Mv 253G Form PDF Details

In the dynamic arena of business operations, the MV-253G form stands as a crucial document for entities undergoing changes or seeking duplicate certificates in their official credentials. This form caters specifically to businesses in the sphere of vehicle management and repair services, including dealers, dismantlers, repair shops, salvage pools, and more, aiming to amend any existing information or to reissue a lost or damaged Business Certificate. With no associated fees for either amendments or duplicates, the form offers a streamlined process, albeit with a clear imperative on accuracy and completeness to avoid delays. The comprehensive nature of the form demands attention to details such as facility numbers, names, and contact information, alongside more intricate adjustments such as changes in ownership, location, or business scope, which may necessitate additional documentation. For instance, dismantlers are required to furnish zoning approval letters, and dealers might need to present updated bonds or franchise papers reflecting new addresses. This measure ensures that all pertinent business modifications are duly reported and authenticated, maintaining the integrity and legality of the business's operations within the regulatory framework. By facilitating these amendments and duplicate requests, the MV-253G form serves as an essential tool for business continuity and compliance in a highly regulated industry.

QuestionAnswer
Form NameMv 253G Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesny mv253g, mv253g, dmv form mv 253g, mv 253g 11

Form Preview Example

REQUEST FOR BUSINESS AMENDMENT/DUPLICATE CERTIFICATE

INSTRUCTIONS Use this form to tell DMV about an amendment or to request a duplicate Business Certificate (you must fill out an original applicationifyouareacquiringabusiness).Thereisnofeeforamendmentsorduplicatecertificates.Ifyouaremakingachange,pleasecall(518) 474-0919forinformationaboutrequireddocumentation.Failuretoprovidealldocumentationwilldelayprocessingofyourrequest.

DUPLICATE CERTIFICATE CUSTOMERS: Completeitems1,2,3,9and10andthe“Certification”sectionatthebottomofpage2.

AMENDMENT CUSTOMERS: Complete items 1, 2, 3, 9 and 10 and the “Certification” section at the bottom of page 2. Also, complete items 4 - 8 onlyiftheyapplytothechangeyouaremaking.

DOCUMENTATION REQUIREMENTS FOR AMENDMENT CUSTOMERS ONLY

DISMANTLERS:Alldismantlersmustprovidealetterofzoningapprovalwiththisrequest.NewYorkCityOnly-all“SecondhandDealer-General”,and “SecondhandDealer-Auto”,amendmentrequestsMUSTINCLUDEaFireDepartmentpermitandanNYCDepartmentofConsumerAffairsLicense.

CUSTOMERS MAKING LOCATION CHANGES:If you are changing location, complete Form VS-19 (“Statement of Ownership and/or Permission to Use Place of Business”) and submit it with this request. Repair shops must also provide a Certificate of Occupancy, local license or town letter as proof of zoning approval. If the new location was previously registered as a Repair Shop, please tell us the Facility number or Facility nameofthatshop.Thiscanbeusedasproofofzoning.

DEALERS: All dealers (excluding those who are exempt under the law) are required to have a bond. If you are a dealer requesting an amendment, please call (518) 474-0919 to determine if you have to provide a revised bond with your request. If you are a franchised dealer requestinganaddresschange,youmustprovidefranchisepapersshowingthenewaddress.

RETURN THIS COMPLETED REQUEST, AND ANY REQUIRED DOCUMENTATION, TO:

BureauofConsumerandFacilityServices,ApplicationUnit,POBox2700,AlbanyNY12220-0700

1.Requested change: Amendment Duplicate Reason: __________________________________________________________________

 

Present Facility Number

Present Facility Name

 

 

 

Facility Phone Number

 

2.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Business(es) requesting amendment/duplicate certificate(s) — check all that apply:

 

 

 

 

3.

Repair Shop

Dealer

 

Dismantler

Itin. Veh. Collector

Salvage Pool

 

Transporter

 

 

Inspection Station

Boat Dealer

 

Scrap Collector

Scrap Processor

Mobile Car Crusher

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Business name change to:

 

 

 

 

 

 

 

 

 

4.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Business address change:

New Address

 

 

 

Old Address

 

 

 

 

 

5.

Number and Street

 

 

 

County

 

Number and Street

 

 

County

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

State

Zip Code

 

City

 

State

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Inspection Stations or Dealers

 

 

 

 

 

 

 

 

 

6.

a) Change in business type (for example, Fleet to Public, Wholesale to Retail, etc.):

 

 

 

 

 

 

To:

 

 

 

From:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b) Change in groups approved for inspection (check the box(es) for the group(s) you want to inspect):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE GROUPS

 

 

 

 

 

 

 

GROUP

 

 

 

(Weights shown are maximum gross weights)

 

 

 

1a All motor vehicles that have a seating capacity under fifteen passengers, and all motor vehicles, except trailers and motorcycles, that have an MGW under 18,001 pounds.

1b

All trailers, except semi-trailers, that have an MGW under 18,001 pounds.

 

 

 

2a

All motor vehicles that have a seating capacity over fourteen passengers, and all motor vehicles and trailers that have an

 

 

MGW over 18,000 pounds.

2b

All semi-trailers.

 

 

 

3

All motorcycles.

DL

Diesel Emissions Testing for all non-exempt vehicles registered in the New York Metropolitan Area.

c)If you will perform diesel emissions inspections, print the manufacturer’s name and the model number of the testing equipment here. This information is required in order to process your request.

Manufacturer’s Name

Model Number

____________________________________________________________________________

____________________________________________________________________________

d)Please provide the name(s) and certification number(s), including expiration date, of your Certified Inspector(s). Use additional sheet(s) if necessary. This information is required in order to process your request.

