Texas PDF Templates

Texas PDF Templates

Homepage Blank Texas Dps Vi 2 PDF Template

Form Example

Texas Department of Public Safety

MUST USE MOST CURRENT FORM

VEHICLE INSPECTION

Regulatory Services Division

TYPED PREFERRED OR PRINT CLEARLY

 

MAKE SURE ENTIRE CIRCLE IS FILLED

 

 

 

www.dps.texas.gov

EXAMPLE: Yes

No

 

 

0029-

 

0030-

VEHICLE INSPECTION STATION APPLICATION

7130-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FOR DPS USE ONLY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STATION INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

Station Name

 

 

 

 

 

 

 

 

County:

 

Federal / Tax ID # or Social Security Number:

(DBA):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Corporation or Business Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Station Website:

 

 

 

 

 

 

 

 

Station Email Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone Number:

 

 

 

 

 

 

 

 

Fax Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Station

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

Physical

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

 

 

 

 

State:

ZIP + 4:

County:

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Station

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

 

 

 

 

State:

ZIP + 4:

County:

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Business Hours

 

Monday through Friday _____ a.m. to _____ p.m.

Saturday _____ a.m. to _____ p.m.

 

Sunday _____ a.m. to _____ p.m.

 

 

 

 

 

 

 

 

 

 

Business Type:

Corporation

Partnership

Sole Proprietor

Government

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Change:

 

 

Name

Location

Add Owner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For Corporations, I certify that:

 

 

 

 

 

 

 

 

 

 

 

 

 

My corporate franchise taxes owed to the State of Texas under Tax Code Chapter 171, are current.

 

 

The corporation is exempt from, or not subject to, the Texas Franchise Tax.

 

 

 

 

 

 

____________________________________________________________

______________________________________________________

___________________

Name of Business Owner (if applicable)

 

 

Email Address

 

 

 

 

Phone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OWNER #1

Last Name:

First Name:

Middle Name:

Suffix:

Date of Birth:

 

 

Driver License #

 

 

 

 

DL State:

 

 

DL Expiration:

 

 

 

 

 

 

 

 

 

 

 

 

 

Residence

 

Address:

 

 

 

 

 

 

 

 

 

 

/Physical

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

 

State:

 

ZIP + 4:

 

 

County:

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing

 

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

City:

 

 

State:

 

ZIP + 4:

 

 

County:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone Number:

 

Alternate Phone Number:

Cell

Home

Work

 

Cell

 

Home

Work

 

 

 

 

 

 

 

 

 

 

 

 

 

Email:

If you have been previously licensed as an official vehicle inspection station,provide the following:

____________________________________________________________

______________________________________________________

___________________

Station Name

City, State

Date

 

 

 

I verify the information provided below is true and correct, and I understand any required fee is non-refundable and non-transferrable. I also understand this is an official government record and any missing information and/or false statement made on this document or any other supplement provided to DPS

may result in denial of application and/or criminal prosecution.

____________________________________________________________

_________________________

 

_______________________________________________

Signature of Owner #1 (No Stamped Signatures)

Date

Printed Name and Title

VI-2 (Rev. 9/2017)

Page 1 of 2

OWNER #2

Last Name:

First Name:

Middle Name:

Suffix:

Date of Birth:

 

 

Driver License #

 

 

 

 

DL State:

 

 

DL Expiration:

 

 

 

 

 

 

 

 

 

 

 

 

 

Residence

 

Address:

 

 

 

 

 

 

 

 

 

 

/Physical

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

 

State:

 

ZIP + 4:

 

 

County:

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing

 

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

City:

 

 

State:

 

ZIP + 4:

 

 

County:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone Number:

 

Alternate Phone Number:

Cell

Home

Work

 

Cell

 

Home

Work

 

 

 

 

 

 

 

 

 

 

 

 

 

Email:

If you have been previously licensed as an official vehicle inspection station,provide the following:

____________________________________________________________

______________________________________________________

___________________

Station Name

City, State

Date

 

 

 

I verify the information provided below is true and correct, and I understand any required fee is non-refundable and non-transferrable. I also understand this is an official government record and any missing information and/or false statement made on this document or any other supplement provided to DPS

may result in denial of application and/or criminal prosecution.

