New York State Department of Motor Vehicles FOR OFFICE USE ONLY Batch (File No.) SNOWMOBILE REGISTRATION APPLICATION ! Original ! Activity ! Renewal ! Duplicate PLEASE PRINT CLEARLY www.nysdmv.com 3 of Name OFFICE Registration Number USE ONLY D E A L E R Sales Tax Information Pool Plate New Reg. Number Status Value ($) SPECIAL CONDITIONS: Jurisdiction NF OV Out of State Rate PA Audit XR I THIS SECTION MUST BE COMPLETED ONLY BY A REGISTERED NEW YORK STATE SNOWMOBILE DEALER If you are registering this snowmobile for someone who does not live in NY, and the snowmobile is already registered in the customer’s home jurisdiction, DO NOT ASSIGN A REGISTRATION DECAL. Motor Vehicles office staff will assign a registration number when the application is processed. Snowmobiles registered in another jurisdiction are required to display the numbers assigned by the home jurisdiction on the snowmobile’s cowling. If a registration decal is issued, write the decal registration number in this box: Please copy the decal number carefully. Errors will delay processing of the application. If the snowmobile already has a valid NY registration, make sure the NY registration number is correctly entered in section O N L Y SV Date of Sale Date Temp. Reg. Issued 2 below. Date Sent to DMV Office Dealer Facility Number Dealer Name INSTRUCTIONS " COMPLETE SECTIONS 1 2 and 4 . COMPLETE SECTION 3 PLEASE PRINT CLEARLY IN BLUE OR BLACK INK. ON PAGE 2 ONLY IF NECESSARY. WHAT DO YOU WANT TO DO? ! REGISTER this snowmobile in registrant’s name for the first time ! CHANGE information on registration 1 2 CLIENT ID NO.(from Driver License of first registrant listed below) ! RENEW a registration ! REPLACE a registration: ! Document ! Stickers NAME CHANGE? ! YES ! NO (See Section 3 on page 2.) NAME OF REGISTRANT (Last, First, Middle) ADDRESS CHANGE? ! YES ! NO How was the snowmobile obtained? DATE OF BIRTH Month ADDRESS WHERE YOU GET YOUR MAIL ADDRESS WHERE YOU LIVE Yes ! No SNOWMOBILE IDENTIFICATION NUMBER CC OR HP SEX DAY PHONE NO. (Optional) M F ! ! State Zip Code County State (IF DIFFERENT FROM MAILING ADDRESS) - DO NOT GIVE P.O. BOX Apt. No. City or Town ! ! New ! Leased New ! Used ! Leased Used Area Code ( ) Year (Include Street Number and Name, Rural Delivery and/or box number) Apt. No. City or Town Is this snowmobile already registered in NY? COLOR Day Is this registration for a corporation or partnership? ! Yes ! No Zip Code County If “YES”, enter NY Registration No. YEAR MAKE USE NYS COUNTY OF PRIMARY USE ! Pleasure ! Dealer ! Rental ! Commercial ! Government ! Emergency O F F I C E U S E Prior Owner Old Owner Approved by: Stop/Response Date: Operator Signature Proof Submitted (Name and Ownership) O N L Y MV-82SN (4/06) Name: Ownership: ! Driver License ! Other:__________________________________________________ ! MCO ! Registration ! Bill of Sale ! Other:__________________________________________________ PAGE 1 OF 2 American LegalNet, Inc. www.FormsWorkFlow.com PLEASE COMPLETE ALL SECTIONS BELOW THAT APPLY TO YOU, THEN READ AND SIGN THE CERTIFICATION IN 3 4 . TO CHANGE information on your current snowmobile registration: For a change of name, print your former name exactly as it appears on the registration you now have. For a change other than name, tell us what the change is, and the reason for the change. 4 Certification: The information I have given on this application is true to the best of my knowledge. I certify that the snowmobile is fully equipped as required by 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 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. Print Name Here ➧ (Print Name in Full - if registering for a corporation, print your full name and title) Sign Here ➧ (Sign Name in Full) Additional Signature Sign Here ➧ (Sign Name in Full - Additional signature required for a partnership or if registering this vehicle in more than one name.) Snowmobile Club Member Certification: I certify that I am a member, in good standing, of _________________________________________________________________________. (Print Name of New York State Snowmobile Club) My signature authorizes the New York State Department of Motor Vehicles to use my personal information (name, address, and registration number) to verify my membership in a snowmobile club that is a member of the New York State Snowmobile Association. Sign Here ➧ (Sign Name in Full) IMPORTANT: Making a false statement in any registration application or in any proof or statements in connection with it, or deceiving or substituting in connection with this application, is a misdemeanor under Section 392 of the Vehicle and Traffic Law, and may also result in the revocation or suspension of the registration pursuant to regulations established by the Commissioner. The Department makes no representation that it will issue a transferable registration until all documentation required to establish ownership of the snowmobile is submitted and deemed to be satisfactory. Pending review of this application, neither the Commissioner of the Department of Motor Vehicles nor any of his or her employees, deputies or agents assumes any liability or responsibility for repairs performed, improvements made or work done to the snowmobile referenced in this application. Credit Card Authorization if Cardholder is not the Applicant: Sign My signature authorizes ___________________________________ to Here ➧ use my credit card for payment of any fees in connection with this application. (Cardholder-Sign Name in Full) TO BE COMPLETED ONLY BY A REGISTERED NEW YORK STATE SNOWMOBILE DEALER D E A L DEALER TRANSFER INFORMATION – Please complete the information below. For new snowmobiles, attach a Manufacturer’s Statement or Certificate of Origin (MSO or MCO) and a bill of sale. For used snowmobiles, attach a signed title or transferable registration, along with bills of sale for any subsequent transfers of ownership. Snowmobile was obtained from ________________________________________________________________________________________ Name _________________________________ Date of Purchase From Previous Owner E R Address Snowmobile was sold by Dealership Name Facility No. Date of Sale O Address of your Dealership N L DEALER CERTIFICATION I certify that all information provided on this application is true. I take responsibility for the integrity of the papers delivered to the Y Department of Motor Vehicles. ➧ Signature of Dealer or Authorized Representative Print Dealer Name DEALER ONLY: Please mail or deliver this completed application and required paperwork, to any DMV office for processing. If you are issuing a Temporary Certificate of Registration (MV-53), this must be done within 5 days. MV-82SN (4/06) PAGE 2 OF 2 American LegalNet, Inc. www.FormsWorkFlow.com