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.
OFFICE USE ONLY
o
o
Original
Transfer
Plate Number: ____________________________________________
o
o
Renewal
Amendment
Type of Registration: ______________________________________
Name(s) in which vehicle is registered:
Additional Members of Partnership
o
Last Name
First
M.I.
Date of Birth
Male
o
/
/
Female
Number and Street (Mailing Address Including Rural Delivery, Box No. and/or Apt. No.)
Client ID Number
City or Town
State
Zip Code
o
Last Name
First
M.I.
Date of Birth
Male
o
/
/
Female
Number and Street (Mailing Address Including Rural Delivery, Box No. and/or Apt. No.)
Client ID Number
City or Town
State
Zip Code
o
Last Name
First
M.I.
Date of Birth
Male
o
/
/
Female
Number and Street (Mailing Address Including Rural Delivery, Box No. and/or Apt. No.)
Client ID Number
City or Town
State
Zip Code
o
Last Name
First
M.I.
Date of Birth
Male
o
/
/
Female
Number and Street (Mailing Address Including Rural Delivery, Box No. and/or Apt. No.)
Client ID Number
City or Town
State
Zip Code
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
dmv.ny.gov
MV-83T (11/15)