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Fillable Printable Rtb 2007 033 Attach2

Fillable Printable Rtb 2007 033 Attach2

Rtb 2007 033 Attach2

Rtb 2007 033 Attach2

APPLICATION FOR TEXAS CERTIFICATE OF TITLE
SHADED AREAS ARE TO BE COMPLETED BY THE SELLER
TYPE OR PRINT NEATLY IN INK
TAX OFFICE USE ONLY
Tax C County ollector
Date Transaction Number
1. Vehicle Identification Number
2. Year
3. Make
4. Body Style
5. Model
6. Odometer Reading
7. Empty Weight
8. Carrying Capacity (lbs.)
9. Tonnage
County Use Only
SPV $
Appraisal Value $
10. Trailer Type
Semi Full
11. Plate No.
12. Vehicle Unit No.
14. Applicant’s/Owner’s Name(s)
Address
City, State, Zip Code County Name
14a. Registrant’s Name
(Renewal Notice Recipient)
Address
City, State, Zip Code County Name
13. Applicant’s/Additional Applicant’s
Social Security Numbers
(See * below) or Federal Tax ID Number
Statement of Fact for Non-Disclosure,
VTR-171, Attached.
14b. Vehicle Physical Location
City, State, Zip Code
15. Previous Owner’s Name
Address
City, State, Zip Code
15a. GDN – Dealer Use Only
THIS MOTOR VEHICLE IS SUBJECT TO THE FOLLOWING FIRST LIEN
16. 1st Lien Date
1st Lienholder Name
Address
City, State, Zip Code
16a. Additional Lien(s)?
YES (If additional liens are to be
recorded, attach Fo rm VTR-267.)
17. FOR CORRECTED TITLE, Change in Vehicle Description VIN No Change in Add Remove Odometer Odometer
CHECK REASON(S)
Year Make Body Style Other
Ownership Lien Lien Brand Reading
18. ODOMETER DISCLOSURE FEDERAL AND STATE LAW REQUIRES THAT YOU STATE THE MILEAGE UPON TRANSFER OF OWNERSHIP. FAILURE TO COMPLETE OR
PROVIDING A FALSE STATEMENT MAY RESULT IN FINES AND/OR IMPRISONMENT.
I, , state that the odometer now reads (no tenths).
**
(Name of Seller/Ag ent)
THE MILEAGE SHOWN IS A – Actual Mileage N – Not Actual Mileage WARNING – ODOMETER DISCREPANCY X – Mileage Exceeds Mechanical Li mits
**
IF NO SELLER/AGENT, TITLE APPLICANT SHOULD CHECK ONE OF THE 3 BOXES ABOVE UNLESS NUMBER 6 INDICATES “EXEMPT.”
MOTOR VEHICLE TAX STATEMENT
19. CHECK ONLY IF APPLICABLE
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]).
20. DESCRIPTION OF VEHICLE
TRADED IN (if any)
Year
Make
Vehicle Identification Number
20a. ADDITIONAL TRADE – INS? (Y/N)
21. SALES AND USE TAX COMPUTATION
(a) Sales Price ($ rebate has been deducted) $
(b) Less Trade - In Amount, Describe in Item 20 Above $ ( )
(c) For Dealers/Lessors/Rental ONLY – Fair Market Value
Deduction, Describe in Item 20 Above $ ( )
(d) Taxable Amount (Item a. minus Item b./Item c.) $
(e) 6.25% Tax on Taxable Amount (Multiply Item d. by .0625) $
(f) Late Tax Payment Penalty 5% or 10% $
(g) Tax Paid to (STATE) $
$
(h) AMOUNT OF TAX AND PENALTY DUE
(Item e. plus Item f. minus Item g.)
$90 New Resident Tax - (Previous State)
$5 Even Trade Tax
$10 Gift Tax
$65 Rebuilt Salvage Fee
2.5% Emissions Fee (Diesel Vehicles 1996 and Older > 14,000 lbs)
1% Emissions Fee (Diesel Vehicles 1997 and Newer > 14,000 lbs)
Exemption claimed under the Motor Vehicle Sales and Use Tax Law because
$28 or $33 APPLICATION FEE FOR CERTIFICATE OF TITLE MILITARY/EXEMPT
(Contact your County Tax Assessor-Collector for the correct fee.)
I HEREBY CERTIFY THAT ALL STATEMENTS IN THIS DOCUMENT ARE TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF.
22.
Signature of SELLER, DONOR, OR TRADER PRINTED NAME (Same as signature) Date
23.
Signature of PURCHASER, DONEE, OR TRADER PRINTED NAME (Same as signature) Date
RIGHTS OF SURVIVORSHIP OWNERSHIP AGREEMENT (MARRIED PERSONS)
WE, THE PERSONS WHOSE SIGNATURES APPEAR HEREIN, HEREBY AGREE THAT THE
OWNERSHIP OF THE VEHICLE DESCRIBED ON THIS APPLICATION FOR TITLE, SHALL FROM THIS
DAY FORW ARD BE H ELD JOINT LY, AND I N THE E VENT OF D EATH OF EITHE R OF THE P ERSON S
NAMED IN THE AGREEMENT, THE OWNERSHIP OF THE VEHICLE SHALL VEST IN THE SURVIV OR.
NON-MARRIED PERSONS ARE REQUIRED TO EXECUTE A RIGHTS OF SURVIVORSHIP
OWNERS HIP A GRE EM E NT FO R A MOTOR VEHICLE, F ORM VTR-122 .
SIGNATURE Date
SIGNATURE Date
WARNING: Transportation Code, §501.155, provides that falsifying information on title transfer documents is a third-degree felony offense punishable by not more than ten (10) years in prison or not more than one (1) year in a
community correctional facility. In addition to imprisonment, a fine of up to $10,000 may also be imposed.
*
NOTE: Transportation Code, §501.0235, REQUIRES that the applicant’s social security number be provided when applying for a certificate of title. If the applicant does not have a social security Number, Form VTR-171,
