Test Form BTQ Form (1) "*" indicates required fields Have you completed any Texas Department of Motor Vehicle paperwork yet?* Yes No Only need a Surety Bond? (upload your scanned image using the interface below)* Yes No Name as it appears on your driver's license* First Middle Last Suffix Email* Phone*Additional Applicant? Yes No Name as it appears on your driver's license* First Middle Last Suffix Does vehicle need to be titled under Business or Applicant name? Business Applicant Business name*Mailing AddressCityStateZipCountyYear ModelMake of VehicleBody StyleVIN #ModelLicense Plate #State of LicenseOdometer – If Vehicle is less than 25 yrs.Is vehicle operable? Yes No Is it complete with motor, body and frame? Yes No From whom was the vehicle purchased or given?M/D/YR (Purchase Date)Amount PaidTitle Received? Yes No Bill of Sale Received? Yes No If title not available, please explain belowDo you still have original title? Yes No Additional Title DetailsPenalty fees • Penalty fees may be assessed by your local county tax office if your title transfer is past 30 days from your purchase date. • Contact your local county tax office with any tax, title & penalty fee questions. Acknowledge* I confirm that I have read and understood these two statements above. Add scanned images / Driver's License Drop files here or Select files Accepted file types: jpg, png, pdf, jpeg, Max. file size: 50 MB. CAPTCHANameThis field is for validation purposes and should be left unchanged.
