Fillable Form 1: BOAT REGISTRATION/TITLE APPLICATION 7 5 4 (New York State)

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Form 1: BOAT REGISTRATION/TITLE APPLICATION 7 5 4 (New York State)

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COMPLETE and . WHEN AND APPLY, COMPLETE THOSE SECTIONS.
3
3
6
6
6
INSTRUCTIONS è
Print clearly in blue or black ink
Old Owner
3 of Name
OFFICE
USE
ONLY
OFFICE
USE
ONLY
FOR OFFICE USE ONLY
Batch File No.
o Original o Renewal o Activity o Duplicate
HULL MATERIAL
PROPULSION
o OUTBOARD o IN BOARD
o I/O (IN/OUTBOARD)
o SAIL o OTHER
FUEL
o GAS o DIESEL
o ELECTRIC
o OTHER o NONE
USE o PLEASURE o MANUFACTURER
o GOVERNMENT o LEASED o RENTAL
COMMERCIAL PASSENGER:
o UNDER 6 o 6 OR MORE
o DEALER o COMMERCIAL o FISHING - COMM.
3 of
Name
Sticker
HULL IDENTIFICATION NUMBER
COUNTY OF PRIMARY USE
MV-82B (6/20)
BECOME AN ORGAN DONOR! Visit donatelife.ny.gov
SPECIAL CONDITIONS:
YEAR
MAKE LENGTH
TYPE OF BOAT
o
OPEN o CABIN
o HOUSE
o OTHER_____________
Feet Inches
Reg.
No.
Proof Submitted
(Name and Ownership)
Stop/Response
Operator
Signature
NF OV PA SV XR
IF A TEMPORARY REGISTRATION WAS ISSUED: If you assigned a registration number to this boat, place the registration number sticker over this box. If the boat
already has a valid New York registration number, enter the information below.
MARK THE BOX OF THE TYPE OF SERVICE YOU NEED. (For more information, refer to form MV-82.1B “Registering/Titling a Boat in New York State”.)
PAGE 1 OF 3
NY
DEALER
ONLY
1
1
2
2
4
4
Sales Tax
Information
Status
Value
($)
Jurisdiction Rate Out of State Audit
Title Lien Lien
Number
Prior
Owner
AUTHORIZATION: The registrant described in is authorized to register the boat described in .
A different owner is only allowed when the boat is leased. IF YOU ARE NOT THE OWNER of this boat, the
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: Do not complete this section if a completed Registration Authorization
(form MV-95) is attached or if you apply to renew the boat registration and the owner of that boat has not changed.
(Signature of owner or authorized person, and signature of co-owner)
(Date)
NAME OF CURRENT OWNER
(Last, First, Middle)
NYS DRIVER LICENSE NUMBER OF OWNER
Month Day Year
DATE OF BIRTH
Apt. No. City or Town State Zip Code County
ADDRESS WHERE THE OWNER GETS MAIL (Include Street Number and Name, Rural Delivery or box number)
Area Code
( )
DAY TELEPHONE NUMBER OF OWNER (Optional)
2 4
Lien Release
HOW DID YOU GET THE BOAT?
5
5
Lienholder Name and Mailing Address
NY
DEALER
ONLY
Lien Filing Code(Assigned by DMV)
TO BE COMPLETED ONLY BY A REGISTERED NEW YORK STATE BOAT DEALER
Registration Number: ________________________________________________________________ Date Temp. Reg. Issued: __________________________
Dealer Name: ________________________________________________________________ Dealer Facility Number: __________________________
o RENEW a registration
o Get a TITLE ONLY for a 1987 or newer
motorized boat that is 14 or more feet long
o CHANGE the title (refer to )
o Get a FIRST REGISTRATION for a boat
o REPLACE the registration [mark one or both o DOCUMENT o STICKER]
o
CHANGE the current registration (refer to )
Is this boat now DOCUMENTED
o Yes
by you?
o No
Does this boat now have a
o Yes
NY REGISTRATION Number?
o No
If “YES”, enter the
NY Registration Number
If “YES”, enter the
Document Number
If NO, are you in the process o Yes
of Documenting the boat?
o No
o New o Used
o Leased New o Leased Used
If leased, YOU MUST ATTACH a copy
of the Leasing Agreement
o WOOD o STEEL
o PLASTIC o INFLATABLE
o FIBERGLASS o OTHER
o ALUMINUM
M F
o o
Area Code
( )
oNew
oUsed
NAME CHANGE?
o YES (refer to ) o NO
ADDRESS CHANGE?
o YES o NO
Is this registration for a corporation
or partnership?
o Yes o No
NAME OF PRIMARY REGISTRANT (Last, First, Middle)
NYS driver license number of PRIMARY SEX
THE ADDRESS WHERE PRIMARY REGISTRANT GETS MAIL
DAY TELEPHONE
Month Day Year
DATE OF BIRTH
Apt. No. City or Town State Zip Code County of Residence
Apt. No. City or Town State Zip Code
THE ADDRESS WHERE PRIMARY REGISTRANT RESIDES IF DIFFERENT FROM THE MAILING ADDRESS.
(DO NOT GIVE A P.O. BOX.)
(Include Street Number and Name, Rural Delivery or box number. This address will be on the document.)
NAME OF CO-REGISTRANT (Last, First, Middle)
M F
o o
NYS driver license number of CO-REGISTRANT SEX
Month Day Year
DATE OF BIRTH
How did you get
the vehicle?
(mark one)
oLeased New
oLeased Used
BOAT REGISTRATION/TITLE APPLICATION
(This form is also available on DMV’s web site - dmv.ny.gov)
7
5
X
Boat was
obtained from ________________________________________________________________________________________ _____________ ___________________
