VIEWS: 7 PAGES: 1 POSTED ON: 12/27/2011
TEXAS DEPARTMENT OF LICENSING AND REGULATION P.O. Box 12157 - Austin, Texas 78711-2157 1-800-803-9202, 512-463-6599, FAX (512) 463-5984 www.license.state.tx.us - firstname.lastname@example.org Add or Delete a Tow Truck PURSUANT TO TEXAS OCCUPATIONS CODE, CHAPTER 2308 RECEIPT NUMBER PMT. AMOUNT MONEY TYPE TOW TRUCK COMPANY LICENSE NUMBER (required) ____________________ DO NOT WRITE IN THE FEE AREA IMMEDIATELY ABOVE Name of Tow Truck Company: DBA: Physical Location: STREET ADDRESS MUST BE DESIGNATED BELOW. (A license will not be issued to a P.O. Box.) ________________________________________________________________________________________________________ Number, Street, Suite No., Apt. No. City State Zip Mailing Address : (USED FOR ALL CORRESPONDENCE) (P.O. Box is allowed for this address.) _______________________________________________________________________________________________________ Number, Street, Suite No., Apt. No. Cit y St ate Zip Business Phone: ( ) - Fax: ( ) - • FOR FASTER SERVICE YOU MAY ADD AND DELETE TOW TRUCKS ONLINE AT WWW.LICENSE.STATE.TX.US/TOOLS/ • THERE IS A $75 FEE FOR EACH TOW TRUCK YOU ADD. No fee is required to delete a tow truck. • Type or print legibly in blue or black ink. • Enter required information for all Tow Trucks you are adding or deleting. Do not list trailers. • Designate if tow truck(s) you are adding will be used to perform incident management (IM) tows, private property (PP) tows or consent tows (CT) by checking the appropriate box. Tow trucks designated to perform IM tows can perform PP tows and CT tows. Tow trucks designated to perform PP tows can also perform CT tows. Tow trucks designated to perform CT tows may only perform CT tows. • Verify whether the tow truck is equipped to tow light-duty (LD) vehicles or heavy duty (HD) vehicles according to manufac- turer’s guidelines by checking the appropriate box. You must check one. • Verify if tow truck(s) is a Car Hauler or not ,by entering Y for yes and N for no in the appropriate box. A Car Hauler is a tow truck that can haul 3 or more vehicles at one time. • If you check delete, the tow truck will be deleted and cannot be retrieved. No refunds or credit will be given. Check Heavy if you are Type of Duty/Light Car Adding or COMPLETE Tow Duty Hauler Deleting a Make of Vehicle Identification Tow Truck. Tow Truck Unit # Year Number (VIN) IM/PP/CT LD/HD Y/N ADD DELETE ADD DELETE ADD DELETE ADD DELETE Enter the number of tow trucks associated with this tow truck company, multiply that number by $75 to get the Tow Truck fee. Each tow truck will be registered for one year. Number of Tow Trucks ________ X $75 (1 year) = $ ___________________ By signing and submitting this application, I certify that information submitted on this and any attached forms is true and correct. I further certify that I will comply with all applicable provisions of the Texas Towing Act; Texas Occupations Code, Chapter 2308; TEX. ADMIN. CODE, Chapter 60; the Towing Administrative Rules , TEX. ADMIN. CODE, Chapter 86; I understand that providing false information on this application may result in revocation and/or denial of the license I am requesting and the imposition of administrative penalties and sanctions. __________________________________________________________________________________________________________________ Signature of Owner, Partner, Officer or Authorized Agent Printed Name __________________________________________________________________________________________________________________ Title Date TDLR Form TT004 (03/2009) This document is available on the TDLR website at www.license.state.tx.us.
Pages to are hidden for
"Add or Delete a Tow Truck"Please download to view full document