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Application for Duplicate Title - New York DMV

Application FOR Duplicate TITLETITLE BUREAUPO Box 2750 Albany NY 12220-0750 Owner s Name (Last, First, )Date of Birth (Month/Day/Year)/ /Vehicle or Hull Identification Number (VIN or HIN)YearMakeLicense Plate , First, Middle InitialDaytime Telephone Number( )Current Mailing Address (Number and Street) Apt. NumberCityZip CodeState u Complete Section 1 below. Provide all requested information. u Read, sign and enter the date in Section 2 - Certification. u Provide the required proof of identity for the person who signs the certification in Section 2 (see Section 3 on page 2).

APPLICATION FOR DUPLICATE TITLE . TITLE BUREAU PO Box 2750 Albany NY 12220-0750 . If any of the statements below apply to this application, mark the box of each statement that applies and complete Section 1 and Section 2 below. If there is no statement that applies, go to “Instructions” below: The address is a . NEW ADDRESS. Last, First ...

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