Boat was
sold by
CHANGES to information on your current boat registration and/or title
ADDITIONAL LIENHOLDERS - List any lienholders in addition to the one specified on page 1 of this form.
Lien Filing Code _____________________________ Lienholder Name _______________________________________________________________
Mailing Address ___________________________________________________________________________________________________________
Number and Street City State Zip Code
Lien Filing Code _____________________________ Lienholder Name _______________________________________________________________
Mailing Address ___________________________________________________________________________________________________________
Number and Street City State Zip Code
NY 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
Department of Motor Vehicles office.
DEALER TRANSFER INFORMATION – Please complete the information below. For new boats, attach a Manufacturer’s Statement or Certificate of Origin
(MSO or MCO) and a bill of sale. For used boats, attach a signed title or transferable registration, along with bills of sale for any subsequent transactions.
MV-82B (6/20)
Signature of Dealer or Authorized Representative
Name and Address
Name and Address of your dealership
Facility No. Date of Sale
Date of Purchase
X
REGISTRANT CERTIFICATION: I certify that the registration information presented is true, and that the registration is not currently under suspension or
revocation in any jurisdiction. 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.
(Sign Name in Full -Additional signature required for a partnership or if registering this boat in more than one name.)
(Print Name in Full - if registering for a corporation, print your full name and title)
IMPORTANT: Making a false statement in any registration application, or in any proof or statements in connection with it, or deceiving or substituting in
connection with this application, is a misdemeanor under Section 392 of the Vehicle and Traffic Law, and may also result in the revocation or suspension of the
registration pursuant to regulations established by the Commissioner. The Department makes no representation that it will issue a certificate of title or
transferable registration until the Commissioner is satisfied that the applicant is entitled to a certificate of title or transferable registration, and until all
documentation required to establish ownership of the boat is submitted and deemed to be satisfactory. Pending review of this application, neither the
Commissioner of the Department of Motor Vehicles nor any of his or her employees, deputies or agents assumes any liability or responsibility for repairs
performed, improvements made or work done to the boat referenced in this application.
CREDIT CARD AUTHORIZATION IF CARDHOLDER IS NOT THE APPLICANT:
My signature authorizes ____________________________________________ to use my credit card for payment of any fees in connection with this application,
and I understand that I must be present for this transaction.
Additional Signature
SIGN HERE
X
Print Name Here X
(Sign Name in Full)
Sign Here X
(Cardholder - Sign Name in Full)
Sign Here X
7
PAGE 2 OF 3
TO BE COMPLETED ONLY BY A REGISTERED NEW YORK STATE BOAT DEALER
D
E
A
L
E
R
O
N
L
Y
(Assigned by DMV)
(Assigned by DMV)
NAME CHANGE: Print your former name exactly like your former name is printed on the current registration or title.
FOR ALL CHANGES other than a name change, explain what the change is and the reason for the change.
6
Credit Card Authorization - Provide all of the information below.
Name (as it appears on credit card)
Credit Card Number
Expiration Date
Security Code
(3 or 4 digit code on back or front of your card)
X
Credit Card Type  o Visa o MasterCard o American Express o Discover
PAYMENT INSTRUCTIONS
You can pay for your transaction by check, money order or credit card.
1. Select your payment method.
2. Complete the section for your payment method.
3. Make your check or money order payable to the “Commissioner of Motor Vehicles” (DO NOT SEND CASH)
4. Return page 3 with your application. Make sure to include your check or money order if applicable.
o Check o Money Order
Amount Enclosed (DO NOT SEND CASH)
$
Authorized
Signature
MV-82B (6/20)
PAGE 3 OF 3
NAME OF PRIMARY REGISTRANT: ______________________________________________________________________
reset/clear
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Form 1: BOAT REGISTRATIONTITLE APPLICATION 7 5 4 (New York State)

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Completed 18 May 2021

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