RequestforMotorVehicleInformation
1 OF 2
MAIL TO: Ann Harris Bennett, Tax Assessor-Collector
Harris County
P.O. Box 4089
Houston, Texas 77210-4089
The Driver Privacy Protection Act restricts access to personal information on vehicle title and registration records. A copy of your current government issued photo identification must accompany application. Signature of applicant is required.
I am the current recorded owner of the vehicle.
Written authorization is attached from the person(s) listed as the recorded owner, lienholder or previous owner.
My authority to obtain vehicle information is shown as a permitted use on page 2. (Initial the appropriate line, check the applicable box on page 2, and sign the statement below. If required, attach the appropriate supporting documentation.)
APPLICANT INFORMATION If recorded owner, check box to update address as shown on this application □
Last Name or Business Name
GOVERNMENT ISSUED PHOTO IDENTIFICATION – SUBMIT PHOTOCOPY
Entity Issuing ID and Type (i.e., Texas Driver License, U.S. Passport, etc.)
Government Photo ID Number
Vehicle Identification Number
If you are not the owner/lienholder, initial a Permitted Use on page 2 - unless you have written authorization.
|
....................................Title and registration verification of a vehicle record (current or expired) |
$2.00 per record |
Statement: State law makes falsifying information on this application a third-degree felony.
I certify the statements on this application are true and correct. I request the Harris County Tax Office provide me with the requested information contained in the motor vehicle record for the vehicle indicated. In making this request, I also certify that the:
•Information requested is for a lawful and legitimate purpose and will be used only in accordance with 18 U.S. Code ₤2721-2725 and Transportation Code, Chapter 730 (Driver Privacy Protection Acts);
•Personal Information obtained pursuant to this request will not be used for marketing, solicitation or survey purposes; and,
•I have not been convicted of a violation of either of the Driver Privacy Protection Acts, or violated a rule adopted by the department relating to the terms and conditions for release of personal information from vehicle records.
Name of Applicant (type or print): |
|
Date: |
|
|
|
|
Signature of Applicant(required):
Violators can be prosecuted under Transportation Code, Section 730.013 and Penal Code, Section 37.10.
MV-440 |
www.hctax.net |
Rev 2/19 |
2 OF 2
Permitted Use – Sign or print your initials on the appropriate line for your use of the requested information.
Choose one of the following options:
1.I am the current recorded owner or lienholder of the vehicle;
2.Written authorization is attached from the person(s) listed as the recorded owner, lienholder or previous owner; or
3.my authority to obtain vehicle information is for the permitted use noted below. I understand the use of the requested information is strictly limited to:
_______ A governmental entity, including law enforcement (check applicable box):
A government agency, including any court or law enforcement agency, in carrying out its functions.
A private person or entity acting on behalf of a government agency in carrying out the functions of the agency.
_______Use in connection with one of the following (check applicable box):
Motor vehicle safety or motor vehicle operator safety.
Motor vehicle theft.
Motor vehicle emissions.
Motor vehicle product alterations, recalls or advisories.
Performance monitoring of motor vehicles, motor vehicle parts, or motor vehicle dealers.
Motor vehicle market research activities, including survey research.
Removal of non-owner records from the original owner records of a motor vehicle manufacturer to carry out the purposes of the Automobile Information Disclosure Act, the Anti Car Theft Act of 1992, and the Clean Air Act.
For child support enforcement.
Enforcement by the Texas Workforce Commission
Voter registration or the administration of elections by the Secretary of State.
______ Use in the normal course of business by a legitimate business or its authorized agent, but only to verify accuracy of personal
information submitted by the individual; and, if the information is not correct, to obtain the correct information for the sole purpose of preventing fraud by, pursuing a legal remedy against or recovering on a debt or security interest against the individual. (Requestor must submit the information to be verified against the department’s records.)
______ In conjunction with a civil, criminal, administrative or arbitral proceeding in any court or government agency or before any self-
regulatory body, including service of process, investigation in anticipation of litigation, execution or enforcement of a judgment or order, or under an order of any court. (Requestor must submit proof of legal proceeding or proof of anticipated proceeding.)
______ Use in research or in producing statistical reports, but only if the personal information is NOT published, redisclosed, or
used to contact any individual. (Requestor must submit proof of employment in a research occupation.)
______Use by an insurer or insurance support organization, a self-insured entity or as an authorized agent of the entity in connection
with claims investigation activities, antifraud activities, rating or underwriting. (Requestor must submit a license number provided by the Texas Department of Insurance or out-of-state equivalent, a license number the insurance support organization is working under, or proof of self-insurance. License number :________________)
______ Use in providing notice to an owner of a towed or impounded vehicle. (Requestor must submit a license number provided by
the Texas Department of Licensing and Regulation or out-of-state equivalent. License number :_____________)
______ Use by a licensed private investigation agency or licensed security service authorized to use the information for a permitted
purpose. (Requestor must submit a license number provided by the Texas Department of Public Safety or out-of-state equivalent. License number :______________)
______Use in connection with the operation of a private toll transportation facility. (Requestor must submit documentation to relate
the requested personal information with operation of a private toll transportation facility.)
______Use by a consumer reporting agency, as defined by the Fair Credit Reporting Act, for a purpose permitted under that Act.
(Requestor must submit documentation on official letterhead indicating a permitted use for personal information as defined by the Fair Credit Reporting Act.)
Resale and Redisclosure
Motor vehicle record information obtained by an authorized recipient for a permitted use may not be resold or redisclosed unless the information
is provided to other authorized recipients and used only for the permitted use. Information obtained as a result of this request may not be resold or redisclosed in the same or substantially identical format as it is received from the TxDMV. Any original recipient is responsible for misuse
of the motor vehicles records, regardless if they approved or were aware of subsequent transfers of the information. An authorized recipient who resells or rediscloses motor vehicle records is required to maintain records of that transaction for a period of not less than five years. The
department has the authority to request and review records kept by all authorized recipients. For further information regarding resale and redisclosure requirements, refer to the Texas Administrative Code, Rule §§217.127 and 217.128.
