Online Form at www.txdmv.govTxDMV FORM VTR-270 Page 1 of 1

Year Make Body Style

Vehicle Identification Number (as shown on vehicle)

Printed Name of Owner/Company

Signature of Owner or Agent

Date Signed:

I hereby certify that:

I have made a physical inspection of the vehicle described below.

I was unable to obtain a pencil tracing of the vehicle identification number but the vehicle identification number shown below corresponds with the vehicle identification number on the vehicle.

WARNING: Transportation Code, 501.155, PROVIDES THAT FALSIFYING INFORMATION ON ANY REQUIRED STATEMENT OR APPLICATION IS A THIRD-DEGREE FELONY.

TEXAS DEPARTMENT OF MOTOR VEHICLESVEHICLE TITLES AND REGISTRATION DIVISION

AUSTIN TX 78779-0001

VTR-270 (Rev. 5/2007)

Page 1 of 1STATEMENT OFPHYSICAL INSPECTION

TopmostSubform[0]: PageSet[0]: MasterPage1[0]: Button1[0]:

Page1[0]: Table[0]: Cell[0]: TextField[0]:

Cell[1]: TextField[0]:

Cell[2]: TextField[0]:

Cell[3]: TextField[0]:

Table[1]: Row[0]: Cell[0]: TextField[0]:

Table[3]: Row[0]: Cell[1]: DateTimeField[0]:

ContactHelp[0]: