There's no faster way to apply for a New York State Repossession Title! Fill out the form below and your repossession application will be submitted to the New York Title Bureau today.

Lienholder Information
Name  
Address  
Zip Code  
City  
State  
County  
 
Lienholder Legal Info
Lienholder Legal Name  
Lienholder Legal Address  
Lienholder Legal City  
Lienholder Legal State  
Lienholder Legal Zip Code  
County  

Vehicle Description
VIN    
Year  
Make  
Body Type  
Doors  
Type of Power  
Cylinders  
Unladen Weight  
Color  
Odometer Reading
(in miles)
 
Mileage Brand
Vehicle's ODOMETER
has room for how many numbers?
 
For Other Vehicles  
For trailers and commercial vehicles
MAX Gross Weight

Borrower Information
Name  
Address  
Zip Code  
City  
State  

State Last Registered  
State Last Titled  
described was repossessed in on  
The borrower was in default of a security contract dated:  
Proper notice has been given to the following parties:
(list names and addresses)
Police Agency (Pick One)
Police Agency (OR Enter Other)  
Date Notified  
Commissioner of Motor Vehicles(district office)
 
Date Notified  
Owner
(other than lienholder)
 
Date Notified  
Other (Co-Buyer)
Date Notified  

 
 
DAMAGE DISCLOSURE STATEMENT
I certify that, to the best of my knowledge, this vehicle:

 

wrecked, destroyed or damaged to such an extent that the total estimate, or actual cost, of parts and labor to rebuild or reconstruct the vehicle to the condition it was in before an accident, and for legal operation on the road or highways, is more than 75% of the retail value of the vehicle at the time of the loss. (Checking the "has been" box means the vehicle must have an anti-theft examination before being registered, and that the title issued will have the statement "Rebuilt Salvage: NY" on it.)

 
Reference Number
Name of person submitting form  
Daytime Phone  
Email Address