New York Consolidated Laws, Vehicle and Traffic Law - VAT § 2117-a. Surrender of manufacturer's certificate of origin to a manufactured home

(1) the name, residence and mailing address of the owner;

(2) a description of the manufactured home including, so far as the following data exists:  the name of the manufacturer, the make, the model name, the model year, the dimensions, and the vehicle identification number or numbers of the manufactured home and whether it is new or used, and any other information the commissioner requires;

(3) the date of purchase by the owner of the manufactured home, the name and address of the person from whom the home was acquired and the names and addresses of any lienholders in the order of apparent priority;

(4) a statement signed by the owner, stating either, (i) any facts or information known to the owner that could reasonably affect the validity of the title of the manufactured home or the existence or non-existence of security interests in or lien on it;  or (ii) that no such facts or information are known to the owner;

(5) the recorded original affidavit of affixation as provided by paragraph (iii) of subdivision (a) of section three hundred forty-four-b of the real property law;

(6) the original manufacturer's certificate of origin;

(7) the name and mailing address of each person wishing written acknowledgment of surrender from the commissioner;  and

(8) any other information and documents the commissioner reasonably requires to identify the owner of the manufactured home and to enable the commissioner to determine whether the owner satisfied the requirements of subdivision (a) of section three hundred forty-four-b of the real property law and the owner is entitled to surrender the manufacturer's certificate of origin and the existence or non-existence of security interests in the manufactured home.