1.
Read through the application to ensure you have the proper documentation before completing this form.
2.
Ensure that all fields have been filled in correctly and completely.
3.
City of Kingston
Kingston, NY 12401
(845) 331-0080
PARKING LOT PERMIT APPLICATION
How to complete this form
Part 1: Permit Information
State:_________ Plate #_____________-________________
Make:_________________________ Model:______________________________
Registration Exp:________/_______/_________
Type: Passenger Truck Van Motorcycle
Parking Permit Fees
Parking Permit (non-
refundable)- $100.00
Replacement Tag - $20.00
2020 Annual Parking Pass
Effective Dates:
Jan. 1st - Dec. 31st, 2020
First Name:
MI:
State:
Apt/Suite:__________
Zip Code:_______________
Last Name:____________________________
Address: ____________________________________________________________
City:___________________________________
Mailing Address (if different):___________________________________________
City:____________________________________ State:
_______________
Home Phone:__________________________
Email:
Part 3: Vehicle Information
Part 2: Applicant Information
Apt/Suite:__________
Zip Code:_______________
______________________
_______
______________
____________________________________
Are you a Resident of the City of Kingston?
Do you work in a City of Kingston Business District?
Yes
No
Yes No
Cell Phone:__________________________
Office Phone:__________________________
4.
Permits are only available for vehicles under 18,000lbs gross vehicle weight rating. Vehicles must occupy only one
parking space.
Once completed, this form should be submitted to the following address, accompanied by payment (check or money
order) payable to the City of Kingston. Please allow approximately two weeks for processing:
City of Kingston Processing Center
PO Box 2070
Tarrytown, NY 10591-9070
Part 4: Application Affidavit
I declare that the information is true and correct. I also acknowledge that failure to properly display these permits may result in the issuance of a valid citation and
that it is my responsibility to inform all members of my household and visitors on the correct use of my permits. Holders of parking permits are subject to all
restrictions regarding parking in municipal parking lots other than limits on parking in excess of twenty-four hours. Parking Permit does not exempt holder from
snow emergency parking regulations. Parking permits shall not be transferable and shall be specific to a particular vehicle. Once issued, the parking permit shall be
subject to revocation for violation of parking permit rules, including the failure to keep contact information current and/or the transfer of said permit to an
unauthorized vehicle. In addition, the permit shall be subject to revocation for a violation of parking lot rules set forth in the City Code, including, but not
limited to, snow emergency regulations. All applicants for parking permits must not be in arrears on parking tickets issued by the City of Kingston. Revocation of a
parking permit shall not entitle the holder of said permit to any refund for fees paid. Holders of parking permits are not guaranteed available parking spaces.
Parking permits are non-refundable.
____________________________________________
Signature
_____________________
Date
City of Kingston
Kingston, NY 12401
(845) 331-0080
PARKING LOT PERMIT APPLICATION
Parking Permit Fees
Parking Permit (non-
refundable)- $100.00
Replacement Tag - $20.00
2020 Annual Parking Pass
Effective Dates:
Jan. 1st - Dec. 31st, 2020
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