Fillable MV 001 A (Harris County Tax Office)

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MV 001 A (Harris County Tax Office)

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The MV 001 A (Harris County Tax Office) form is 1 page long and contains:

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State of Texas §
County of Harris §
I, the undersigned, hereby certify that:
Vehicle Information:
Correct Date of Sale:
Buyer's Name and Address:
Reason for Statement of Fact:
Other:
Please Note: Transportation Code 501.155: FALSE NAME, FALSE INFORMATION, AND FORGERY. (a)
A person commits an offense if the person knowingly provides false or incorrect information or
without legal authority signs the name of another person (b) An offense under this section is a
felony of the third degree.
Signature
Date of Statement
Printed Name (same as signature)
Name of Company, if signing as agent thereof
Phone Number
STATEMENT OF FACTS
(General)
Vin #
Make
Year
MV-001-A www.hctax.net Rev. 12/14 v.4
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MV 001 A (Harris County Tax Office)

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Completed 18 July 2020

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