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VEHICLE REGISTRATION APPLICATION

Registration is for:

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4 Door Sedan

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2 Door Sedan

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Pickup Truck

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Commercial Vehicle

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Van

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Trailer

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SUV

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Convertible

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Motorcycle

Vehicle Selected:  Car

I want to:

FIRST SECTION

Please enter your plate number.

Is this for a company or individual?

Is this a purchase from the dealership?

Are you both the owner & registrant of the vehicle?

Does the Title of the vehicle need to be transferred to the new owner?(If Previous Owner exists)

How many people are registering for the vehicle?

Is the vehicle being registered only for personal use?

Non-Personal Vehicle Use. Check one.

Select type of plates.

Name of Primary Registrant

Name of Primary Registrant

Was your name changed?

(If yes, please present proof)

Former Name

(Proof of name change required.)

NYS driver license ID number

Birthdate

Gender

Name of Co-Registrant

(Last, First and Middle Name)

Was your name changed?

(If yes, please present proof)

Former Name

(Proof of name change required.)

Email

NYS driver license ID number

Birthdate

Gender

Primary Registrant Mailing Address

Street Number & Name

Apt No.

Zipcode

City

County

Is your mailing address different than your residential address?

Primary Registrant Residential Address

Apt No.

Street Number & Name

City

State

Zipcode

County

SECOND SECTION

Vehicle Identification Number

Type of Power (Fuel)

Vehicle Year

Vehicle Make

Vehicle Model

Odometer Reading (In Miles)

Vehicle Color

Adult Seating Capacity(Including Driver)

Was the vehicle altered to increase the capacity?

Do you have the required Federal Alterer's Safety Certification?

Is the altered vehicle equipped with safty belts at all seatings?

Vehicle was altered on or after 1/1/2021

Total Selling Price

Maximum Gross Weight

Previous Owner Information

Name

(Last, First and Middle Name) / (Company Name)

Address

State

Zipcode

City

County

Purchase Date

Previous Owner Details - 2

Relationship of new owner to previous

The Transaction is a 

other

Please come to our office to complete the form.

THIRD SECTION

Primary owner's Last, First and Middle name(seperated by commas)

NYS License Number

Gender

Date of Birth

Owner's Address (If address is different from license address)

Apt No.

Street Number & Name

City

State

Zipcode

County

FOURTH SECTION

Has this 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 for legal operation on the road or highways, is more than 75% of the retail value of the vehicle at the time of loss? (Answering yes to this question means the vehicle must have an anti-theft examination before being registered, and that the title issued will have the statement “Rebuilt Salvage” on it.)

Please contact our office to have a salvage vehicle registration completed

Is this vehicle for personal use?

Please review the form MV82 and make the best selection applicable.

Has this vehicle been modified in any way?

PLEASE CLICK THE BELOW BUTTONS TO DOWNLOAD THE FORMS