Form Mv 463 – Fill Out and Use This PDF

This program is restricted to dealers who have been registered as retail dealers with the New York State Department of Motor Vehicles for atleastoneyear.Platesandpermitsissuedunderthisprogramcanbeissuedonlyforvehiclesandtrailersthataresoldatretail.

1.	Facility Identification Number				2. Dealer E-mail Address
3.	Contact Person
4.	Telephone Numbers
	Business (	)			Emergency	(	)		Fax (	)
5.	Business Name As It Appears on Your Official Business Certificate
6.	Business Address - Street					City			State	Zip Code	County
7.	What type of security will you use in storing plates and in-transit permits? (Security for plates and in-transit permits is subject to DMV inspection and approval.)
		Locked Safe		Locked Room				Other ______________________________________________________________
8.	How many vehicles and trailers did you sell at retail last year?
	(a) Passenger	(b) Commercial				(c) Motorcycle			(d) Trailer		(e) ATV
	Original ______________		Original ______________			Original ______________			Original ______________		Original ______________
9.	Registration plates/in-transit permits are requested
	for the following registration classes:		Passenger		Commercial			Motorcycle	Trailer	ATV	In-Transit Permit

CERTIFICATION:

I certify that I have read, and will abide by, the statutes of the Vehicle and Traffic Law, the Commissioner’s Regulations and procedures outlined in the Dealer Plate Issuance Manual (MV-461), and, if applicable, the All-Terrain Vehicle Dealer Registration Instructions (RV-2), governing the Dealer Plate Issuance Program. I understand that any violation of the statute, Commissioner’s Regulations or procedures may result in the withdrawal of my authorization to participate in the Dealer Plate IssuanceProgram,and/orsuspensionorrevocationofmydealerregistrationortheimpositionofacivilpenalty.

IfurthercertifythatalltheinformationIhaveprovidedonthisformistrueandaccuratetothebestofmybelief.

(Print or Type Name of Officer of Corporation or Owner)(Print or Type Title)

✍

(Signature of Officer of Corporation or Owner)

(Date of Application)

FALSE STATEMENTS MADE ON THIS APPLICATION ARE SUBJECT

TO SECTION 210.45 OF THE PENAL LAW.

RETURNTHISAPPLICATIONTO:

NewYorkStateDepartmentofMotorVehicles

DealerPlateIssuanceUnit

POBox2820

AlbanyNY 12220-0820

MV-463 (9/10)

www.dmv.ny.gov

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HOW TO FILL OUT THE APPLICATION

1.Facility Identification Number

Providethefacilityidentificationnumberprintedaboveyournameandaddressonyourofficialbusinesscertificate, FormMV-61P.

2.Dealer E-mail Address

Providethee-mailaddressforyourdealershipthatcanreceivecommunicationsfromDMVviatheInternet.

3.Contact Person

Providethenameofapersonwhocanbecontactedduringandoutsideofyourbusinesshours.

4.Telephone/Fax Numbers

Provideatelephonenumberwhereyoucanbereachedduringbusinesshours.

Provideanemergencytelephonenumberwhereyoucanbecontactedoutsideyourbusinesshours.

Provideafaxnumber,ifavailable.

5.Business Name

Providethebusinessnameasitappearsonyourofficialbusinesscertificate.

6.Business Address

Provideyourbusinessaddressasitappearsonyourofficialbusinesscertificate.

7.Secure Storage for Plates and In-Transit Permits

Specifythetypeofsecurityyouwillusetostoreplatesandin-transitpermits.Ifyoucheck“Other”,youmustidentify typeoffacilityordevice.Forexample,ifyouwillnotstoreplatesinalockedsafeoralockedroom,butwillstore theminalockedcabinet,check“Other”,andwrite“lockedcabinet”nextto“Other”.

8.Plate Limit

Forthelastcalendaryear,listthetotaloriginalretailsalesfortheclassesofvehiclesandtrailersshown.

9.Registration Class

Identifytheregistrationclass(es)forwhichyouarerequestingregistrationplatesand/orin-transitpermits.

Signature Line

Printortypethenameofthecorporateofficerortheowner.

Providethesignatureofthecorporateofficerortheowner.

Printortypethetitleofthecorporateofficerortheowner.

Fill-inthedatetheapplicationissigned.

MV-463 (9/10)

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