Boat Registration/Title Application - NYC

COMPLETE and . WHEN AND APPLY, COMPLETE THOSE SECTIONS.
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INSTRUCTIONS è
Print clearly in blue or black ink
Old Owner
3 of Name
OFFICE
USE
ONLY
OFFICE
USE
ONLY
New York State Department of Motor Vehicles
BOAT REGISTRATION/TITLE APPLICATION
(This form is also available on DMV’s web site - www.dmv.ny.gov)
FOR OFFICE USE ONLY
Batch File No.
o Original o Renewal o Activity o Duplicate
HULL MATERIAL PROPULSION
o
OUTBOARD o IN BOARD
o I/O (IN/OUTBOARD)
o SAIL o OTHER
FUEL
o
GAS o DIESEL
o ELECTRIC
o OTHER o NONE
USE o PLEASURE o MANUFACTURER
o GOVERNMENT o LEASED o RENTAL
COMMERCIAL PASSENGER:
o UNDER 6 o 6 OR MORE
o DEALER o COMMERCIAL o FISHING - COMM.
3 of
Name
Sticker
HULL IDENTIFICATION NUMBER
COUNTY OF PRIMARY USE
MV-82B (4/14)
SPECIAL CONDITIONS:
YEAR
MAKE LENGTH
TYPE OF BOAT
o
OPEN o CABIN
o HOUSE
o OTHER_____________
Feet Inches
Reg.
No.
Proof Submitted
(Name and Ownership)
Stop/Response
Operator
Signature
NF OV PA SV XR
IF A TEMPORARY REGISTRATION WAS ISSUED:
If you assigned a registration number to this boat, place the registration number sticker over this box. If the boat already has a valid New York registration number, enter
the information below.
MARK THE BOX OF THE TYPE OF SERVICE YOU NEED. (For more information, refer to form MV-82.1B “Registering/Titling a Boat in New York State”.)
PAGE 1 OF 2
NY
DEALER
ONLY
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2
4
Sales Tax
Information
Status
Value
($)
Jurisdiction Rate Out of State Audit
Title
Lien
Lien
Number
Prior
Owner
3
AUTHORIZATION: The registrant described in is authorized to register the boat described in .
A different owner is only allowed when the boat is leased. IF YOU ARE NOT THE OWNER of this boat, the owner
must complete this section. Proof of ownership, proof of owner’s name and date of birth and copy of the
leasing agreement are required. NOTE: Do not complete this section if a completed Registration Authorization (form
MV-95) is attached or if you apply to renew the boat registration and the owner of that boat has not changed.
(Signature of owner or authorized person, and signature of co-owner)
(Date)
NAME OF CURRENT OWNER (Last, First, Middle)
NYS DRIVER LICENSE NUMBER OF OWNER
Month Day Year
DATE OF BIRTH
Apt. No. City or Town State Zip Code County
ADDRESS WHERE THE OWNER GETS MAIL (Include Street Number and Name, Rural Delivery or box number)
Area Code
( )
DAY TELEPHONE NUMBER OF OWNER (Optional)
2 4
Lien Release
HOW DID YOU GET THE BOAT?
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TO BE COMPLETED ONLY BY A REGISTERED NEW YORK STATE BOAT DEALER
Registration Number: ________________________________________________________________ Date Temp. Reg. Issued: __________________________
Dealer Name: ________________________________________________________________ Dealer Facility Number: __________________________
o RENEW a registration
o Get a TITLE ONLY for a 1987 or newer
motorized boat that is 14 or more feet long
o CHANGE the title (refer to )
o Get a FIRST REGISTRATION for a boat
o REPLACE the registration [mark one or both o DOCUMENT o STICKER]
o CHANGE the current registration (refer to )
Is this boat now DOCUMENTED o Yes
by you?
o No
Does this boat now have a o Yes
NY REGISTRATION Number?
o No
If “YES”, enter the
NY Registration Number
If “YES”, enter the
Document Number
If NO, are you in the process o Yes
of Documenting the boat?
o No
o New o Used
o Leased New o Leased Used
If leased, YOU MUST ATTACH a copy
o WOOD o STEEL
o PLASTIC o INFLATABLE
o FIBERGLASS o OTHER
o ALUMINUM
M F
oo
Area Code
( )
oNew
oUsed
NAME CHANGE?
o YES (refer to ) o NO
ADDRESS CHANGE?
o YES o NO
Is this registration for a corporation
or partnership?
o Yes o No
NAME OF PRIMARY REGISTRANT (Last, First, Middle)
NYS driver license number of PRIMARY
SEX
THE ADDRESS WHERE PRIMARY REGISTRANT GETS MAIL
DAY TELEPHONE (Optional)
Month Day Year
DATE OF BIRTH
Month Day Year
Apt. No. City or Town State Zip Code County of Residence
Apt. No. City or Town State Zip Code
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 on the document.)
5
M F
oo
NAME OF CO-REGISTRANT (Last, First, Middle)
NYS driver license number of CO-REGISTRANT
SEX
DATE OF BIRTH
How did you get
the vehicle?
(mark one)
oLeased New
oLeased Used
Lienholder Name and
Mailing Address
Lien Filing Code
(Assigned
by DMV)
NY
DEALER
ONLY
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