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Application For Title MV-82TON - New York

Application For Title Form. This is a New York form and can be used in Department Of Motor Vehicles Statewide .
 Fillable pdf Last Modified 5/16/2013
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MV-82TON (4/12) New York State Department of Motor Vehicles PAGE 1 OF 2 APPLICATION FOR TITLE PLEASE PRINT WITH BLUE OR BLACK INK *MV-82TON* FOR OFFICE USE ONLY Batch File No. __________________________ Proof Submitted ________________________ IMPORTANT­ DO NOT USE THIS FORM TO REGISTER A VEHICLE, BOAT OR TRAILER Please carefully READ THE INFORMATION ON PAGE 2 of this form. Everyone must complete Sections 1, 3 and 6 AND whichever of the following is applicable: w Section 2 for Co-Owners w Sections 4 and 7 for NYSREG Dealers w Section 5 for Vehicle, Motorcycle or Trailer w Section 8 for MFH Dealers 1 NEW OWNER'S LAST NAME (OR COMPANY NAME) FIRST NAME M.I. ID NO. (from Driver LIcense) DATE OF BIRTH Month Day Year SEX M o o M.I. F 2 NEW CO-OWNER'S LAST NAME FIRST NAME ID NO. (from Driver LIcense) DATE OF BIRTH Month Day Year SEX M o o COUNTY F NEW OWNER'S MAILING ADDRESS (include Street Number and Name, Rural Deliery and/or Box Number) Apt. No. CITY OR TOWN STATE ZIP CODE ADDRESS WHERE YOU LIVE ­ IF DIFFERENT FROM YOUR MAILING ADDRESS ­ DO NOT GIVE PO BOX (Include Street Number and Name) Apt. No. CITY OR TOWN STATE ZIP CODE COUNTY 3 COMPLETE ONE OF THE FOLLOWING: A OR B OR C OR D B BOATS ONLY How was the boat obtained? o New o Used o Leased A VEHICLES AND MOTORCYCLES o New How was the vehicle obtained? o Used o Lease Buyout o Salvage o Leased FOR OFFICE USE ONLY MILEAGE BRAND HULL IDENTIFICATION NUMBER VEHICLE IDENTIFICATION NUMBER YEAR MAKE LENGTH Feet Inches YEAR MAKE COLOR ODOMETER READING IN MILES * HULL MATERIAL o Wood o Steel VEHICLE TYPE o Plastic o Inflatable o Fiberglass o Aluminum o Other ____________________________________ *Odometer has room for how many numbers? (DO NOT INCLUDE TENTHS.) TYPE OF POWER CYLINDERS PROPULSION o 2 Door o 4 Door o Convertible o Motorcycle o Van o Truck (List Type) o Pick up o Dump o Fire o Tow o Utility o Other Type of Vehicle or Truck (explain) ____________________ Is the vehicle currently registered in new owner's name? o Yes o No o Outboard o Inboard o Inboard/Outboard o Sail o Gas o Diesel o Electric o Flex o CNG o Propane o None o Other ____________ UNLADEN WEIGHT MAXIMUM GROSS WEIGHT (FOR TRUCKS) o Other ____________________________________________________________ FUEL o Gas o Diesel o Electric o None o Other_____________________ o Less than 16,000 lbs. o 16,000 lbs. or more If Yes, Plate Number: D TRAILERS ONLY How was the trailer obtained? o New o Used o Leased o Salvage VEHICLE IDENTIFICATION NUMBER C MANUFACTURED HOMES ONLY How was the manufactured home obtained? o New o Used YEAR MAKE COLOR UNLADEN WEIGHT SERIAL NUMBER Is the trailer currently registered in new owner's name? o Yes o No Length If Yes, Plate Number: TYPE YEAR MAKE COLOR SIZE Width o House Trailer o Boat Trailer o Semi Trailer o Refrigerator Trailer o Other ________________________________ 4 LIEN INFORMATION - To be completed only by a NYS-registered vehicle, boat, or trailer dealer - DO NOT USE FOR MFH LIEN FILING CODE (Assigned by DMV) LIENHOLDER NAME AND ADDRESS NYS REG DEALER ONLY American LegalNet, Inc. www.FormsWorkFlow.com Signature Required on back Ô PAGE 2 OF 2 5 MV-82TON (4/12) DAMAGE DISCLOSURE - must be completed for vehicles, motorcycles and trailers I certify that, to the best of my knowledge, this vehicle, motorcycle or trailer o has been or o 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. (Checking the "has been" box means the vehicle must have an anti-theft examination before being registered, and that the title issued will have the statement "Rebuilt Salvage: NY" on it if the proof of ownership is a New York State title. If the proof of ownership is an out-of-state title, it will show that state's abbreviation.) OWNER CERTIFICATION: I state that the information I have given is true to the best of my knowledge. If the vehicle, motorcycle, trailer or boat is currently registered in another name, I authorize such registration. If there is a co-owner, BOTH signatures are required. 1. New Owner Sign Name in Full Date 6 ( ) Daytime Telephone Number Print Name in Full 2. New Co-Owner Sign Name in Full Date ( ) Daytime Telephone Number If signing for a corporation, print your name and title 7 ç NYS REGISTERED DEALER CERTIFICATION: I certify that all information on this application is true. I take responsibility for the integrity of the papers delivered to the Motor Vehicles Title Bureau. ç Signature of Dealer or Authorized Representative Date ( ) Telephone Number Print your name and title 8 ç MANUFACTURED HOME DEALER CERTIFICATION: I certify that all New York State and local taxes due as a result of this sale, if any, have been collected from the purchaser. ç Signature of Dealer or Authorized Representative Date ( ) Telephone Number NYS Sales Tax Number Certificates of Title are available only for the following:. u 1973 and newer model year vehicles and motorcycles (including salvage vehicles). u 1973 and newer model year trailers with an unladen weight of 1,000 lbs. or more. u 1987 and newer model year non-documented boats that are at least 14 feet long and equipped with a motor. u 1995 and newer model year manufactured homes that are at least 8 feet wide or 40 feet long when being transported, or at least 320 square feet when erected on a site. THIS IS WHAT YOU NEED TO APPLY FOR A CERTIFICATE OF TITLE. 1. APPLICATION (FORM MV-82TON) - After completing appropriate sections as outlined on top of page 1, please make sure you sign the owner certification in Section 6 and the dealer signs Section 7or 8, if applicable. 2. PROOF OF OWNERSHIP - If purchased new, the proof of ownership is a Manufacturer's Statement or Certificate of Origin. If purchased used, the proof of ownership is usually a certificate of title (or a transferable registration and bill of sale if from a state that does not require a title). For vehicles, motorcycles, and trailers sold by a New York State dealer, a Certificate of Sale (Form MV-50) is also required. For boats sold by a dealer, a bill of sale from the dealer must accompany the proof of ownership. If you have other proof of ownership, please contact the Title Bureau to find out if it is acceptable. 3. PROOF OF NAME AND DATE OF BIRTH - Only proofs of name
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