Fillable HICLE DISCLOSURE NONREPAIRABLE MOTOR VE (Texas Department of Motor Vehicles)

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HICLE DISCLOSURE NONREPAIRABLE MOTOR VE (Texas Department of Motor Vehicles)

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NONREPAIRABLE MOTOR VE
HICLE DISCLOSURE
Year:_________________ Make:______________________________________
VIN# ___________________________________________________________
I, (Printed Name of Purchaser)____________________________________________
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nowledge that at the time of purchase, I am aware that the motor vehicle is a
nonrepairable motor vehicle. This vehicle will never be able to be lawfully operated
titled on a public highway of this state or any other state and cannot be registered to
operate on a public highway of this state or any other state. Before selling this
nonrepairable motor vehicle I must title the nonrepairable motor vehicle into my name.
Check box only if the motor vehicle is classified as a non-
repairable motor vehicle based solely on FLOOD DAMAGE.
Purchaser’s Signature
Date of Signature
Form ENF-SAL-221-NR
(Rev. 08/16)
Page 1 of 1
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HICLE DISCLOSURE NONREPAIRABLE MOTOR VE (Texas Department of Motor Vehicles)

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Completed 9 January 2021

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