Form Vtr-130-Sof - Bonded Title Application Or Tax Collector Hearing Statement Of Fact
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1
2Bonded Title Application or Tax Collector
Hearing Statement of Fact
Vehicle Information
Vehicle Identification Number
Year
Make
Body Style
Model
Vehicle Purchased or Obtained From (Name of Individual or Entity)
Odometer Reading (no tenths)
Purchase Date
Purchase Price
$
Applicant(s) Information
– Print name as it appears on photo identification
First Name (or Entity Name)
Middle Name
Last Name
Suffix (if any)
Additional Applicant First Name (if applicable)
Middle Name
Last Name
Suffix (if any)
Address
City
State
Zip
Email (required if submitting this form by mail)
Phone Number (required if submitting this form by mail)
Application Explanation
Provide an explanation for requesting a bonded title or tax assessor-collector hearing.
Application Questions
Yes No
– An answer must be provided to ALL questions
☐ ☐
Do you live in Texas?
1.
☐ ☐
Are you military personnel stationed in Texas?
2.
☐ ☐
Was the vehicle last titled in Texas?
3.
If no, a Vehicle Inspection Report or Form VTR-68-A is required.
☐ ☐
Is the vehicle you are attempting to title an abandoned vehicle?
4.
☐ ☐
Is the vehicle subject to storage or mechanic’s charges?
5.
☐ ☐
Is the vehicle subject to any type of foreclosure lien?
6.
☐ ☐
Is the vehicle you are attempting to title a nonrepairable vehicle?
7.
☐ ☐
Is the vehicle you are attempting to title a salvage vehicle?
8.
If yes, Form VTR-61 is required.
☐ ☐
Is the vehicle involved in any pending lawsuits or disputes of ownership?
9.
10.
☐ ☐
Are you in legal possession
?
If no, provide the physical location of the vehicle and short explanation.
11.
☐ ☐
Are you in legal control of the vehicle?
If no, provide the physical location of the vehicle and short explanation.
12.
☐ ☐
Was the vehicle manufactured for sale or distribution in the United States by a motor vehicle manufacturer?
If no, proof of compliance with U.S. Department of Transportation safety requirements is required or evidence the vehicle is
an assembled vehicle. If newly assembled, “Yes” is required for question 13.
☐ ☐
13.
Is the vehicle an assembled vehicle from new or used part(s) or a kit that has not been previously titled?
If yes, a Rebuilt Vehicle Statement (Form VTR-61) and an ASE inspection on Form VTR-64 or VTR-852 are required.
14.
☐ ☐
Is the vehicle complete?
A motor vehicle (such as a passenger car or pickup truck) must have a motor, body, and frame. A motorcycle must have a
motor and frame. A trailer must have a bed, frame, and axle assembly. An incomplete motor vehicle will not be titled.
☐ ☐
$
Is the vehicle 25 or more years old?
If yes, what is the current value of the vehicle?
15.
Certification – State law makes falsifying information a third degree felony
I, the above listed applicant(s), certify physical inspection of the vehicle identification number (VIN) was made and corresponds to
the VIN provided above, and all other information provided on this form is true and correct to the best of my knowledge.
Signature of Applicant
Printed Name (Same as Signature)
Date
Signature of Additional Applicant (if any)
Printed Name (Same as Signature)
Date
VTR-130-SOF Rev 08/16
Form available online at
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