Fillable Mv82 VEHICLE REGISTRATION/TITLE APPLICATION

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Mv82 VEHICLE REGISTRATION/TITLE APPLICATION

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COMPLETE BOTH SIDES
If YES - Complete sections 1-4 of this form.
Note: If this vehicle is a pick-up truck with an unladen weight that is a maximum of 6,000 pounds, is never used for commercial purposes and does not have
advertising on any part of the truck, you are eligible for passenger plates or commercial plates. Select one: o Passenger Plates o Commercial Plates
o Gas o Diesel o Electric o Flex o CNG o Propane o None
Year Make
Color
Unladen Weight
Cylinders
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
VEHICLE DESCRIPTION
Body Type (mark one)
Type of Power (Fuel)
VEHICLE IDENTIFICATION NUMBER
Odometer Reading in Miles
Mileage Brand
o A o E o N
Axles
Distance
PAGE 1 OF 3
MV-82 (5/20)
Adult Seating Capacity (Including Driver)
NAME OF CO-REGISTRANT (Last, First, Middle)
Male o Female o
GENDER
NYS driver license ID number of
CO-REGISTRANT
EMAIL
ADDRESS CHANGE? o YES o NO
THE ADDRESS WHERE PRIMARY REGISTRANT GETS MAIL
Apt. No. City or Town State Zip Code
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.)
o Trailer
o Motorcycle
o Tow
o 2-Door
o 4-Door
o Pick-up
o Van
o Convertible
o Suburban/SUV
o Limo
Male o Female o
Name Change
Yes
o No o
GENDER
Month Day Year
DATE OF BIRTH
Month Day Year
DATE OF BIRTH
TELEPHONE or MOBILE PHONE NUMBER
Area Code
( )
o Other
REGISTER A VEHICLE
CHANGE A REGISTRATION
RENEW A REGISTRATION
GET A TITLE ONLY
Current Plate Number
FORMER NAME
(If name was changed you must present proof)
REPLACE LOST OR DAMAGED ITEMS
TRANSFER PLATES
A. Is this vehicle being registered only for personal use? o Yes o No
B. Complete the Certification in Section 6.
C. Refer to form MV-82.1 Registering/Titling a Vehicle in New York State for information to complete this form.
I WANT TO:
o Orig
o Dup
o Lease Buyout
o Sales Tax with Title o Sales Tax Only without Title
o Renewal
o Renew W/RR
Class
Three of Name
Batch
File No.
o Activity
o Activity W/RR
Office Use Only
Name Change
Yes
o No o
VEHICLE REGISTRATION/TITLE
APPLICATION
If NO - Complete sections 1-5 of this form.
Was this vehicle altered to increase the capacity beyond that provided by the manufacturer by method of extended chassis,
lengthened wheel base, or a lengthened seating area? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If YES
, do you have the required Federal Alterer’s Safety Certification (normally found on the door jamb)? . . . . . . . . . . . . . . . . . . . . .
Yes
o No o
Yes o No o
IMPORTANT: If your vehicle was altered/stretched to increase the passenger capacity, you must present to the DMV office a photograph or copy of all
labels or plates (normally put on the driver’s side door). If the vehicle was altered or stretched and now has an adult seating capacity of 11 or more
(including the driver), you must show the original NYS DOT Inspection Receipt OR a NYS DOT Exemption Letter.
SECTION 1
SECTION 2
SECTION 3
INSTRUCTIONS:
County of Residence
If the OWNER of the vehicle is DIFFERENT from the REGISTRANT, the OWNER must complete this section.
(Signature of ALL owner(s) and proof of ID required when first applying for a NYS title. See form ID-82 - Proofs of Identity for Registration and Title.) (Date)
(Include the Street Number and Name, Rural Delivery or box number)
Apt. No. City or Town State Zip Code
County
THE ADDRESS WHERE PRIMARY OWNER GETS MAIL
o Male
o Female
NAME OF PRIMARY OWNER (Last, First, Middle)
REGISTRATION AUTHORIZATION
o My signature authorizes the
person(s) named in Section 1 to register this vehicle in his/her name. I have
provided the current ownership document.
NAME OF
CO-OWNER
PRIMARY OWNER NYS License Number
Month Day Year
PRIMARY OWNER
DATE OF BIRTH
X
PRIMARY
OWNER
GENDER
Issuance
State
Title
OFFICE USE ONLY
Lien
Lien
Number
Lien Release
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
Ins. Co.
Code
Status Value
($)
Rate JurisdictionOut of State Audit
New
Plate
New
Class
Stop/Response/Scoff Law
Approved By
Date
This form is available at dmv.ny.gov.
CERTIFICATION
MV-82 (5/20)
PAGE 2 OF 3
Has this vehicle been modified from the original manufacturer specifications without extending the chassis or lengthening
the wheel base? (Examples include: color changes, added seats, permanently mounted camping equipment, multi-stage
vehicles.) If “Yes,” describe the modifications:
Vehicle is used in New York City, Westchester, or Nassau counties.
Vehicle is used as a contract carrier in NYC (commuter van with seating
capacity between 9 and 14). You are eligible for LIVERY plates.
Vehicle is used for pick up in a jurisdiction that
regulates taxis other
than NYC, Westchester
county, or Nassau county.
I certify that the information I have given on this application and on any documentation provided in support of this application is true and complete. 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, 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.
Ambulance
Ambulette*
Hearse
NON-PERSONAL VEHICLE USE
* Vehicles that transport passengers may require NYS DOT Operating Authority (see https://www.dot.ny.gov/divisions/operating/osss/bus/passenger),
NYS DOT Inspection (see https://www.dot.ny.gov/divisions/operating/osss/bus/inspection) and/or be subject to Article 19-A requirements
(see https://dmv.ny.gov/motor-carriers/information-and-forms-article-19).
Combination Hearse/Invalid
Coach
*
Check one:
A commercial tow truck with a gross vehicle
weight rating of at least 8,600 pounds
Used only as a farm vehicle (form
MV-260F, Part 1
must be submitted)
Used only as an agricultural truck or
agricultural trailer
Operates as a taxi* (you must complete
the “Taxis Only” section below)
Used to transport passengers*
(Bus, Livery, School Bus,
School Car)
Rented without a driver (private rental)
Used to pick up passengers for compensation
only
in jurisdictions that do not regulate taxis*
Other - describe the use:
For Hire (direct or indirect compensation) - Submit an FH Certificate
Not For Hire - Submit a current and valid NYS Insurance ID Card
DOT Operation - Submit and record the NYS DOT
Permit and/or the Federal DOT Permit number:
DAMAGE DISCLOSURE
VEHICLE MODIFICATIONS
INSURANCE REQUIREMENTS
TAXIS ONLY (check one)
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?
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.
o Yes o No
o Yes o No
(Print Name in Full - if registering for a corporation, print your full name and title)
Additional
Signature
Print
Name Here
X
X
(Print Name in Full)
(Sign Here - Additional signature required for a partnership or
if registering this vehicle in more than one name.)
Print Additional
Name Here
(Sign Here)
Sign Here
SECTION 4
SECTION 5
SECTION 6
MV-82 (5/20)
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
$
Authorized
Signature
PAGE 3 OF 3
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Mv82 VEHICLE REGISTRATIONTITLE APPLICATION

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Completed 8 June 2020

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