[Village of Tarrytown] 2023-2024 Non-Resident Commuter Parking Permit Application

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Village of Tarrytown

One Depot Plaza, Tarrytown, NY 10591

2023-2024 Non-Resident Commuter Parking Permit Application

Transfer Fee - $5.00

Fee Schedule - See below

www.tarrytownny.gov

To The Treasurer of the Village of Tarrytown:

Pursuant to the provisions of the Village Code regulating parking, the undersigned hereby makes application for the issuance of a permit to park the motor vehicle (passenger or suburban only), hereinafter described, in parking areas designated and at times specified in the Village Code when space is available.

Completed application & copies of valid vehicle registration(s) must be submitted. Window registration stickers are NOT acceptable.

Please note this allows you to park in parking lots A, C, D, F & G near the train station

Rate Schedule (Annual)

June $ 1380

July 1280

Aug 1180

Sept 1080

Oct 980

Nov 880

Dec 780

Jan 680

Feb 580

Mar 480

Apr 380

May 280

Upload File(s): Vehicle 1 Registration Card & Vehicle 2 Registration Card / WINDOW STICKER NOT ACCEPTED

Click Here to Upload

NAME OF APPLICANT

HOME ADDRESS

City, State, Zip

City *

State *

Zip *

PHONE

VEHICLE 1

PLATE # *

STATE *

VEHICLE 1

MAKE *

YEAR *

BUSINESS NAME

BUSINESS ADDRESS

City, State, Zip

City

State

Zip

PHONE

VEHICLE 2

PLATE #

STATE

VEHICLE 2

VEHICLE MAKE

YEAR

Transfer: $5.00

Reason

Original Permit #

This permit does not guarantee that a space will be available in designated parking areas. Only the original permit hanging from rearview mirror facing out is valid; remove permit before moving vehicle.

REFUNDS WILL NOT BE ISSUED - PERMITS ARE NON-TRANSFERABLE

Payment Type

Cash

Check

Credit Card

If you intend to pay by credit card,you may print a hard copy of the credit card form, fill it out, and bring it into the office during normal business hours (Monday-Friday, 8:30 am to 4:30 pm).

You may also call 914-631-7873 to pay for your permit by credit card over the phone.

The undersigned agrees that the Village of Tarrytown will not be liable for any loss or damage to the above-described motor vehicle or its equipment while such motor vehicle is parked in any parking area in the Village. Under no circumstances will there be a refund in either full or part.

First Name

Last Name

Choose how to sign

Draw Type

The undersigned swears or affirms under penalty of perjury that they are the owner of the above-described motor vehicle and that the foregoing statements are true.

FOR OFFICE USE: Permit Expires______________ Permit No.________________ Fee Received_____________________

Permit Issued By______________________ Date___________________

Check #________________________ Credit Card_____________________ Cash________________________