County of Residence
APPLICATION FOR DUPLICATE REGISTRATION
Batch File Number
RDP RRN
IMPORTANT: Do not use this form to change your name or any vehicle information.
To make any of those changes, use form MV-82 “Vehicle Registration/Title Application”.
INSTRUCTIONS:
u Enter your license plate number and fill in Sections 1 and 2 below. Provide all requested information.
u Show proof of identity, such as a NYS photo driver license or ID card (see form ID-82 for other proofs of identity).
u If you receive a temporary registration document, place it on your dashboard. The new window sticker and registration document will be
mailed to you in a few days.
LICENSE PLATE NUMBER:
Special
Conditions
Proof Submitted (Name and Ownership)
Scofflaw Clearance Number(s)
Approved By
Date
EO EX NF NR PI SR SV XR
USE
ONLY
O
F
F
I
C
E
Old
Class
Old
Plate
3 of
Name
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 in Full)
(If registering for a corporation, print title)
Print Name Here X
(Sign Name in Full)
Sign Here X
Email (optional)
S
E
C
T
I
O
N
1
S
E
C
T
I
O
N
2
THE ADDRESS WHERE PRIMARY REGISTRANT GETS MAIL
Apt. No.
City or Town State Zip Code
Apt. No.
City or Town State Zip Code
County of Residence
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 printed on the document.)
NAME OF PRIMARY REGISTRANT (Last, First, Middle or Business Name)
NYS driver license ID number of
PRIMARY REGISTRANT
NAME OF CO-REGISTRANT (Last, First, Middle)
Male
Female
GENDER
NYS driver license ID number of
CO-REGISTRANT
Month Day Year
DATE OF BIRTH
ADDRESS CHANGE? YES NO
Male Female
GENDER
Month Day Year
DATE OF BIRTH
TELEPHONE NUMBER
Area Code
( )
MOBILE TELEPHONE NUMBER
Area Code
( )
If the OWNERof the vehicle is DIFFERENT from the REGISTRANT, the OWNERmust complete this section.
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
GENDER
Õ
MV-82D (10/1
9)
dmv.ny.gov
