Bill of Sale for aJunk Motor Vehicle

Instructions Dealers or Used Automotive Parts RecyclersThis form may only be used by a dealer or used automotive parts recycler to transfer a junk vehicle if the title for the junk vehicle was surrendered to the Texas Department of Motor Vehicles (TxDMV) on the Surrendered Ownership Evidence for Vehicles to be Dismantled, Scrapped, or Destroyed (Form VTR-340).

Metal Recyclers Complete the “Metal Recycler Certification” following the vehicle’s permanent destruction, and surrender this form to a TxDMV Regional Service Center before the 61st day following the permanent destruction of the motor vehicle on the Surrendered Ownership Evidence for Vehicles Permanently Destroyed (Form VTR-340-M).

Junk Vehicle Information Vehicle Identification Number Year Make Body Style Model

Dealer or Used Automotive Parts Recycler Information Entity Name (as listed on license) License Number

Address City State Zip

Metal Recycler Information Entity Name (as listed on license) License Number

Address City State Zip

Delivery Information – Vehicle Delivering the Junk Vehicle License Plate State and Number Date of Delivery

Certification – State law makes falsifying information a third degree felonyI certify the facts contained herein are true and correct to the best of my knowledge, the ownership evidence for the above listed junk vehicle was surrendered to the Texas Department of Motor Vehicles in accordance with Transportation Code, Chapter 501, and Occupations Code, Chapter 2302, and I am transferring the vehicle to the above listed metal recycler.

Signature of Entity’s Authorized Agent Printed Name (Same as Signature) Date

Metal Recycler Certification – State law makes falsifying information a third degree felonyI certify the facts contained herein are true and correct to the best of my knowledge, the dealer or used automotive parts recycler listed above transferred the junk vehicle listed above, and the junk vehicle was permanently destroyed on the date provided below.

Signature of Entity’s Authorized Agent Printed Name (Same as Signature) Date of Destruction

VTR-203 Rev 05/20 Form available online at www.TxDMV.gov Page 1 of 1