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Request A Vehicle Change - Dealership Use Only

This form is to be used by dealerships only. Please complete the required information and we will process the change and send you the required paperwork. Please note that submissions on weekends, holidays, and after 4:00 PM on weekdays will be processed the following business day.

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Dealership Information

Who Is Submitting This Form?

Vehicle Information

It's very important that dates coincide with DMV and Insurance companies so errors don't delay your sale. If the date of the transaction is not locked in, please wait until the pick-up date is confirmed.

New Vehicle

Important Notice!

New York State Carco Required Based on Age:

Please notify your customer that this transaction will require a CARCO photo inspection.  The photo inspection can be completed at any of our four Cote Agency locations.   

Vehicle Being Replaced

Loan and Lease Information

Customer Information

Registration Information

Please Make Sure This Information Matches The Registration And Driver's License Information

First Registered Owner

Second Registered Owner

Where Should We Send The Paperwork?

Final Information and Submit

Cote Insurance Agency provides home, auto, business, life and many other types of insurance throughout New York State including Glens Falls, Queensbury, South Glens Falls, Corinth, Greenfield Center, Wilton, Gansevoort, Saratoga Springs, Ballston Spa, Clifton Park, Schenectady, Scotia and Rotterdam. We also cover the counties of Albany, Schenectady, Saratoga, Warren, Washington and Rensselaer.
© Copyright 2018 - Cote Insurance Agency - All Rights Reserved.

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Our Offices

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Corinth
94 Main Street,
Corinth, NY 12822

Phone: 518-654-9021
Fax: 518-654-7806
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Saratoga Springs
68 Weibel Ave,
Saratoga Springs, NY 12866

Phone: 518-587-3303
Fax: 518-587-4766
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Greenfield Center
3060 Route 9N,
Greenfiield Center, NY 12833

Phone: 518-893-5188
Fax: 518-893-2678
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South Glens Falls
1017 Route 9 N,
South Glens Falls, NY 12803

Phone: 518-761-6764
Fax: 518-761-1185
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