Statement of Fact for Non-disclosure of a Social Security Number, must accompany this application. This information is requested for owner identification purposes.
10ths
Form-130-U (Rev. 8/2006)
GENERAL INSTRUCTI ONS
APPLICATION FOR TEXAS CERTIFICATE OF TITLE
This form must be completed and submitted to your County Tax Assessor-Colle ctor accompanied by any
required application fee, supporting documents, registration fee if applicable, and any motor vehicle tax
due. An application form may be reproduced or faxed; however, a completed form must contain original
signatures to be accepted.
AVAILABLE HELP
For assistance in compl eting this form contact your County Tax Assessor-Collector.
For information about motor vehicle sales and use tax, or emission fees, contact the Texas Comptroller of
Public Accounts, Tax Assistance Sectio n, at 1-800-252-1382 toll free nationwide, or call 512/463-4600.
(From a Telecommunicati on Device for the Deaf (TDD) ONLY
CALL 1-800-248-4099, toll free nation wide or
call 512/463-4621.)
For title or registration information, contact your County Tax Asse ssor-Collector or the Texas Department of
Transportation’s Vehi cle Titles and Registration Division at 512/465-7611. (From a Telecommunication
Device for the Deaf (TDD) ONLY
CALL 512/302-2110.)
NOTICE
With a few exceptions, you are entitled to be info rmed about the information TxDOT collects about you.
Texas Government Code, §§552.021, 552.023, and 559.004 further entitle you to receive and review the
information on request, and to request that the department correct any information about you that is
deemed incorrect. Please contact th e TxDOT Vehicle Titles and Registration Division, Customer Help
Desk at 512/465-7611 for further de tails.
WARNING:
Any person who knowingly signs a false, joint statement is guilty of a felony of the th ird degree.
(TEX. TAX CODE ANN., §152.101)
NOTICE
The sales and use tax must be paid to the County Tax Assessor-Collector within 20 county working days from the date
of purchase or entry into Texas. The county will collect a $2.50 fee for transfer of current registration in addition to the
title application fees. If not currently registered, registration fees will be due.
If the amount paid for a used motor vehicle in a private-party transaction under Chapter 152, §152.0412, is equal to or
greater than 80 percent of the standard presumptive value of the vehicle, tax is computed on the amount paid. If the
amount paid for the vehicle is less than 80 percent of the standard presumptive value of the vehicle, tax is computed on
the amount equal to 80 percent of the standard presumptive value, unless the purchaser establishes the value of the
vehicle by obtaining a certified appraisal from an authorized dealer or licensed insurance adjuster. See 34 T.A.C. §3.79.
Diesel powered vehicles may be subject to the Texas Emissions Reduction Plan surcharge on the taxable amount.
If the tax or diesel emissions surcharge is paid from 1 to 30 calendar days late, a penalty of 5 percent of the tax will be
charged; if more than 30 calendar days late, the penalty will be 10 percent of the tax. Minimum penalty is $1.00 (T EX.
TAX CODE ANN., §152.066).
In addition to the late tax payment penalty, Transportation Code, §§520.031 and 520.032, provides for a
delinquent transfer penalty of $10.00 for failure to apply for title within 20 county working days from date of title
assignment. Submit this application, along with proper evidence of ownership, and a copy of valid proof of
financial responsibility, such as a liability insurance c ard, policy, etc., as provided in Transportation Code,
§502.153.
All new residents applying for Texas certificate of title and registration for a motor vehicle must file at the County Tax
Assessor-Collector of the county in Texas where the applicant resides within 30 days of establishing residency. Texas
law requires that all vehicles, previously registered and titled or registered in another state or country, be inspected for
safety and the motor and serial number or vehicle identification number verified before such vehicles may be registered
in Texas. These inspections must be made by State appointed Safety Inspection Stations who will then complete an
out-of-state Vehicle Identification Certificate. This form must be submitted to the County Tax Assessor-Collector with
your application for registration and certificate of title.
Form-130-U (Rev. 8/2006)
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