Form MV-905 "Self-storage Owner/Operator Affirmation and Bill of Sale" - New York

What Is Form MV-905?

This is a legal form that was released by the New York State Department of Motor Vehicles - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on November 1, 2015;
  • The latest edition provided by the New York State Department of Motor Vehicles;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form MV-905 by clicking the link below or browse more documents and templates provided by the New York State Department of Motor Vehicles.

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Download Form MV-905 "Self-storage Owner/Operator Affirmation and Bill of Sale" - New York

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SELF-STORAGE OWNER/OPERATOR AFFIRMATION AND BILL OF SALE
This form is also available to download from the DMV web site dmv.ny.gov
SELF-STORAGE COMPANY (Business Name and Address)
PRIOR OWNER
Name
Last Name, First, M.I.
Number and Street Address
Number and Street Address (including Apt. No.)
State
Zip Code
City
City
State
Zip Code
DESCRIPTION OF VEHICLE OR BOAT
Vehicle or Hull Identification Number (attach photo or tracing)
Make
Model
Plate Number
State
Year
LIENHOLDERS (attach additional page, if necessary)
1. Name
2. Name
Number and Street Address (including Apt. No.)
Number and Street Address (including Apt. No.)
State
Zip Code
City
City
State
Zip Code
I (We) waited 10 days from the date of service of the Notice of Lien to publish the notice of impending sale, and waited 15 days from the date
of the first publication of the notice to conduct the sale. No action was brought under Section 182 of the Lien Law, or an action was brought
and the determination was in my (our) favor. Notice of Lien was sent to owner(s) and lienholder(s). Proof of mailing is attached.
PUBLICATION AND SERVICE OF NOTICE INFORMATION
Date of service of notice to owner:
/
/
Date of service of notice to lienholder(s):
/
/
1st Publication Date:
/
/
2nd Publication Date:
/
/
Sale Date:
/
/
Name and address of newspaper:
BUYER
Print Last Name, First, M.I.
Address Where Auction Was Held
Number and Street Address (including Apt. No.)
City
State
Zip Code
Price
Paid
ODOMETER DISCLOSURE STATEMENT (does not apply to boats)
Federal and state laws require that you state the mileage and condition of the vehicle described above when transferring ownership. Failure to
provide mileage and condition information, or providing false information, may result in fines and/or imprisonment.
I,
state that the odometer now reads
miles.
Self-Storage Owner/Operator (Print Name in Full)
(no tenths)
The odometer on the vehicle described above has (check the appropriate box):
5 digits
6 digits
7 digits, not including tenths.
1.
I certify that, to the best of my knowledge, this odometer reading reflects the ACTUAL MILEAGE as seen on the odometer of the
vehicle described above.
2.
I certify that, to the best of my knowledge, this odometer reading “EXCEEDS MECHANICAL LIMITS”. (Odometer started over at zero.)
“NOT THE ACTUAL MILEAGE. WARNING: ODOMETER DISCREPANCY”.
3.
I certify that, to the best of my knowledge, this odometer reading is
Making a false statement, or failure to accurately disclose the salvage status of a vehicle, may subject you to substantial civil
IMPORTANT:
fines, in addition to any penalties authorized by the Penal Law.
DAMAGE DISCLOSURE STATEMENT – CHECK ONE BOX
I certify that, to the best of my knowledge, this vehicle
has been or
has not 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 for legal
operation on the road or highways, is more than 75% of the retail value of the vehicle at the time of loss. (Checking the “has” box means the
vehicle must have an anti-theft examination before being registered, and that the title issued will have the statement “Rebuilt Salvage: NY” on it.)
The information in the “Statements” above is true to the best of my knowledge.
(BUYER’S SIGNATURE)
(SELF-STORAGE OWNER/OPERATOR’S SIGNATURE)
CERTIFICATE OF TITLE REQUIRED FOR REGISTRATION
The vehicle described above cannot be registered until Title Services Bureau staff have reviewed the buyer’s application for title and
supporting documentation, and have issued a Certificate of Title for the vehicle.
MV-905 (11/15)
SELF-STORAGE OWNER/OPERATOR AFFIRMATION AND BILL OF SALE
This form is also available to download from the DMV web site dmv.ny.gov
SELF-STORAGE COMPANY (Business Name and Address)
PRIOR OWNER
Name
Last Name, First, M.I.
Number and Street Address
Number and Street Address (including Apt. No.)
State
Zip Code
City
City
State
Zip Code
DESCRIPTION OF VEHICLE OR BOAT
Vehicle or Hull Identification Number (attach photo or tracing)
Make
Model
Plate Number
State
Year
LIENHOLDERS (attach additional page, if necessary)
1. Name
2. Name
Number and Street Address (including Apt. No.)
Number and Street Address (including Apt. No.)
State
Zip Code
City
City
State
Zip Code
I (We) waited 10 days from the date of service of the Notice of Lien to publish the notice of impending sale, and waited 15 days from the date
of the first publication of the notice to conduct the sale. No action was brought under Section 182 of the Lien Law, or an action was brought
and the determination was in my (our) favor. Notice of Lien was sent to owner(s) and lienholder(s). Proof of mailing is attached.
PUBLICATION AND SERVICE OF NOTICE INFORMATION
Date of service of notice to owner:
/
/
Date of service of notice to lienholder(s):
/
/
1st Publication Date:
/
/
2nd Publication Date:
/
/
Sale Date:
/
/
Name and address of newspaper:
BUYER
Print Last Name, First, M.I.
Address Where Auction Was Held
Number and Street Address (including Apt. No.)
City
State
Zip Code
Price
Paid
ODOMETER DISCLOSURE STATEMENT (does not apply to boats)
Federal and state laws require that you state the mileage and condition of the vehicle described above when transferring ownership. Failure to
provide mileage and condition information, or providing false information, may result in fines and/or imprisonment.
I,
state that the odometer now reads
miles.
Self-Storage Owner/Operator (Print Name in Full)
(no tenths)
The odometer on the vehicle described above has (check the appropriate box):
5 digits
6 digits
7 digits, not including tenths.
1.
I certify that, to the best of my knowledge, this odometer reading reflects the ACTUAL MILEAGE as seen on the odometer of the
vehicle described above.
2.
I certify that, to the best of my knowledge, this odometer reading “EXCEEDS MECHANICAL LIMITS”. (Odometer started over at zero.)
“NOT THE ACTUAL MILEAGE. WARNING: ODOMETER DISCREPANCY”.
3.
I certify that, to the best of my knowledge, this odometer reading is
Making a false statement, or failure to accurately disclose the salvage status of a vehicle, may subject you to substantial civil
IMPORTANT:
fines, in addition to any penalties authorized by the Penal Law.
DAMAGE DISCLOSURE STATEMENT – CHECK ONE BOX
I certify that, to the best of my knowledge, this vehicle
has been or
has not 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 for legal
operation on the road or highways, is more than 75% of the retail value of the vehicle at the time of loss. (Checking the “has” box means the
vehicle must have an anti-theft examination before being registered, and that the title issued will have the statement “Rebuilt Salvage: NY” on it.)
The information in the “Statements” above is true to the best of my knowledge.
(BUYER’S SIGNATURE)
(SELF-STORAGE OWNER/OPERATOR’S SIGNATURE)
CERTIFICATE OF TITLE REQUIRED FOR REGISTRATION
The vehicle described above cannot be registered until Title Services Bureau staff have reviewed the buyer’s application for title and
supporting documentation, and have issued a Certificate of Title for the vehicle.
MV-905 (11/15)