____________________________________________________________

_________________________

_______________________________________________

Signature of Owner #2 (No Stamped Signatures)

Date

Printed Name and Title

FOR DPS USE ONLY

FOR DPS USE ONLY

____________________________________________________________

_________________________

_______________________________________________

Check # or Money Order #

Amount Paid

Deposit / Payment Date

Privacy Policy

Sec. 559.003. RIGHT TO NOTICE ABOUT CERTAIN INFORMATION LAWS AND PRACTICES

(a)Each state governmental body that collects information about an individual by means of a form that the individual completes and files with the governmental body in a paper format or in an electronic format on an Internet site shall prominently state, on the paper form and prominently post on the Internet site in connection with the electronic form, that:

(1)with few exceptions, the individual is entitled on request to be informed about the information that the state governmental body collects about the individual;

(2)under Sections 552.021 and 552.023 of the Government Code, the individual is entitled to receive and review the information; and

(3)under Section 559.004 of the Government Code, the individual is entitled to have the state governmental body correct information about the individual that is incorrect.

(b)Each state governmental body that collects information about an individual by means of an Internet site or that collects information about the computer network location or identity of a user of the Internet site shall prominently post on the Internet site what information is being collected through the site about the individual or about the computer network location or identity of a user of the site, including what information is being collected by means that are not obvious.

Please visit: http://www.statutes.legis.state.tx.us/docs/GV/htm/GV.559.htm

VI-2 (Rev. 9/2017)

Page 2 of 2

Common mistakes

  1. Using an outdated form: Always ensure you are using the most current version of the Texas DPS VI-2 form. Using an old version can lead to delays or rejections of your application.

  2. Illegible handwriting: If you choose to print the form, make sure your writing is clear and easy to read. Illegible information may cause confusion and could result in errors.

  3. Incomplete information: Ensure that every section of the form is filled out completely. Missing details can lead to your application being denied.

  4. Incorrect signatures: Signatures must be original. Stamped signatures are not accepted and can invalidate your application.

  5. Not verifying information: Double-check all the information you provide. Any inaccuracies, even minor ones, may result in complications.

  6. Ignoring the fee requirements: Be aware of any fees associated with your application. Failing to include the correct payment can lead to delays.

  7. Neglecting to include contact information: Provide a valid phone number and email address. This allows the Texas DPS to reach you if they have questions or need additional information.

  8. Not understanding the legal implications: Familiarize yourself with the statement regarding the truthfulness of the information provided. Misrepresentation can lead to serious consequences.

Key takeaways

1. Use the Most Current Form: Always ensure you are filling out the most recent version of the Texas DPS VI-2 form. Using an outdated form can lead to delays or rejections in your application.

2. Clear and Accurate Information: When completing the form, type your responses if possible or print clearly. This helps prevent misunderstandings and ensures your application is processed smoothly.

3. Complete All Required Sections: Make sure to fill in every section of the form, including all contact information and business details. Leaving sections blank can result in your application being denied.

4. Verify Your Information: Before submitting, double-check that all the information you provided is accurate. Any false statements can lead to serious consequences, including potential criminal prosecution.

5. Understand the Fees: Be aware that any fees associated with the application are non-refundable and non-transferable. Plan accordingly to avoid unexpected costs during the process.

Steps to Using Texas Dps Vi 2

Completing the Texas DPS Vi 2 form is an important step for those seeking to establish a vehicle inspection station. After filling out the form, you'll submit it to the Texas Department of Public Safety for processing. Make sure all information is accurate and complete to avoid any delays.

  1. Obtain the Form: Download the most current Texas DPS Vi 2 form from the Texas Department of Public Safety website.
  2. Fill in Station Information: Enter the station name, county, and your Federal Tax ID number or Social Security number. Include the business name, website, email address, phone number, and fax number.
  3. Provide Station Address: Fill in the physical address, including city, state, ZIP code, and county. Then, provide the mailing address if different from the physical address.
  4. Indicate Business Hours: Specify the hours of operation for each day of the week, including Monday through Friday, Saturday, and Sunday.
  5. Select Business Type: Choose from the options provided: Corporation, Partnership, Sole Proprietor, or Government. If applicable, indicate any changes such as name or location.
  6. Owner Information: Fill in details for Owner #1, including last name, first name, middle name, suffix, date of birth, driver’s license number, state, and expiration date. Include residence and mailing addresses, phone numbers, and email address.
  7. Previous Licensing: If previously licensed, provide the station name, city, state, and date of the previous license.
  8. Signature: Owner #1 must sign and date the form. Ensure that the signature is not stamped.
  9. Owner #2 Information: Repeat the process for Owner #2, filling in all required fields as done for Owner #1.
  10. Owner #2 Signature: Owner #2 must also sign and date the form, avoiding stamped signatures.
  11. Payment Information: If applicable, fill in the check or money order number and the amount paid for processing.