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
2021 Annual Parking Pass
Effective Dates:
Jan. 1st - Dec. 31st, 2021
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
