Form VTR-331-INS "Insurance Company Statement of Fact" - Texas

What Is Form VTR-331-INS?

This is a legal form that was released by the Texas Department of Motor Vehicles - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2019;
  • The latest edition provided by the Texas Department of Motor Vehicles;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form VTR-331-INS by clicking the link below or browse more documents and templates provided by the Texas Department of Motor Vehicles.

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Download Form VTR-331-INS "Insurance Company Statement of Fact" - Texas

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Texas Department
of Motor Vehicles
Insurance Company Statement of Fact
Instructions
This form may only be used by an insurance company licensed to do business in Texas that acquired ownership or possession of a
motor vehicle through payment of a claim at least 30 days before the date of this application and is unable to obtain a properly
assigned ownership document from the owner. The application must be in the name of the insurance company.
Note: Registration will not be issued.
At least two written notices must be sent to the recorded owner(s) and any recorded lienholder(s) attempting to obtain the
certificate of title or proper assignment of the certificate of title fo r the motor vehicle. Proof of notifications are not submitted
with the application for title, but must be retained by the insurance company.
Required Documents to Transfer Ownership:
1. Application
Application for Texas Title and/or Registration (Form 130-U) if applying for a regular Texas title or
Application for Salvage or Nonrepairable Vehicle Title (Form VTR-441) if applying for a Salvage or Nonrepairable Vehicle Title.
2. Insurance Company Statement of Fact (Form VTR-331-INS)
3. Certificate of Title (if available) – any unassigned or improperly assigned title in the insurance company's possession.
4. Vehicles Last Titled Outside of Texas
The applicable selection identifying the connection to Texas must be made in the “Last Titled Outside of Texas” section on
Application for Salvage or Nonrepairable Vehicle Title (Form VTR-441) if applying for a salvage or nonrepairable title.
Vehicle identification number (VIN) verification: The VIN can be verified by checking the applicable box in the “Certification”
section or the Law Enforcement Identification Number Inspection (Form VTR-68-A) may be provided with the application.
Where to Submit Applications:
If applying for a Texas title, the Application for Texas Title and/or Registration (Form 130-U) and required supporting
documents must be submitted to a county tax assessor-collector’s office.
If applying for a Salvage or Nonrepairable Vehicle Title, the Application for Salvage or Nonrepairable Vehicle Title (Form VTR-
441) and required supporting documents must be mailed to the Texas Department of Motor Vehicles (refer to Form VTR-441).
Vehicle Information
Vehicle Identification Number
Year
Make
Body Style
Model
Previous Title/Document Number
Previous Title State
License Plate State and Number (if any)
Insurance Company Information
Name
Claim Payment Date
Address
City
State
Zip
Authorized Agent First Name
Middle Name
Last Name
Suffix (if any)
Email (optional)
Phone Number (optional)
Certification – State law makes falsifying information a third degree felony
I certify I am an authorized agent of the above named insurance company, a loss claim was paid and accepted for this vehicle, two separate
written notices were sent requesting surrender or proper assignment of the original vehicle title, and any applicable payment has been made to
any recorded lienholders as required by Property Code, Chapter 61. The statements on this application for the above-described vehicle are true
and correct to the best of my knowledge.
This vehicle was previously titled out of state. Therefore, I certify the insurance company has made a physical inspection of the vehicle and
found the permanent vehicle identification number to be as indicated above.
Signature of Authorized Agent
Printed Name (Same as Signature)
Date
VTR-331-INS Rev 02/19
Form available online at www.TxDMV.gov
Page 1 of 1
I
I
I
I
Texas Department
of Motor Vehicles
Insurance Company Statement of Fact
Instructions
This form may only be used by an insurance company licensed to do business in Texas that acquired ownership or possession of a
motor vehicle through payment of a claim at least 30 days before the date of this application and is unable to obtain a properly
assigned ownership document from the owner. The application must be in the name of the insurance company.
Note: Registration will not be issued.
At least two written notices must be sent to the recorded owner(s) and any recorded lienholder(s) attempting to obtain the
certificate of title or proper assignment of the certificate of title fo r the motor vehicle. Proof of notifications are not submitted
with the application for title, but must be retained by the insurance company.
Required Documents to Transfer Ownership:
1. Application
Application for Texas Title and/or Registration (Form 130-U) if applying for a regular Texas title or
Application for Salvage or Nonrepairable Vehicle Title (Form VTR-441) if applying for a Salvage or Nonrepairable Vehicle Title.
2. Insurance Company Statement of Fact (Form VTR-331-INS)
3. Certificate of Title (if available) – any unassigned or improperly assigned title in the insurance company's possession.
4. Vehicles Last Titled Outside of Texas
The applicable selection identifying the connection to Texas must be made in the “Last Titled Outside of Texas” section on
Application for Salvage or Nonrepairable Vehicle Title (Form VTR-441) if applying for a salvage or nonrepairable title.
Vehicle identification number (VIN) verification: The VIN can be verified by checking the applicable box in the “Certification”
section or the Law Enforcement Identification Number Inspection (Form VTR-68-A) may be provided with the application.
Where to Submit Applications:
If applying for a Texas title, the Application for Texas Title and/or Registration (Form 130-U) and required supporting
documents must be submitted to a county tax assessor-collector’s office.
If applying for a Salvage or Nonrepairable Vehicle Title, the Application for Salvage or Nonrepairable Vehicle Title (Form VTR-
441) and required supporting documents must be mailed to the Texas Department of Motor Vehicles (refer to Form VTR-441).
Vehicle Information
Vehicle Identification Number
Year
Make
Body Style
Model
Previous Title/Document Number
Previous Title State
License Plate State and Number (if any)
Insurance Company Information
Name
Claim Payment Date
Address
City
State
Zip
Authorized Agent First Name
Middle Name
Last Name
Suffix (if any)
Email (optional)
Phone Number (optional)
Certification – State law makes falsifying information a third degree felony
I certify I am an authorized agent of the above named insurance company, a loss claim was paid and accepted for this vehicle, two separate
written notices were sent requesting surrender or proper assignment of the original vehicle title, and any applicable payment has been made to
any recorded lienholders as required by Property Code, Chapter 61. The statements on this application for the above-described vehicle are true
and correct to the best of my knowledge.
This vehicle was previously titled out of state. Therefore, I certify the insurance company has made a physical inspection of the vehicle and
found the permanent vehicle identification number to be as indicated above.
Signature of Authorized Agent
Printed Name (Same as Signature)
Date
VTR-331-INS Rev 02/19
Form available online at www.TxDMV.gov
Page 1 of 1