Form MV-253G at a glance
What it is: This form is the Request for Business Amendment/Duplicate Certificate.
Who signs: Certification (all applicants must complete this section): "I certify that I am the owner, partner, officer or managing member of the facility named on this application."
A filled-in Form MV-253G example: a repair shop requests a duplicate certificate
How to fill out Form MV-253G, box by box
Requested change: Amendment or Duplicate
Use this form to tell DMV about an amendment or to request a duplicate Business Certificate (you must fill out an original application if you are acquiring a business). There is no fee for amendments or duplicate certificates. If you are making a change, please call (518) 474-0919 for information about required documentation. Failure to provide all documentation will delay processing of your request.
Check Amendment or Duplicate under Requested change, and write the Reason.
Return this completed request, and any required documentation, to: Bureau of Consumer and Facility Services, Application Unit PO Box 2700, Albany NY 12220-0700.
Present Facility Number, Name and Phone
Enter the Present Facility Number, Present Facility Name and Facility Phone Number.
Business(es) requesting amendment/duplicate certificate(s)
Check all that apply for the business(es) requesting an amendment or duplicate certificate(s): Repair Shop, Dealer, Dismantler, Itin. Veh. Collector, Salvage Pool, Transporter, Inspection Station, Boat Dealer, Scrap Collector, Scrap Processor, Mobile Car Crusher or Other.
Business name change to
Enter the new name after Business name change to.
Business address change: New Address and Old Address
For a business address change, enter the Number and Street, County, City, State and Zip Code of the New Address and of the Old Address.
Change in business type and inspection groups
Inspection Stations or Dealers: for a change in business type (for example, Fleet to Public, Wholesale to Retail, etc.), enter To and From.
For a change in groups approved for inspection, check the box(es) for the group(s) you want to inspect.
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.
Diesel emissions testing equipment and Certified Inspectors
If you will perform diesel emissions inspections, print the manufacturer's name and the model number of the testing equipment; this information is required in order to process your request.
Provide the name(s) and certification number(s), including expiration date, of your Certified Inspector(s), and use additional sheet(s) if necessary; this information is required in order to process your request.
Deletions to Owners, Partners, Corporate Officers and Stockholders
Deletions to Owners, Partners, Corporate Officers and/or Stockholders holding more than 10% of stock; use additional sheet(s) if necessary. For each of (a), (b) and (c), enter Name (First, MI, Last), Date of Birth, Title, % of Stock or Ownership, Driver License Identification Number, Social Security Number, Residence Address, Apt. No. and Residence Phone, and sign on the Please Sign Name in Full line.
Additions to Owners, Partners, Corporate Officers and Stockholders
Additions to Owners, Partners, Corporate Officers and/or Stockholders holding more than 10% of stock; use additional sheet(s) if necessary. For each of (a), (b) and (c), fill in the same boxes as under Deletions and sign on the Please Sign Name in Full line.
Financial interest, hearings and convictions
a) Have you, or any person named in this application, or any immediate family member of those named in this application ever had a financial interest in a government-regulated business that had its license, registration or certification denied, suspended or revoked in New York State? This includes an interest as owner, partner, corporate officer or stockholder holding more than ten percent of the stock, and includes matters now on appeal.
b) Are you, or anyone named in this application, or any immediate family member of those named in this application scheduled for a hearing or been notified of a pending hearing regarding a DMV Vehicle Safety-issued business license, registration or certification?
If (a) or (b) is "YES", specify name and address of the person(s), business type, facility number, certified inspector number, date and action that was taken.
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 and Nature of Offense.
Certification
"I further certify that: None of the financially interested parties of the facility who are named or unnamed in this application are a franchisor, manufacturer, distributor, distributor branch or factory branch as defined in section §462 of the New York State Vehicle and Traffic Law, and neither they nor the facility are a subsidiary, affiliate, or controlled entity thereof; the facility applying for registration is, and will remain, in compliance with all state and local laws and regulations, and it will enroll in and use the VERIFI program if registered as a motor vehicle dealership; and all information provided in this application is true."
False statements on this application are punishable by law and may result in denial, suspension, or revocation of your business certificate(s); making a false statement on this application or submitting any documentation in support of this application that is false may be punishable as a criminal offense.
Enter Name, Date of Birth (Month/Day/Year), Business e-mail address, Residence Address (Include Number and Street), City, State, ZIP, Title and Date (Month/Day/Year), and Please Sign Name In Full.
More rules for Form MV-253G
Duplicate certificate customers: complete items 1, 2, 3, 9 and 10 and the "Certification" section at the bottom of page 2. 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 only if they apply to the change you are making.
Amendment documentation
You are requesting an amendment
Documentation requirements for amendment customers only. Dismantlers: all dismantlers must provide a letter of zoning approval with this request. New York City only: all "Secondhand Dealer - General" and "Secondhand Dealer - Auto" amendment requests must include a Fire Department permit and an NYC Department of Consumer Affairs License. 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 DMV the facility number or facility name of that shop. This can be used as proof of zoning. 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 requesting an address change, you must provide franchise papers showing the new address.
Sources
[1] Form MV-253G (4/25), Request for Business Amendment/Duplicate Certificate, New York State Department of Motor Vehicles (the Official source link on this page).