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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 Furthermore, the form emphasizes the importance of using the most current version, as outdated forms may not be accepted.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.

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Texas Department of Public Safety
Regulatory Services Division
www.dps.texas.gov
VEHICLE INSPECTION
PROGRAM
Rev. 12/24 Page 1 of 3 VI-2
VEHICLE INSPECTION STATION APPLICATION
Original Application
Renewal Application Reinstatement Additional Endorsements
Commercial Windshield Commercial Trailer Emissions (OBD)
STATION INFORMATION
Change Request:
Location
Add Owner
Station Name
(DBA):
Station ID:
(If Known)
County:
Taxpayer ID#
(EIN, ITIN):
Name of Corporation, Company or Full Name of Sole Proprietor:
Type of Ownership:
Sole Proprietor
General Partnership
Corporation
Limited Liability Company
Limited Partnership
Limited Liability Partnership
Government
Station
Physical
Address
Address:
City:
State:
ZIP:
County:
Station
Mailing
Address
Address:
City: State: ZIP: County:
Phone Number:
Station Email Address: Station Website:
Inspection Hours
Sun: Mon: Tue: Wed: Thurs: Fri: Sat:
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
Email Address
Phone Number
OWNER
Last Name:
First Name:
Middle Name:
Suffix:
Date of Birth:
Driver’s License/ID #:
DL/ID State:
DL/ID Expiration:
Residential/
Physical
Address
Address:
City: State: ZIP: County:
Mailing
Address
Address:
City: State: ZIP: County:
Primary Phone Number
Cell Home Work
Alternate Phone Number
Cell Home Work
Email:
If you have been previously licensed as an official vehicle inspection station, provide the following information:
Station Name
City
State
Dates
BACKGROUND QUESTIONS
Have you, within the past 10 years, been convicted of a felony-level offense?
Yes
No
Conviction Date:
State: County:
Description:
VI Inspection Station Application
Rev. 12/24 Page 2 of 3 VI-2
Have you, within the past 10 years, been convicted of a Class A Misdemeanor or equivalent offense?
Yes
No
Conviction Date:
State: County:
Description:
Have you, within the past 10 years, been convicted of a Class B Misdemeanor or equivalent offense?
Yes
No
Conviction Date:
State: County:
Description:
I verify the information provided above is true and correct, and I understand any required fee is non-refundable. 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 criminal prosecution.
Signature
Printed Name and Title
Date
ADDITIONAL OWNER
Last Name:
First Name:
Middle Name:
Suffix:
Date of Birth:
Driver’s License/ID #:
DL/ID State:
DL/ID Expiration:
Residential/
Physical
Address
Address:
City: State: ZIP: County:
Mailing
Address
Address:
City: State: ZIP: County:
Primary Phone Number
Cell Home Work
Alternate Phone Number
Cell Home Work
Email:
If you have been previously licensed as an official vehicle inspection station, provide the following information:
Station Name
City
State
Dates
BACKGROUND QUESTIONS
Have you, within the past 10 years, been convicted of a felony-level offense?
Yes
No
Conviction Date:
State: County:
Description:
Have you, within the past 10 years, been convicted of a Class A Misdemeanor or equivalent offense?
Yes
No
Conviction Date:
State: County:
Description:
VI Inspection Station Application
Rev. 12/24 Page 3 of 3 VI-2
Have you, within the past 10 years, been convicted of a Class B Misdemeanor or equivalent offense?
Yes
No
Conviction Date:
State: County:
Description:
I verify the information provided above is true and correct, and I understand any required fee is non-refundable. 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 criminal prosecution.
Signature
Printed Name and Title
Date
BUSINESS REPRESENTATIVE
This inspection station has a business representative that acts on behalf of the owner(s). Please note that the owner or operator will recognize and
acknowledge their responsibility to the public to offer a good, complete and thorough inspection, according to the rules and regulations.
Last Name:
First Name:
Middle Name:
Suffix:
Phone Number:
Email:
APPLICATION CONTACT
TxDPS requires a single point of contact if we have additional questions about your application:
Application Contact:
FOR DPS USE ONLY
Check # or Money Order #
Amount Paid
Deposit / Payment Date
Rapid Deposit or Trace #
This form and payment can be forwarded by mail to:
Texas Department of Public Safety
Vehicle Inspection Program
PO Box 4087 MSC 0542
Austin, TX 78773-0542
Privacy Policy Texas Government Code, Title 5, Chapter 559, 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
⇓ Texas Dps Vi 2 PDF

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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