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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?