code
VEHICLE DESCRIPTION
Body Type (mark one)
VEHICLE IDENTIFICATION NUMBER
2
Year
Make
2-Door
4-Door
Pick-up
Van
Type of Power (Fuel)
Convertible
Suburban/SUV
Trailer
Color
Unladen Weight
Gas
Diesel
Electric
Flex
CNG
Propane
None
Motorcycle
Tow
Other _________
For rentals,buses & taxis
For trailers & commercial vehicles
Office Use Only
For commercial vehicles
Cylinders
Maximum Gross Weight
Seating Capacity
Odometer Reading in Miles
Mileage Brand
Axles
Distance
A
E
N
CHANGES: Describe any vehicle changes and the reasons for the changes. (SUBMIT NYS TITLE IF ISSUED)
If the OWNER of the vehicle is DIFFERENT from the REGISTRANT, the OWNER must complete this section.
3
NYS driver license number of OWNER
NAME OF CURRENT OWNER(s) (Last, First, Middle)
DATE OF BIRTH
Month
Day
Year
NAME OF CO-OWNER
GENDER
Male
Female
THE ADDRESS WHERE OWNER GETS MAIL
(Include the Street Number and Name, Rural Delivery or box number)
County
Apt. No.
City or Town
State
Zip Code
(Signature of owner or authorized person, and signature of co-owner if applicable)
(Date)
DEALER USE ONLY - LIEN FILING -
Alterations are not allowed in the lienholder section below
Choose one
There are no liens
I am filing for the lienholder(s) listed below
Lien Filing Code
Lienholder Name
Lienholder Mailing Address (number, street, city, state, zip code)
NEW YORK DEALERS ONLY
Reg. Class
Did you issue plates to this vehicle?
Plate Number
Date Temp Issued
Facility ID Number
Yes
No
DEALER CERTIFICATION:
I certify that all information provided on this application is true.
____________________________________________________________
I take responsibility for the integrity of the papers delivered to the Motor Vehicles office.
(Signature of Dealer or Authorized Representative)
OFFICE USE ONLY
New
New
Ins. Co.
Special Conditions
Plate
Class
Code
AT
BV
CF
CO
EO
EX
FL
Sales Tax
Status
Value
Rate
Out of State
Jurisdiction
Audit
IO
NE
NF
NR
NU
OP
OV
($)
Prior
Issuance
Title
Lien
Lien
Lien Release
PA
PI
PK
RC
RE
SC
SO
State
Owner
Number
SP
SR
SS
SV
TE
TL
TO
Proof Submitted
TP
TR
TX
XR
X6
WO
Approved By
Date
Stop/Response/Scoff Law
Reg/Title ______________________________ State_________________
COMPLETE BOTH SIDES
MV-82 (12/16)
PAGE 1 OF 2
4
ADDITIONAL VEHICLE INFORMATION
QUESTIONS 1-3 MUST BE COMPLETED.
1. Has the vehicle been wrecked, destroyed, or damaged to such an extent that the total estimate, or actual cost, of parts and labor to
rebuild or reconstruct the vehicle to the condition it was in before an accident, and to make the vehicle legal to operate on the road or
highways, is more than 75% of the retail value of the vehicle at the time of loss?
No
Yes - (If you marked
the vehicle must have an anti-theft examination before it is registered. The title that is issued
Yes
will have the statement “Rebuilt Salvage” on it.)
2. Is this vehicle registered for your personal use?
Yes
No
If you marked “Yes”, go to the next question (question 3) .
If you marked “No”, check any of these boxes that apply:
This vehicle is a passenger vehicle that will be used for hire with a driver and will be operated in the following location(s):
New York City (NYC)
A jurisdiction that is not NYC that regulates taxis
A jurisdiction that does not regulate taxis
This vehicle is used as a contracted carrier.
This vehicle is a passenger vehicle that is rented without a driver.
This vehicle requires a permit for
(Mark the box of the type of permit that was issued and write the permit
commercial operation.
number on the line.)
NYS DOT Permit No.
Federal DOT Permit No.
___________________
____________________
The
this vehicle.
government owns
This vehicle is used as (mark one)
an ambulance
an ambulette
a hearse or invalid coach
If payment is received to carry passengers, mark this box
.
This vehicle is used exclusively as a
If payment is received to carry passengers, mark this box.
hearse
This vehicle is a
with a gross vehicle weight rating of at least 8,600 pounds.
commercial tow truck
This vehicle is used only as a
. (form MV-260F, Part 1, must be attached)
farm vehicle
This vehicle is used only as an
agricultural truck or agricultural trailer.
This vehicle is subject to the Department of Transportation inspection requirements for the carriers that transport passengers.
(For more information, refer to form MV-82.1P, “Inspection Requirements for Carriers Transporting Passengers”.)
3. Has this vehicle been modified to change its registration class?
Yes
No
If “Yes”, explain
______________________________
_________________________________________________________________________________________________________________________
4. This vehicle is a pick-up truck with an unladen weight that is a maximum of 6,000 pounds. This vehicle is never used for commercial
purposes and does not have advertising on any part of it. I want (mark one):
Passenger Plates
Commercial Plates
CERTIFICATION:
The information I have given on this application is true to the best of my knowledge. I certify that the vehicle is fully
5
equipped as required by the Vehicle and Traffic Law, and has passed the required New York State inspection within the past 12 months, or
has qualified for a time extension (Form VS-1077) and will be inspected within 10 days. I also certify that appropriate insurance coverage
is in effect, and that the vehicle will be operated in accordance with the Vehicle and Traffic Law. If I am applying for replacement
registration items, I certify that the registration is not currently under suspension or revocation. If I have plates in a series reserved for a
special group, I certify that I am still eligible to receive them, and that I have only one set of these plates.
If I am using a credit card for
payment of any fees in connection with this application, I understand that my signature below also authorizes use of my credit card.
WARNING:
Intentionally making a false statement or providing false or misleading information in connection with this application is a criminal
offense that may subject you to prosecution under the law.
Print Name Here
(Print Name in Full - if registering for a corporation, print your full name and title)
Sign Here
(Sign Here)
Print Additional Name Here
(Print Name in Full)
Additional Signature Sign Here
(Sign Here - Additional signature required for a partnership or if registering this vehicle in more than one name.)
reset/clear
PAGE 2 OF 2
reset/clear
MV-82 (12/16)

Download Form MV-82 Vehicle Registration/Title Application - New York

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