Texas Form Vi 4 PDF Details

Are you a Texas homeowner or business owner looking to minimize your property taxes? Have you been scouring the internet for resources on navigating the state’s complicated tax laws? If so, this blog post is for you! We’ll break down everything you need to know about the Texas Form Vi 4, an important form used in determining which exemptions and deductions can be used when filing property taxes. With our comprehensive guide, navigating these regulations will no longer seem overwhelming — we hope it's just what taxpayers with properties across Texas were searching for.

QuestionAnswer
Form NameTexas Form Vi 4
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namestint exemption texas, texas window tint exemption form, medical tint exemption texas, texas tint exemption

Form Preview Example

Texas Department of Public Safety Regulatory Services Division www.dps.texas.gov

MUST USE MOST CURRENT FORM

FORM MUST BE TYPED

VEHICLE INSPECTION WINDOW TINT

 

 

FOR DPS USE ONLY

APPLICATION FOR WINDOW TINT MEDICAL EXEMPTION

 

 

APPLICANT (PLEASE USE NAME AS IT APPEARS ON DRIVER LICENSE)

 

 

 

Name

DL #

State

Expiration

Patient Name

Relationship to Applicant

(IF DIFFERENT FROM APPLICANT)

 

Residence

City

State

 

 

County

ZIP

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing

City

State

 

 

County

ZIP

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of Birth

Email

Home Phone

Cell Phone

Business Phone

Other Phone

VEHICLE INFORMATION

Vehicle #1

VIN

Year

Make

Model

VEHICLE #2

VIN

Year

Make

Model

VEHICLE #3

VIN

Year

Make

Model

PHYSICIAN, OPTOMETRIST OR OPHTHALMOLOGIST

Name

Address

Email

 

 

License #

 

 

 

 

 

 

 

 

City

State

 

 

Zip

 

 

 

 

 

 

Phone

Fax

 

 

 

 

 

 

 

Vehicle Owner Certiication

I certify and afirm that all information presented in this form is true and correct, that any documents I have presented to DPS are genuine, and that the information included in all supporting documentation is true and accurate. I make this certiication and afirmation under penalty of perjury and I understand that knowingly making a false statement or representation on this form is a criminal violation.

Applicant / Legal Guardian’s Signature

 

Date

Completed application must be accompanied by one of the following:

Letter, on physician letterhead, signed by the physician, indicating the medical reason for the exemption.

An original prescription including the applicant’s name, physician’s signature and indicating the medical reason for the exemption.

Letters and prescriptions must be dated within one year of exemption request. If the exemption is approved, an exemption letter will be sent to the applicant listed above.

SUBMIT completed form with required documentation:

Online Secured Email

Contact Us, select “Vehicle Inspection” and complete the online form.

http://www.txdps.state.tx.us/rsd/contact/default.aspx

Fax to (512) 424-2774

Mailing Address: Texas Department of Public Safety

Regulatory Services Division, Compliance & Enforcement Service

Window Tint Medical Exemption

P. O. Box 4087

Austin, Texas 78773-0543

Please allow up to 15 working days for your application to be processed, approved and to receive your exemption certiicate.

VI-4 (Rev. 3/16)

How to Edit Texas Form Vi 4 Online for Free

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Concentrate when completing this document. Ensure that all mandatory blanks are completed accurately.

1. While completing the texas window tint medical exemption form, make certain to incorporate all of the necessary fields in its relevant part. This will help to speed up the process, making it possible for your information to be processed efficiently and appropriately.

Filling out part 1 of texas window tint exemption

2. Once your current task is complete, take the next step – fill out all of these fields - License, State, Fax, Zip, PHYSICIAN OPTOMETRIST OR, Name, Address, Email, City, Phone, Vehicle Owner Certiication, I certify and afirm that all, Applicant Legal Guardians, Date, and Completed application must be with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

City, Email, and Date in texas window tint exemption

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