Name

 

Certification Number

Expiration Date

_________________________________________________________________________

_________________________________________________

_________________________

_________________________________________________________________________

_________________________________________________

_________________________

_________________________________________________________________________

_________________________________________________

_________________________

MV-253G (2/19)

dmv.ny.gov

PAGE 1 OF 2

Present Facility Number Present Facility Name

7. Deletions to Owners, Partners, Corporate Officers and/or Stockholders holding more than 10% of stock. Use additional sheet(s) if necessary.

 

(a) Name (First, MI, Last)

 

 

 

 

Date of Birth

 

 

 

 

Title

 

% of Stock or Ownership

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please Sign Name in Full

 

 

 

 

Driver License Identification Number

 

Social Security Number

 

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Residence Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Apt. No.

Residence Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(b) Name (First, MI, Last)

 

 

 

 

Date of Birth

 

 

 

 

Title

 

% of Stock or Ownership

 

 

 

 

 

 

 

 

 

 

 

Please Sign Name in Full

 

 

 

 

Driver License Identification Number

 

Social Security Number

 

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Residence Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Apt. No.

Residence Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

)

 

(c) Name (First, MI, Last)

 

 

 

 

Date of Birth

 

 

 

 

Title

 

% of Stock or Ownership

 

 

 

 

 

 

 

 

 

 

 

Please Sign Name in Full

 

 

 

 

Driver License Identification Number

 

Social Security Number

 

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Residence Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Apt. No.

Residence Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

)

 

 

 

 

8. Additions to Owners, Partners, Corporate Officers and/or Stockholders holding more than 10% of stock. Use additional sheet(s) if necessary.

 

(a) Name (First, MI, Last)

 

 

 

 

Date of Birth

 

 

 

 

Title

 

% of Stock or Ownership

 

 

 

 

 

 

 

 

 

 

 

Please Sign Name in Full

 

 

 

 

Driver License Identification Number

 

Social Security Number

 

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Residence Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Apt. No.

Residence Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(b) Name (First, MI, Last)

 

 

 

 

Date of Birth

 

 

 

 

Title

 

% of Stock or Ownership

 

 

 

 

 

 

 

 

 

 

 

Please Sign Name in Full

 

 

 

 

Driver License Identification Number

 

Social Security Number

 

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Residence Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Apt. No.

Residence Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(c) Name (First, MI, Last)

 

 

 

 

Date of Birth

 

 

 

 

Title

 

% of Stock or Ownership

 

 

 

 

 

 

 

 

 

 

 

Please Sign Name in Full

 

 

 

 

Driver License Identification Number

 

Social Security Number

 

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Residence Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Apt. No.

Residence Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

)

 

 

 

 

 

9. a)

Have you, or has any person named in this application, ever been an individual owner, partner, interested party, officer, corporation

 

 

director or stockholder having more than ten percent of the stock in a business for which a DMV license, registration or certification

 

 

was denied, suspended or revoked in New York State, including matters now on appeal? Yes No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b)

Are you, or is anyone named in this application, scheduled for a hearing which could result in the suspension, revocation or denial of a

 

 

DMV business license, registration or certification? Yes No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c)

If (a) or (b) is “YES ”, provide name and address of the person(s), business type, date and action taken against the business or reason

 

 

for the hearing.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10. Has the owner, any member of the partnership, interested party, officer or director of the corporation been convicted of, or forfeited bail for,

 

any misdemeanor or felony? Yes

No

If “YES ”, give the following information:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

 

 

Date of Birth

 

 

 

Conviction Date

Penalty

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Court

 

 

 

Nature of Offense

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CERTIFICATION

I certify that I am the owner, partner or officer of the business named in this request form, and that the information contained in it is true.

NOTE: For partnerships, each partner must sign this form.

Name (Please Print Full Name)

Signature (Full Name)

X

Partner’s Signature (Full Name)

X

MV-253G (2/19)

 

Business Phone Number

 

( )

Title

Date

Partner’s Signature (Full Name)

 

 

X

 

RESET/CLEAR

PAGE 2 OF 2

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1. To start off, while filling in the 253g 2, begin with the section that has the next fields:

The best way to fill in ny mv 253g portion 1

2. After this section is finished, you're ready to put in the required details in a All motor vehicles that have a, c If you will perform diesel, Manufacturers Name, Model Number, d Please provide the names and, Name, Certification Number, Expiration Date, MVG, dmvnygov, and PAGE OF so that you can move on further.

ny mv 253g conclusion process detailed (portion 2)

3. In this particular stage, look at Deletions to Owners Partners, Present Facility Number Present, a Name First MI Last, Please Sign Name in Full, X Residence Address, b Name First MI Last, Please Sign Name in Full X, c Name First MI Last, Please Sign Name in Full, X Residence Address, Date of Birth, Title, of Stock or Ownership, Driver License Identification, and Social Security Number. Each of these must be filled in with highest precision.

ny mv 253g conclusion process explained (part 3)

4. To move ahead, this fourth step involves filling in a few blanks. These include X Residence Address, c Name First MI Last, Please Sign Name in Full, X Residence Address, Apt No, Residence Phone, Date of Birth, Title, of Stock or Ownership, Driver License Identification, Social Security Number, Apt No, Residence Phone, a Have you or has any person named, and b Are you or is anyone named in, which are essential to continuing with this particular PDF.

Step no. 4 of completing ny mv 253g

When it comes to X Residence Address and Title, make sure that you double-check them in this current part. Both these are thought to be the most important fields in the document.

5. As you come near to the finalization of the file, there are a few extra points to undertake. In particular, NOTE For partnerships each partner, Name Please Print Full Name, Signature Full Name X, Partners Signature Full Name, MVG, Title, Partners Signature Full Name, Business Phone Number, Date, resetclear, and PAGE OF must all be filled out.

Guidelines on how to fill out ny mv 253g stage 5

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