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Blank Texas Dps Vi 2 PDF Form

The Texas DPS VI-2 form is an official application for vehicle inspection stations in Texas. This form must be completed accurately and submitted to the Texas Department of Public Safety to obtain or renew a vehicle inspection station license. It requires detailed information about the station and its owners, and any inaccuracies may lead to application denial or legal consequences.

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The Texas DPS VI-2 form is a crucial document for anyone looking to establish or operate a vehicle inspection station in the state of Texas. This form serves as an application, capturing essential details about the station, including its name, location, and contact information. Applicants must provide a Federal Tax ID number or Social Security number, ensuring proper identification and accountability. The form also requires information about the business type—whether it is a corporation, partnership, sole proprietorship, or government entity. Additionally, it asks for the names and personal details of the owners, including their driver's license information and contact numbers. Notably, the VI-2 form includes a certification section, where applicants must affirm the accuracy of their information, understanding that any inaccuracies can lead to serious consequences, including the denial of the application or potential legal action. Furthermore, the form emphasizes the importance of using the most current version, as outdated forms may not be accepted. As you navigate the vehicle inspection process, understanding the nuances of the VI-2 form is vital for compliance and successful operation.

Texas Dps Vi 2 Preview

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

Document Specs

Fact Name Description
Form Purpose The Texas DPS VI-2 form is used for applying to become an official vehicle inspection station in Texas.
Governing Law This form is governed by the Texas Transportation Code and related regulations set forth by the Texas Department of Public Safety.
Submission Requirements Applicants must fill out the form completely, ensuring that all required fields are filled accurately. Typed entries are preferred.
Consequences of False Information Providing false information or omitting required details may result in application denial or potential criminal prosecution.
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