Form MV-83T - Statement of Partnership or Joint Ownership - New York

Please print in blue or black ink.
Plate Number: ____________________________________________
Type of Registration: ______________________________________
OFFICE USE ONLY
o Original o Transfer
o Renewal o Amendment
New York State Department of Motor Vehicles
STATEMENT OF PARTNERSHIP OR JOINT OWNERSHIP
Additional Members of Partnership
Last Name
Number and Street (Mailing Address Including Rural Delivery, Box No. and/or Apt. No.)
City or Town State Zip Code
First M.I. Date of Birth
/ /
o
Male
o Female
Client ID Number
Last Name
Number and Street (Mailing Address Including Rural Delivery, Box No. and/or Apt. No.)
City or Town State Zip Code
First M.I. Date of Birth
/ /
o
Male
o Female
Client ID Number
Last Name
Number and Street (Mailing Address Including Rural Delivery, Box No. and/or Apt. No.)
City or Town State Zip Code
First M.I. Date of Birth
/ /
o
Male
o Female
Client ID Number
Last Name
Number and Street (Mailing Address Including Rural Delivery, Box No. and/or Apt. No.)
City or Town State Zip Code
First M.I. Date of Birth
/ /
o
Male
o Female
Client ID Number
ç
THE FOLLOWING STATEMENT MUST BE SIGNED BY A MEMBER OF THE FIRM OR JOINT OWNERSHIP.
I CERTIFY THAT I AM A MEMBER OF THE FIRM OR JOINT OWNERSHIP MAKING THIS APPLICATION.
MV-83T (5/11)
Signature Title
Name(s) in which vehicle is registered:
Use this form in conjunction with a Vehicle Registration/Title Application (MV-82)
when more than two persons are partners or joint owners of a vehicle.
www.dmv.ny.gov
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Form MV-83T - Statement of Partnership or Joint Ownership - New York PDF

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