Form VTR-61: 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.

Under Vehicle/Owner Information, enter the Vehicle Identification Number, Year, Make, Body Style and Model.

Under Vehicle/Owner Information, enter the owner's First Name (or Entity Name), Middle Name, Last Name and Suffix (if any).

Under Details of Work Performed, enter the First Name (or Entity Name), Middle Name, Last Name, Suffix (if any), Address, City, State and Zip.

Enter the Date Work Completed.

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. A location is Right (R), Left (L), Front (F), Rear (R), Right Front (RF), Left Front (LF), Right Rear (RR) or Left Rear (LR).

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, have documented all repairs and work performed, 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.

Enter the Printed Name (Same as Signature) and the Date, and add the Signature of Rebuilder.

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

Enter the Signature of Owner, Printed Name (Same as Signature) and Date.

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.

Under Component Parts - Engine, Frame, and Body, enter for Engine, Frame and Body the Origin of Component Part/Purchased from (Name and Complete Address) and the Component Part Number (required).

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

Under Component Parts - Other, enter for each of 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, and Roof or Floor Pan (passenger vehicle, if separate from body) the Origin of Component Part/Purchased from (Name and Complete Address) and the Component Part Number (if available). Submit any bills of sale for these component parts (if any).

For Fender(s), Door(s), Bumper(s) and Quarter Panel(s), specify the location of the component part on page 1 in the Details of Work Performed section.