VTR-131 Rev 03/15 Online Form at www.TxDMV.gov

Application for Title Only

Read the following conditions regarding this application for Title Only, a negotiable certificate of title without Texas registration: • You must surrender the license plates and/or registration insignia if the vehicle displays current Texas or out-of-state license plates. • The following vehicles are not eligible for Title Only: construction machinery (unconventional vehicles), water well drilling units and

machinery used exclusively for drilling water wells, construction machinery not designed to transport persons or property, implements of husbandry and farm equipment (including combines), all-terrain vehicles, and slow moving vehicles.

• Any vehicle with a suspended or revoked Texas title may not be issued a Title Only. Contact your local county tax assessor-collector's office if you have any questions.

Applicant and Lienholder Information - Type or print onlyLast NameMiddle Initial SuffixFirst Name County

Mailing Address City State Zip Code

Day Phone Date of Lien

Address of Lienholder City State Zip Code

Name of Lienholder (if applicable)

Vehicle InformationYear Make Body Style

Surrendered License Plate Number (if applicable)

Vehicle Identification Number Model

Surrendered Validation Sticker Number (if applicable)

Check applicable box:

License plates and registration insignia issued for this motor vehicle are being surrendered, in accordance with Transportation Code §501.0275. The registration for this vehicle is not currently suspended or revoked.

This vehicle has been issued a license plate under the applicable status of forces agreement by either the appropriate branch ofthe U.S. Armed Forces or the nation in which the owner has been assigned. Valid proof of military registration is attached.

This vehicle has no license plates and/or registration.

Affidavit - State law makes falsifying information on this application a third degree felony.I certify that the statements on this application are true and correct and understand that: • The vehicle described must display current Texas registration before it may be operated on the public roadways in Texas. • I may not apply for registration until a corrected title is obtained if the Vehicle Inspection Report (VIR) issued by a state appointed

safety inspection station was waived at the time of filing this application.

DateSignature

VTR-131 Rev 03/15

Online Form at www.TxDMV.gov

AANDREW

9.0.0.2.20101008.1.734229

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Application for Title Only

Read the following conditions regarding this application for Title Only, a negotiable certificate of title without Texas registration:

·    You must surrender the license plates and/or registration insignia if the vehicle displays current Texas or out-of-state license plates.

·    The following vehicles are not eligible for Title Only: construction machinery (unconventional vehicles), water well drilling units and machinery used exclusively for drilling water wells, construction machinery not designed to transport persons or property, implements of husbandry and farm equipment (including combines), all-terrain vehicles, and slow moving vehicles.

·    Any vehicle with a suspended or revoked Texas title may not be issued a Title Only.

Contact your local county tax assessor-collector's office if you have any questions.

Applicant and Lienholder Information - Type or print only

Vehicle Information

Check applicable box:

Code §501.0275. The registration for this vehicle is not currently suspended or revoked.

the U.S. Armed Forces or the nation in which the owner has been assigned. Valid proof of military registration is attached.

Affidavit - State law makes falsifying information on this application a third degree felony.

I certify that the statements on this application are true and correct and understand that:

·    The vehicle described must display current Texas registration before it may be operated on the public roadways in Texas.

·    I may not apply for registration until a corrected title is obtained if the Vehicle Inspection Report (VIR) issued by a state appointed safety inspection station was waived at the time of filing this application.

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