Submit the completed Rebuilt Vehicle Statement Form, along with the Application for Texas Title and/or Registration (Form 130-U), ownership evidence, and any other required documents to your local county tax assessor-collector office. Include the Vehicle Inspection Report (VIR) if required. You can find submission addresses and contact information on the Texas Department of Motor Vehicles website. It is advisable to ensure all signatures and certifications are completed accurately to avoid any delays in processing your title application.

No specific important dates are applicable for this form for 2024 and 2025.

The purpose of the Rebuilt Vehicle Statement Form is to obtain a Texas title for a vehicle that has been repaired, rebuilt, reconstructed, or assembled. This form ensures that the vehicle has been properly inspected and meets all legal requirements for a Texas title. It also provides necessary ownership evidence and details of the work performed on the vehicle.

• 1. Vehicle Identification Number: Enter the unique identification number of the vehicle.
• 2. Year: Specify the year of manufacture of the vehicle.
• 3. Make: Provide the make or brand of the vehicle.
• 4. Body Style: Describe the body style of the vehicle.
• 5. Model: Enter the model of the vehicle.
• 6. First Name: Owner's first name or entity name.
• 7. Middle Name: Owner's middle name.
• 8. Last Name: Owner's last name.
• 9. Suffix: Owner's name suffix, if any.
• 10. Details of Work Performed: Provide an explanation of the work done to repair, rebuild, reconstruct, or assemble the vehicle, and specify the location of any replaced parts.
• 11. Rebuilder: Details of the individual who rebuilt or repaired the vehicle.
• 12. Signature of Rebuilder: Signature of the person who rebuilt or repaired the vehicle.
• 13. Printed Name: Printed name of the rebuilder.
• 14. Date: Date of the rebuilder's certification.
• 15. Vehicle Inspection Report Information: Information related to the vehicle inspection report, including authorization or certificate number and date of inspection.
• 16. Owner Certification: Certification by the owner stating they are the legal owner of the vehicle and that the vehicle has been inspected and repaired or rebuilt.
• 17. Signature of Owner: Signature of the vehicle owner.
• 18. Printed Name: Printed name of the owner.
• 19. Component Parts: Details of any component parts used in the repair, rebuild, reconstruction, or assembly of the vehicle.
• 20. Component Part Number: Identification number of the component part.
• 21. Origin of Component Part: Details of where the component part was purchased from, including name and complete address.

Failure to submit the Rebuilt Vehicle Statement Form may result in the inability to obtain a Texas title for the vehicle.

• Title Denial: You may be unable to legally title your vehicle in Texas.
• Inspection Issues: The vehicle may not pass the required inspection without the form.
• Legal Consequences: Providing false information or failing to submit the form may result in legal penalties.

• 1. Repaired Vehicle: Use this form if the vehicle has been significantly repaired and you need to title it.
• 2. Rebuilt Vehicle: Use this form if the vehicle has been rebuilt from salvage or significant damage.
• 3. Reconstructed Vehicle: Use this form if the vehicle has been reconstructed with major parts replaced.
• 4. Assembled Vehicle: Use this form if the vehicle has been newly assembled and requires a title.
• 5. Title Only: Use this form if you need to obtain a title for a vehicle without registration.