In order to file Form Mv 372, you'll need your driver's license number, the state where your driver's license was issued, and the Vehicle Identification Number (VIN). You can find the VIN on either the dashboard or doorjamb of your vehicle. The form can be filed online or by mail. If you choose to file online, make sure you have a valid credit card to pay the filing fee. If you choose to mail in your form, there is no fee required. In order for Michigan residents to title and register a newly purchased or newly leased motor vehicle, they must complete Form Mv 372 - Application for Title and Registration. This form can also be used to apply for a duplicate title or registration if necessary. In order to complete this form, you'll need your driver's license number, the state where your driver's license was issued, and the Vehicle Identification Number (VIN). You can find the VIN on either the dashboard or doorjamb of your vehicle. The form can be filed online or by mail. If you choo
| Question | Answer |
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| Form Name | Form Mv 372 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | mv372 new state dmv psb fees form |
OFFICE USE ONLY
Application No. |
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Lic. # |
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New York State Department of Motor Vehicles |
FEE SCHEDULE |
APPLICATION FORALICENSE TO |
OriginalApplication.......... $25.00 |
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OPERATEAPRIVATE SERVICE BUREAU |
Branch Office(per branch)...$ 1.50 |
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OR OPENABRANCH OFFICE |
An additional $25.00 license fee will |
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be required upon approval |
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INSTRUCTIONS: u Print or type the information in this application.
uRefer to the Private Service Bureau page of the NYS DMV website (http://www.dmv.ny.gov/psb.htm) for information about the documents that must accompany this application.
Name of Private Service Bureau |
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Federal Employer ID Number* |
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Date ofApplication (Mo./Day/Yr.) |
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MailingAddress of Private Service Bureau (Street & No.) |
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Zip Code |
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If you also plan to operate a branch office, provide the branch office address: |
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Telephone |
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Type of Business (check one of the following): |
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Sole Proprietor |
Partnership |
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Corporation |
Association |
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Listnames,addressesandsocialsecuritynumbersofallowners,partners,corporationofficers,stockholdersandmanagers,(continueonadditionalsheet,ifnecessary). |
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Name |
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Social Security Number* |
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Address |
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Owners |
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Partners |
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Corp. Officers |
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Managers |
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Major Stockholders |
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*AsrequiredbySection5oftheNYSTaxLaw,thesocialsecuritynumberofindividualsandtheFederalEmployerIDNumberofbusinessesregulatedby |
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theDepartmentofMotorVehiclesmustbegiventotheNewYorkStateDepartmentofTaxandFinance. |
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ANSWERALL QUESTIONS IN THE FOLLOWING SECTION: |
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CHECK ONE |
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Yes No |
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1.Haveanyoftheowners,partners,corporationofficers,managersormajorstockholderseveroperatedaPrivateServiceBureaubefore?
(IfYES,complete“Explanations”sectionbelow bygivingdatesofoperationandreasonfordiscontinuanceifnotstillinoperation). . . . . . . . . .
2.WhereisyourPrivateServiceBureauoperatedfrom? (forexample,officespace,residence,etc.) ________________________________
3.IsthePrivateServiceBureauconductedinconjunctionwithanyotherbusiness? .................................................
IfYES,whatkindofbusiness?_________________________________________________________________________________________
4.IsyourPrivateServiceBureauwithin1500feetfromtheneareststateorcountyofficewheredriverlicense’sorvehicleregistrationsareissued?...
5.Doyoushareofficespaceordeskroomwithanyotherbusiness? .............................................................
IfYES,whatkindofbusiness?____________________________________________________________________________
EXPLANATIONS
Page 1 of 2 |
EMPLOYEES/RUNNERS/AGENTS (PAID OR UNPAID)
Listallemployees/runners/agents(paidorunpaid)workingat orassociatedwiththePrivateServiceBureau.
Name |
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NYS Driver
*Note: ALL EMPLOYEES/RUNNERS/AGENTS (PAID OR UNPAID) WHO HAVE DIRECT
CONDITIONS
Asaconditionforissuing aPrivateServiceBureauLicense,theundersignedagreetoallofthefollowingconditions:
A. Tomaintainadequaterecords,asrequiredbytheNewYorkStateVehicleandTrafficLawandRulesandRegulations,andtopermittheinspectionof suchrecordsatreasonabletimesbyanauthorizedrepresentativeofDMV.TheDepartmentofMotorVehiclesconsiders“reasonabletime”tobe 9:00A.M.to5:00P.M.,MondaythruFriday.
B.Nottoemployoruseemployees/runners/agents(paidorunpaid)whohavebeenconvictedofafelonyormisdemeanorunlesseachemployeeis approvedbytheCommissionerofMotorVehicles.
C.Tocomplywithallstatelawsandregulations,andallmunicipalordinancesandregulationsrelatingtopublichealthandpublicsafetyforthebusinessfacility.
D.TocomplywithallprovisionsoftheNewYorkStateVehicleandTrafficLawandRulesandRegulationsrelatingtoaPrivateServiceBureau.
AFFIRMATION
Alloftheundersignedaffirmtheyhavereadtheentireapplication,arefamiliarwithallitscontents,andallanswers,statementsandallothermattersinitaretrue. Eachowner,partner,manager,corporationofficerandmajorstockholder(20%OR MORE)ofthePrivateServiceBureaumustsigninthespaceprovidedbelow.
1) |
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Signature |
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2) |
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3) |
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6) |
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8) |
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9) |
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Signature |
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10) |
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Signature |
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To knowingly make a false statement or conceal a material fact in this application is a criminal offense, and will result in the revocation of your Private Service Bureau License. False statementsare punishable under Section 210.45 of the Penal Code.
Pursuant to Vehicle and Traffic Law - 392, any person knowingly making a false statement in an application for any document issued by the Department or in any proof or statement in writing in connection with such an application shallbe guilty of a misdemeanor.
Vehicle and Traffic Law - 394(5) authorizes the Department to suspend or revoke a Private Service Bureau license or refuse to issue a renewal thereof where the licensee has made a material false statement or concealed a material fact in connection with his or her application for a licenseorrenewal.
Please return this form with all required documentationandapplicationfeeto:
PrivateServiceBureauUnit NYSDepartmentofMotorVehicles 6EmpirePlaza,Room322P AlbanyNY 12228
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