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CHANGES
- Write new information about a current registration or title on page 1 of this form. For more information, refer to form MV-82.1
“Registering/Titling a Vehicle in New York State”.
CHANGES: Describe any vehicle changes and the reasons for the changes.
NAME CHANGE: Print the former name exactly like the former name is printed on the current registration or title.
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Proof of NYSDOT INSPECTIONor HEAVY VEHICLE INSPECTION IS REQUIRED before registration if the vehicle carries passengers AND the vehicle:
a. requires commercial operating authority;
b. is a bus with a seating capacity of 15 or more persons;
c. provides transportation under a contract with a private school or school district;
d. transports children under the age of 21 to places of: academic or vocational instruction through grade 12; religious services, religious instruction or both;
day camps or day care centers; care or training of persons with a physical disability, mental disability, or both;
Proof of NYSDOT INSPECTION or HEAVY VEHICLE INSPECTION IS NOT REQUIRED before registration if the vehicle:
e. is owned and operated by a municipality, a public authority, or a school operated by, or certified by, the Office for People With Developmental
Disabilities (OPWDD);
f. is owned by the registrant for his or her personal use, and is also used to transport children under the age of 21, without compensation, as described
in “d” above;
g. is a taxi or livery vehicle which transports children under the age of 21 as described in “d” above, without a contract or agreement for on-going services.
For more information about proof of inspection requirements, refer to Inspection Requirements for Carriers Transporting Passengers (form MV-82.1P).
Vehicle Inspection Information
This information is needed to make sure you have all required proofs when you register the vehicle in New York State.
1. Read the information above to determine if a NYSDOT inspection or a NYS Heavy Vehicle inspection is required. If one of these inspections is
required, mark this box . . . . . . . .
2. 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. (
If you mark the “has been” box, the vehicle
must have an anti-theft examination before the vehicle can be registered, and “Rebuilt Salvage: NY” will be printed on the title.)
3. Does the vehicle require a commercial operating authority permit? Yes No
If “Yes”, write the NYSDOTPermit No.
I.C.C. Permit No.
4. Is the vehicle used as an ambulette? Yes No If “Yes”, mark this box if payment is received to carry passengers
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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 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.
Print Name Here X
Sign Here X
(Print Name in Full - if registering for a corporation, print your full name and title)
(Sign Name in Full)
Additional Signature Sign Here X
(Sign Name in Full -Additional signature required for a partnership or if registering this vehicle in more than one name.)
CREDIT CARD AUTHORIZATION IF CARDHOLDER IS NOT THE APPLICANT:
Sign
My signature authorizes
to use my credit card for payment of any fees in connection with this application,
Here
X
and Iunderstand that I must be present for this transaction.
(Cardholder-Sign Name in Full)
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 vehicle 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 vehicle referenced in this application.
Lien Filing Code
(Assigned by DMV) Lienholder Name
Mailing Address
(Number and Street) (City) (State) (Zip Code)
Lien Filing Code
(Assigned by DMV) Lienholder Name
Mailing Address
(Number and Street) (City) (State) (Zip Code)
To Be Completed by a Registered New York State Dealer Only – List any additional Lienholders
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)
MV-82ITP (1/16)
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