You can only access the tab with the screw from inside the vehicle. Your options are removing the moulding and breaking that tab (I believe this is what most choose), or removing the interior trim pieces and removing the screw.
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I simply yanked those strips out of the clips, popped the window open, pulled it out enough to cut the bolt-through tab above the window line. I cut off the tab and popped the new black trim in. No issues at all for me. My .02My hope is to just pop out the quarter window and roll it forward to access the tab on the trim. I have too many things bolted/screwed into the rear quarter panels to make it worth it for me to remove all of them to just access the tab on the window trim.
From what I can tell, the only thing the tab on the window trim does is prevent thieves from pulling the trim off of the GX. The three plastic clips along the bottom of the window trim are sufficient to hold it in place. If removing the quarter window is too complicated or doesn’t allow me to access the tab on the window trim, I’ll just break the tab and install without it.