MV-83T (5/11) New York State Department of Motor Vehicles STATEMENT OF PARTNERSHIP OR JOINT OWNERSHIP 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. Please print in blue or black ink. Plate Number: ____________________________________________ Type of Registration: ______________________________________ Name(s) in which vehicle is registered: o Original o Renewal OFFICE USE ONLY o Transfer o Amendment Additional Members of Partnership Last Name First M.I. Date of Birth / Number and Street (Mailing Address Including Rural Delivery, Box No. and/or Apt. No.) / o Male o Female City or Town State Zip Code Client ID Number Last Name First M.I. Date of Birth / Number and Street (Mailing Address Including Rural Delivery, Box No. and/or Apt. No.) / o Male o Female City or Town State Zip Code Client ID Number Last Name First M.I. Date of Birth / Number and Street (Mailing Address Including Rural Delivery, Box No. and/or Apt. No.) / o Male o Female City or Town State Zip Code Client ID Number Last Name First M.I. Date of Birth / Number and Street (Mailing Address Including Rural Delivery, Box No. and/or Apt. No.) / o Male o Female City or Town State Zip Code Client ID Number 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. ç Signature Title www.dmv.ny.gov American LegalNet, Inc. www.FormsWorkFlow.com