Fillable Form 1: VEHICLE REGISTRATION/ TITLE APPLICATION (New York Department of Motor Vehicles)

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Form 1: VEHICLE REGISTRATION/ TITLE APPLICATION (New York Department of Motor Vehicles)

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The Form 1: VEHICLE REGISTRATION/ TITLE APPLICATION (New York Department of Motor Vehicles) form is 2 pages long and contains:

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  • 66 check-boxes
  • 139 other fields

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REGISTER A VEHICLE
CHANGE A REGISTRATION
RENEW A REGISTRATION
GET A TITLE ONLY
Plate Number
REPLACE LOST OR DAMAGED ITEMS
TRANSFER PLATES
Gas Diesel Electric Flex CNG Propane None
Issuance
State
Title
OFFICE USE ONLY
Year Make
Color
Unladen Weight
Cylinders
Did you issue plates to this vehicle?
Yes No
Plate Number
Reg. Class
Maximum Gross Weight
NAME OF PRIMARY REGISTRANT (Last, First, Middle or Business Name)
NYS driver license ID number of
PRIMARY REGISTRANT
For trailers & commercial vehicles
For commercial vehicles
Office Use Only
For rentals,buses & taxis
VEHICLE DESCRIPTION
Body Type (mark one)
Type of Power (Fuel)
VEHICLE IDENTIFICATION NUMBER
Odometer Reading in Miles
Mileage Brand
A E N
Lien Lien
Number
Lien Release
Axles
Distance
Prior
Owner
Special Conditions
Sales Tax
Proof Submitted
Reg/Title ______________________________ State_________________
AT BV CF CO EO EX FL
IO NE NF NR NU OP OV
PA PI PK RC RE SC SO
SP SR SS SV TE TL TO
TP TR TX XR X6 WO
Date Temp Issued Facility IDNumber
VEHICLE REGISTRATION/
TITLE APPLICATION
This form is available at dmv.ny.gov
I WANT TO:
Orig
Dup
Lease Buyout
Sales Tax with Title
Renewal
Renew W/RR
NEW YORK DEALERS ONLY
DEALER USE ONLY - LIEN FILING - Alterations are not allowed in the lienholder section below
Choose one
Lien Filing Code Lienholder Name Lienholder Mailing Address (number, street, city, state, zip code)
There are no liens I am filing for the lienholder(s) listed below
Class
Ins. Co.
Code
Three of Name
Status Value
($)
Rate Jurisdiction Out of State Audit
New
Plate
New
Class
Stop/Response/Scoff Law
Approved By Date
Batch
File No.
Activity
Activity W/RR
Seating Capacity
Motorcycle Tow Other _________
NAME OF CO-REGISTRANT (Last, First, Middle)
CHANGES: Describe any vehicle changes and the reasons for the changes. (SUBMITNYS TITLEIFISSUED)
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
2-Door 4-Door Pick-up Van
2
1
Male Female
GENDER
NYS driver license ID number of
CO-REGISTRANT
Month Day Year
DATE OF BIRTH
FORMERNAME (If name was changed you must present proof)) EMAIL
ADDRESS CHANGE? YES NO
THE ADDRESS WHERE PRIMARY REGISTRANT GETS MAIL
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 CHANGE? YES NO
Convertible Suburban/SUV Trailer
Male Female
GENDER
Month Day Year
DATE OF BIRTH
If the OWNERof the vehicle is DIFFERENT from the REGISTRANT, the OWNERmust complete this section.
(Signature of owner or authorized person, and signature of co-owner if applicable) (Date)
(Include the Street Number and Name, Rural Delivery or box number)
Apt. No. City or Town State Zip Code
County
THE ADDRESS WHERE OWNERGETSMAIL
Male Female
NAME OF CURRENT OWNER(s) (Last, First, Middle)
NYS driver license number of OWNER
NAME OF CO-OWNER
Month Day Year
DATE OF BIRTH
3
GENDER
TELEPHONE NUMBER
Area Code
( )
MOBILE TELEPHONE NUMBER
Area Code
( )
MV-82 (12/16)
COMPLETE BOTH SIDES
PAGE 1 OF 2
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4
ADDITIONAL VEHICLE INFORMATION
QUESTIONS 1-3 MUST BE COMPLETED.
5
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 Yes the vehicle must have an anti-theft examination before it is registered. The title that is issued
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 commercial operation. (Mark the box of the type of permit that was issued and write the permit
number on the line.) NYSDOTPermit No.
___________________ Federal DOT Permit No. ____________________
The government owns this vehicle.
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 hearse If payment is received to carry passengers, mark this box.
This vehicle is a commercial tow truck with a gross vehicle weight rating of at least 8,600 pounds.
This vehicle is used only as a
farm vehicle. (form MV-260F, Part 1, must be attached)
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
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.)
MV-82 (12/16)
PAGE 2 OF 2
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Form 1: VEHICLE REGISTRATION TITLE APPLICATION (New York Department of Motor Vehicles)

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Completed 12 August 2021

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