Form Vtr-272-B - Vehicle Identification Number Self-Certification
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1Vehicle Identification Number
Self-Certification
Form VTR-272-B
(Rev. 05/10)
Page 1 of 1
Texas Residents with vehicles located outside the state of Texas may complete this self certification
when applying for a negotiable Texas Certificate of Title in lieu of an Out-of-state Identification Certificate
(DPS form VI-30).
Submit additional documentation as indicated below, if required.
Select applicable box:
Recreational Vehicle owner with vehicle
Apportioned Vehicle Out-of-State
temporarily out-of-state
w Indicate current apportioned
w
Attach valid proof of Texas residency.
account number:
Acceptable documents include a property tax
receipt, utility statement, etc.
Military Personnel located Out-of-State
Student located Out-of-State
w
w
Attach a copy of current military orders or signed
Attach verification of current student status.
statement from the Provost Marshall.
Acceptable documents include a tuition receipt,
enrollment form, student identification card, etc.
Official serving in the U.S. Congress
Title Only Applicant
w
w
No additional documentation is required.
Attach Form VTR-131, Application for Title Only
and valid proof of Texas residency, such as a
property tax receipt, utility statement, etc.
DATE OF INSPECTION
STATE OR JURISDICTION OUTSIDE TEXAS
VEHICLE IDENTIFICATION NUMBER (VIN)
YEAR MODEL
VEHICLE MAKE
VEHICLE OWNER NAME
I certify the following:
w I have made a physical inspection of the vehicle described above and found the permanent identification number to
be as indicated above;
w At the time this vehicle is being registered in Texas, the vehicle is not located in Texas, and is exempt from the safety
inspection provisions of the Texas Certificate of Title Act (Transportation Code §501.030).
w I'm aware that a state-approved safety inspection will be required when the vehicle is operated in Texas.
Failure to comply may result in a law enforcement citation.
Printed Name of Owner or Agent
Signature of Owner or Agent
State law provides that falsifying information on any required document is a third-degree felony.
FORM VTR-272-B
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