Fillable Printable Vtr 64 Ase Safety Inspection For Assembled Vehicles
Fillable Printable Vtr 64 Ase Safety Inspection For Assembled Vehicles
Vtr 64 Ase Safety Inspection For Assembled Vehicles
ASE Safety Inspection for Assembled
Vehicles
Instructions/Information
An ASSEMBLED VEHICLE is a vehicle assembled from the three basic component parts (motor, frame, and body), and is:
• built (assembled) from new or used materials and parts by someone not regulated as a motor vehicle manufacturer
(usually an individual or by a shop);
• altered or modified to the extent that it no longer reflects the original manufacturer's configuration; or
• assembled from a kit even if a Manufacturer's Certificate of Origin or Manufacturer's Statement of Origin is provided.
Note: The assembling or merging of two or more vehicles of different vehicle classes that were never engineered/manufactured
to be combined with one another are NOT eligible to be titled in Texas. For example, a pa
ssenger vehicle combined with a
motorcycle is NOT eligible for a Texas Title. The frame and body of a vehicle that has been declared junked and/or
nonrepairable, or a motor from a flood damaged vehicle, cannot be used in the assembly or reconstruction of a vehicle.
An assembled vehicle will display the year in which it was assembled and the make as “Assembled” unless the vehicle was
constructed with a manufactured prefabricated body (the year and make may be as shown on the Manufacturer's Certificate of
Origin) accompanied by a REPLICA brand. If an original body is used, the vehicle is titled by the year and make of the body and is
accompanied by a RECONSTRUCTED brand.
If the vehicle does not contain an original manufacturer's assigned Vehicle Identification Number (VIN), an assigned number must
be obtained from a Texas Department of Motor Vehicles Regional Service Center and must be die-stamped on the vehicle.
The inspection on page 2 must be completed by the Automotive Service Excellence (ASE) Certified Master Technician. An ASE
Certified Master Technician can be found at www.ASE.com. The applicant information below must match the information on the
Application for Texas Title and/or Regist
ration (Form 130-U). Submit this completed form with your completed Form 130-U and all
other required documentation to your local county tax assessor-collector's office.
*REPLICA BRAND: If an assembled vehicle is constructed in a manner resembling a vehicle from a prior model year, the vehicle
record and Texas title can be notated with “REPLICA” with the Year and Make the vehicle resembles. Leave the “Replica Year” and
“Replica Make” fields blank if the vehicle is assembled with an original body, or if you do not want the assembled vehicle to carry a
REPLICA brand. In all cases, the vehicle will be titled as an assembled vehicle unless it is constructed with an original body.
Vehicle Information
Vehicle Identification Number (or Motor Number, if applicable)
Year
Make
Body Style
Model
Replica Year (if any)*
Replica Make (if any)*
Applicant Information
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 (optional)
Phone Number (optional)
Applicant Certification – State law makes falsifying information a third degree felony
I, the above listed applicant, certify the above listed vehicle meets the eligibility requirements listed on this form, and I am
providing proof of the ASE Certified Master Technician's vehicle inspection.
Signature of Applicant
Printed Name (Same as Signature)
Date
Signature of Additional Applicant (if any)
Printed Name (Same as Signature)
Date
VTR-64 Rev 08/16 Form available online at www.TxDMV.gov Page 1 of 2
ASE Safety Inspection for Assembled Vehicles
Safety Inspection Required
An assembled vehicle must be certified as being structurally stable and safe by an ASE Certified Master Automobile Technician in
order to operate on public roads. An ASE Certified Master Technician can be found at www.ASE.com. The ASE Certified Master
Technician must inspect the vehicle and sign the certification on this page. The automotive systems and parts listed below must
be inspected, as applicable, based on the year the vehicle was assembled. For example, a vehicle assembled in 2016 must comply
with all state and federal motor vehicle safety laws in effect in 2016.
Inspection/Inspector Information
• A current ASE Certified Master Technician must perform the inspection. Master status is established by passing the
Automobile Test Series (A1 through A8).
• A copy of the certifications and expiration dates, available through the inspector's myASE account, must be submitted with
this inspection. The inspection is not valid if any of the series (A1 through A8) are missing or expired at the time of the
inspection. This form is not valid without the certifications printout.
• The inspection fee is set by each ASE Certified Master Technician.
• The ASE Certified Master Technician must initial each box, and provide comments as applicable, to certify the presence
and/or safety of each item.
• This inspection does not replace or eliminate the mandatory Texas vehicle safety inspection (and emissions inspection, if
applicable).
An assembled vehicle must be constructed with all required parts in compliance with state and federal motor vehicle safety laws
in effect at the time the vehicle was assembled.
ASE Certified Master Technician Information
ASE Certified Master Technician’s First Name
Middle Name
Last Name
Suffix (if any)
ASE Certified Master Technician’s Certification Number
Certification Expiration Date
Email (optional)
Business Name
Phone Number
Business Address
City
State
Zip
Vehicle Inspection – Applicable items listed below must be inspected
☐
VIN, Serial, or Assigned TEX Number
☐
Structural Integrity of Frame and Welds
☐
Turn Signal Lamps
☐
Beam Indicator
☐
Head Lamps (Minimum of 2)
☐
Tail Lamps (2)
☐
Stop Lamps (2)
☐
Rear Red Reflector (2)
☐
Seat Belts
☐
Mirror
☐
Motor
☐
Windshield Wipers
☐
Brakes – Service
☐
Fuel Supply System
☐
Exhaust System
☐
Drivetrain
☐
License Plate Lamp
☐
Wheels and Tires
☐
Steering
☐
Other
Technician Certification – State law makes falsifying information a third degree felony
I certify I am an ASE Certified Master Automobile Technician with current, valid credentials at the time of inspection, have
inspected the vehicle listed, and certify it is structurally stable and meets the necessary conditions to be operated safely on
public roads. The information provided is correct to the best of my knowledge at the time of inspection.
Signature of ASE Master Technician
Printed Name (Same as Signature)
Date of Inspection
VTR-64 Rev 08/16 Form available online at www.TxDMV.gov Page 2 of 2
