Vtr 61 Form PDF Details

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The table features details about the vtr 61 form. There, you'll discover the information about the form you want to fill in, along with the assumed time for you to complete it and other particulars.

QuestionAnswer
Form NameVtr 61 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesvtr 61 rev 09 16, vtr 61 rebuilt vehicle statement, tx dmv form vtr 61, rebuilt vehicle statement

Form Preview Example

Rebuilt Vehicle Statement

Instructions

This form is required when a vehicle is repaired, rebuilt, reconstructed, or assembled in order to obtain a Texas title. The completed form must be submitted to a county tax assessor-collector with the Application for Texas Title and/or Registration (Form 130-U), ownership evidence, and any other required documents. Note: Page 2 must be completed if component parts were used to repair, rebuild, reconstruct, or assemble the vehicle. The owner and rebuilder may be the same; therefore, the same individual may sign both statements.

An authorized Texas Department of Public Safety state vehicle inspection station must inspect the vehicle after it has been repaired, rebuilt, reconstructed, or assembled. Upon completion, the inspection station will provide a Vehicle Inspection Report (VIR). A copy

of the VIR may be required if the inspection cannot be automatically verified at the time of application for Texas title and registration. A vehicle safety inspection is not required if the vehicle will not be registered (Title Only) or is otherwise exempt from an inspection. Note: An additional inspection is also required for any newly assembled vehicle that has not previously been titled

as a complete vehicle. This additional inspection is completed on the Form VTR-64 (or Form VTR-852, if applicable).

Vehicle/Owner Information

Vehicle Identification Number

Year

Make

Body Style

Model

First Name (or Entity Name)Middle NameLast NameSuffix (if any)

Details of Work Performed

Rebuilder

 

First Name (or Entity Name)

Middle Name

Last Name

Suffix (if any)

 

 

 

 

 

 

 

Address

City

State

Zip

 

 

 

 

 

 

 

 

The individual (rebuilder) who repaired, rebuilt, reconstructed, or assembled the vehicle must provide an explanation as to the work done to

 

 

repair, rebuild, reconstruct, or assemble the motor vehicle and specify the location* of any component parts replaced:

 

 

Work Performed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* Right (R), Left (L), Front (F), Rear (R), Right Front (RF), Left Front (LF), Right Rear (RR), Left Rear (LR)

Rebuilder Certification – State law makes falsifying information a third degree felony

I, the rebuilder listed above, certify I repaired, rebuilt, reconstructed, or assembled the vehicle described above and purchased or came into possession of all the component parts listed on page 2 in a legal and lawful manner in accordance with the provisions of Transportation Code, Chapter 501.

Signature of Rebuilder

Printed Name (Same as Signature)

Date

Vehicle Inspection Report Information

Authorization or Certificate Number

Date of Inspection (Test Date)

Owner Certification – State law makes falsifying information a third degree felony

I, the owner (as listed above), certify I am the legal and rightful owner of the vehicle described above; the vehicle has been repaired, rebuilt, reconstructed, or assembled; the vehicle has been inspected; and the vehicle identification number (VIN) provided above is the same as the VIN affixed to the motor vehicle.

 

Signature of Owner

Printed Name (Same as Signature)

Date

 

VTR-61 Rev 09/16

Form available online at www.TxDMV.gov

Page 1 of 2

Rebuilt Vehicle Statement

These sections must be completed by the rebuilder if the vehicle has been repaired, rebuilt, reconstructed, or assembled with any of the listed component parts.

Component Parts – Engine, Frame, and Body

 

Component Part

 

 

Origin of Component Part/Purchased from:

 

 

Component Part Number

 

 

 

 

(Name and Complete Address)

 

 

(required)

 

 

 

 

 

 

 

 

 

Engine

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Frame

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Body

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Note: Ownership evidence (bill of sale and/or title) is required if an engine, frame, or body is used.

 

 

 

 

 

 

 

 

 

 

 

Component Parts – Other

 

 

 

 

 

 

Component Part

 

 

Origin of Component Part/Purchased from:

 

 

Component Part Number

 

 

 

 

(Name and Complete Address)

 

 

(if available)

 

 

 

 

 

 

 

 

 

Transmission

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fender(s)*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hood

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Door(s)*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Bumper(s)*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Quarter Panel(s)*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tailgate/Deck Lid/ Hatchback

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pickup Cargo Box (vehicle

 

 

 

 

 

 

 

 

10,000 pounds or less)

 

 

 

 

 

 

 

 

Cab of a Truck

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Roof or Floor Pan (passenger

 

 

 

 

 

 

 

 

vehicle, if separate from body)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Note: Submit any bills of sale for these component parts (if any).

*Specify the location of the component part on page 1 in the “Details of Work Performed” section.

VTR-61 Rev 09/16

Form available online at www.TxDMV.gov

Page 2 of 2

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