Vtr 61 Form – Fill Out and Use

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

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

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