Registration Intake

Xpress Plates & Registrations Inc · Invitation Active

SECURE PORTAL

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New Registration & Title Title Only (No Plates) Transfer Plates Registration Renewal Duplicate Title Plate Surrender IN-TRANSIT

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Dealer / Referral Partner

Partner Name

Phone

Address

1 Personal Details (Registrant)

First Name

M.I.

Last Name

Date of Birth

Gender

Email Address

Phone Number

Driver License #

SSN (Last 4)

I am the owner of this vehicle.

1.1 Owner Information

Owner Full Name

Owner NYS ID #

Owner DOB

1.2 Co-Registrant (Optional)

Co-Registrant Full Name

Co-Registrant NYS ID #

Co-Registrant DOB

2 Mailing Address

Bldg #

Street Address

Apt/Suite

City

State

ZIP

My residential address is the same as my mailing address.

2.1 Residential Address

Bldg #

Street Address

Apt/Suite

City

ZIP

3 Vehicle Details

VIN (17 Digits)

Year

Make

Model

Color

Weight

Type

Body

Fuel

Cylinders

4 Insurance & Liens

Insurance Company

Policy Number

Effective Date

Expiration Date

Insurance ID Card (PDF only)

PDF

Drop your insurance ID card here

or click to browse — PDF only, up to 50 MB

Saved to your profile documents as Insurance ID Card after approval.

There is a lien on this vehicle.

Lienholder Name

Lienholder Address

Filing Code

5 Additional Notes (Optional)

Tell us anything else we should know

This note will appear on your client profile after your intake is approved.

By submitting, you agree that all information provided is true and accurate.

Operations software for PSBs records, receipts, referrals, and reporting in one unified workspace.

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