How
How
(Rev. 03/10)
Submit this form, along with any transfer documents, to your county tax assessor-collector's office for
processing.
YEAR MODEL MAKE BODY STYLE
This vehicle was repossessed because of the failure of the owner(s) to meet the legal obligation regarding the vehicle. This
repossession is not made with intent to defeat the purpose of the Texas Motor Vehicle Safety Responsibility Act, which
provides that a person cannot legally operate a motor vehicle in Texas without liability insurance coverage.
SEQUESTRATION
The original or a certified copy of the Sheriff's Bill of Sale must be attached to the title transaction.
(A Writ of Sequestration ordering a sheriff or constable to seize property may be issued by Judges and Clerks of the
District and County Courts and Justices of the Peace.)
A Floor Plan lien covers vehicles in a dealers inventory. If the dealer is in default under the terms of the security
agreement, the lienholder may repossess and transfer ownership without securing title in the dealers name. In such
instances, an application for title in the name of the purchaser must be supported by the following documentation:
1. Manufacturers certificate or certificate of title properly assigned to the dealership and reassigned to the
purchaser by the lienholder.
2. Form VTR-264, Affidavit for Repossessed Motor Vehicle.
3. Photocopy of the Security Agreement or Secretary of States Form UCC-1.
This is to certify that the undersigned has repossessed the above motor vehicle.
Before me, this day personally appeared the above affiant who by me being duly sworn upon oath says that the statements
set forth above are true and correct.
Notary Public
WARNING: State law provides that falsifying information on any required statement or application is a third degree felony.
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