APPLICANT INFORMATION - Type or print only
Last Name First Name Middle Initial
Address City State Zip Code
Day Phone E-mail
Name of Lienholder (as shown on Out-of-State Title) Lienholder Address
City State Zip Code
VEHICLE AND TITLE INFORMATION
Out of State Plate State of Issuance Year Make Body Style
Vehicle Identification Number
Out-of-State Title Number
Title issued by State/Country of
AFFIDAVIT - State law makes falsifying information on this application a third-degree felony.
My signature indicates the information above is true and correct.
Date
Owner/Agent Signature
Check if the vehicle is located outside Texas, is eligible for registration and you confirmed the Vehicle Identification No.
IMPORTANT: Self-certification of the Vehicle Identification Number (VIN) is allowed for military personnel, students
and owners of apportioned vehicles if a VIN verification form issued by a Texas state-approved safety inspection station
is not included with the submission of this application. See page 2 for more information. I declare that:
In making this self-certification, I physically inspected the vehicle described above and found the permanent Vehicle
Identification Number to be as indicated on this application.
At the time this vehicle is being registered in Texas, the vehicle is not located in Texas, and is exempt from the
Safety Inspection requirements of Texas.
I am submitting a photocopy of my evidence of ownership to verify that I am the vehicle owner, or authorized agent of
the vehicle owner. Mark the photocopied evidence as a “COPY”.
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I declare the above described vehicle on which I am requesting issuance of Registration Purposes Only qualifies
under the following provisions as referenced by the attached DOT Form HS-7 or U.S. Customs Form CF7501:
Vehicle is 25 or more years old.
Vehicle complies with all Federal Motor Vehicle Safety Standards.
Vehicle was imported into the United States for a temporary period by a nonresident, does not conform to
the Federal Motor Vehicle Standards, and cannot be sold in the U.S. VALID FOR ONE REGISTRATION
PERIOD ONLY.
Vehicle was imported into the U.S. by a member of the armed forces of a foreign country on assignment in
the U.S., does not conform to Federal Motor Vehicle Standards, and cannot be sold in the U.S.
Other.
FOREIGN VEHICLE - If you have imported the vehicle, check all that apply:
Application for
Registration Purposes Only
For vehicles titled outside Texas that are to be registered in Texas
Do not surrender an original out-of-state title with this application.
Submit the completed application, a photocopy of proof of liability insurance, and other applicable documentation (see page 2), to your local
county tax assessor-collector’s office. A list of county tax offices may be found at our Web site: www.txdmv.gov.
NOTE: A Texas certificate of title will not be issued for the vehicle described below. The receipt issued upon filing this application will
serve as your registration receipt and proof of application for registration only.
Instructions on page 2 for military, students, and owners of apportioned and foreign vehicles.
VTR-272
(Rev. 11/09)
Page 1 of 2
FORM VTR-272 Page 1 of 2
Online Form at www.txdmv.gov
