VEHICLE REGISTRATION/TITLE

APPLICATION

INSTRUCTIONS:

A. Is this vehicle being registered only for personal use?

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.

If  NO - Complete sections 1-5 of this form.

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:

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CURRENT PLATE NUMBER

Name Change
GENDER
Name Change
GENDER
ADDRESS CHANGE
THE ADDRESS WHERE PRIMARY REGISTRANT GETS MAIL   (Include Street Number and Name, Rural Delivery or box number. This address will be on the document.)
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THE ADDRESS WHERE PRIMARY REGISTRANT RESIDES IF DIFFERENT FROM THE MAILING ADDRESS  (DO NOT GIVE A P.O. BOX
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SECTION 1

SECTION 2

VEHICLE DESCRIPTION
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For trailers & commercial vehicles
For Commercial Vehicles
Distance
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) in accordance with VTL §401?
If
YES, and the vehicle was altered on or after 1/1/2021, is this altered vehicle equipped with safety
belts at all occupant seating positions?
, vehicle altered prior to 1/1/2021
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 9 or more (including the
driver), you must show the original NYS DOT Inspection Receipt OR a NYS DOT Exemption Letter.
If the OWNER of the vehicle is DIFFERENT from the REGISTRANT, the OWNER must complete this section.
GENDER
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THE ADDRESS WHERE PRIMARY REGISTRANT GETS MAIL   (Include Street Number and Name, Rural Delivery or box number.)
REGISTRATION AUTHORIZATION: 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.

SECTION 3

SECTION 4

DAMAGE DISCLOSURE

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.
VEHICLE MODIFICATIONS

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:

SECTION 5

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).

Check one:
INSURANCE REQUIREMENTS
TAXIS ONLY (check one)

SECTION 6

CERTIFICATION
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.

PAYMENT INSTRUCTIONS

You can pay for your transaction by check, money order or credit card.
1. Select your payment method. (DO NOT SEND CASH)
2. Complete the section for your payment method.
3. If you pay by check or money order, make the check or money order payable to “Commissioner of Motor Vehicles”
4. Return page 3 with your application. Make sure to include your check or money order if applicable.
NOTE: If you mail your application to the Title Bureau, you must pay with a check or money order. Credit cards are not accepted.
Amount Enclosed (DO NOT SEND CASH)  $
Credit Card Authorization - Provide all the information below
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