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Application for Texas Title and/or Registration
Applying for (please check one):
TAX OFFICE USE ONLY
☐ Title & Registration ☐ Title Only ☐ Registration Purposes Only ☐ Nontitle Registration
County:
For a corrected title or registration, check reason:
Doc #:
☐ Vehicle Description ☐ Add/Remove Lien ☐ Other:
☐
SPV
☐
Appraisal Value $
1. Vehicle Identification Number
2. Year
3. Make
4. Body Style
5. Model
6. Major Color
7. Minor Color
8. Texas License Plate No.
9. Odometer Reading (no tenths) 10. This is the Actual Mileage unless the mileage is:
11. Empty Weight
12. Carrying Capacity (if any)
☐ Not Actual ☐ Exceeds Mechanical Limits ☐ Exempt
13. Applicant Type
14. Applicant Photo ID Number or FEIN/EIN
☐ Individual
☐ Business
☐ Government
☐ Trust
☐ Non-Profit
15. ID Type
☐
U.S. Driver License/ID Card (issued by:
)
☐
NATO ID
☐
U.S. Dept. of State ID
☐
Passport (issued by:
)
☐
U.S. Military ID
☐
U.S. Dept. of Homeland Security ID
☐
U.S. Citizenship & Immigration Services/DOJ ID
☐
Other Military Status of Forces Photo ID
16. Applicant First Name (or Entity Name)
Middle Name
Last Name
Suffix (if any)
17. Additional Applicant First Name (if applicable)
Middle Name
Last Name
Suffix (if any)
18. Applicant Mailing Address
City
State
Zip
19. Owner County of Residence
20. Previous Owner Name (or Entity Name)
City
State
21. Dealer GDN (if applicable) 22. Unit No. (if applicable)
23. Renewal Recipient First Name (or Entity Name) (if different)
Middle Name
Last Name
Suffix (if any)
24. Renewal Notice Mailing Address (if different)
City
State
Zip
25. Applicant Phone Number (optional) 26. Email (optional)
27. Registration Renewal eReminder
☐ Yes
(Provide Email in #26)
28. Vehicle Location Address (if different)
City
State
Zip
29. Multiple (Additional) Liens
30. Electronic Title Request
31. Certified/eTitle Lienholder ID Number (if any)
32. First Lien Date (if any)
☐ Yes
☐ Yes
(Attach Form VTR-267)
(Cannot check #29)
33. First Lienholder Name (if any)
Mailing Address
City
State
Zip
34. Check only if applicable:
MOTOR VEHICLE TAX STATEMENT
☐ I hold Motor Vehicle Retailer’s (Rental) Permit No.
and will satisfy the minimum tax liability (V.A.T.S., Tax Code §152.046[c])
☐ I am a dealer or lessor and qualify to take the Fair Market Value Deduction (V.A.T.S., Tax Code, §152.002[c]). GDN or Lessor Number
35. Trade-In (if any)
Year
Make
Vehicle Identification Number
36. Additional Trade-In(s)
☐ Yes
☐ Yes
(Complete)
37. Check only if applicable:
SALES AND USE TAX COMPUTATION
☐ (a) Sales Price ($
rebate has been deducted) $
☐ $90 New Resident Tax – (Previous State)
(b) Less Trade-in Amount, described in Item 35 above
$ (
) ☐ $5 Even Trade Tax
(c) For Dealers/Lessors/Rental ONLY – Fair Market Value
☐ $10 Gift Tax – Use Comptroller Form 14-317
Deduction, described in Item 35 above
$ (
) ☐ $65 Rebuilt Salvage Fee
(d) Taxable Amount (Item a minus Item b or Item c)
$
☐ 2.5% Emissions Fee (Diesel Vehicles 1996 and Older > 14,000 lbs.)
(e) 6.25% Tax on Taxable Amount (Multiply Item d by .0625)
$
☐ 1 % Emissions Fee (Diesel Vehicles 1997 and Newer > 14,000 lbs.)
(f) Late Tax Payment Penalty ☐ 5% or ☐ 10%
$
☐ Exemption claimed under the Motor Vehicle Sales and Use Tax Law because:
(g) Tax Paid to
(STATE) $
(h) AMOUNT OF TAX AND PENALTY DUE
☐ $28 or $33 Application Fee for Texas Title
(Item e plus Item f minus Item g)
$
(Contact your county tax assessor-collector for the correct fee.)
CERTIFICATION – State law makes falsifying information a third degree felony
I hereby certify all statements in this document are true and correct to the best of my knowledge and belief, and I am eligible for title and/or registration (as applicable).
Signature(s) of Seller(s), Donor(s), or Trader(s)
Printed Name(s) (Same as Signature(s))
Date
Signature of Applicant/Owner
Printed Name (Same as Signature)
Date
Signature(s) of Additional Applicant(s)/Owner(s)
Printed Name(s) (Same as Signature(s))
Date
Form 130-U Rev 08/16
Form available online at
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