TC-656, Vehicle Application for Utah Title

Clear form

New Change of ownership Change of lienholder Corrected title Salvage title Non-repairable title Dismantling permit

Section 1: New Owner Name Information

Primary owner's driver's license no. (or FEIN, if business)

DL state Primary owner's DOB

Relationship to co-owner: And

Co-owner's driver's license no. (or FEIN, if business)

DL state Co-owner's DOB

Or

Primary owner's name (last, first, middle initial, or business name) Email address

Co-owner's name (if at different Street address, check here and list on back)

Street address (primary owner)

City

State

ZIP code

Mailing address, if different from Street address (primary owner)

City

State

ZIP code

Section 2: New Lessee Information

Lessee's driver's license no. (or FEIN, if business)

DL state Lessee's DOB

Lessee's name (last, first, middle initial, or business name)

Relationship to co-lesee: And

Co-lessee's driver's license no. (or FEIN, if business)

DL state Co-lessee's DOB

Or

Co-lessee's name (if at different Street address, check here and list on back)

Street address (primary lessee)

City

State

ZIP code

Mailing address, if different from Street address (primary lessee)

City

State

ZIP code

Section 3: Vehicle Information (Note: Missing or incorrect information may result in a rejected application.)

Passenger, light truck, van, or utility Street motorcycle Small motor vehicles (CC_______ HP_______ )

Year

Make

Vehicle Identification Number (VIN)

Model

Cylinders

Farm use?

Yes No

Fuel type

Motor home (Length: _____ ft. _____ in.) (Class______ ) Color

Fleet number

Unit number

Off-highway vehicle (check one: ? ATV ? Motorcycle)

Street-legal ATV Low-speed vehicle

Body type (trailers)

If branded title, brand type

MSRP

$

Purchase price

$

Snowmobile Manufactured housing Heavy truck (Registered weight: ______________ )

Commercial vehicle with registered weight of at least

10,001 lbs? Enter your USDOT #: _____________

Enter odometer reading (no tenths) I certify that the odometer reading (check one):

Reflects actual mileage for this vehicle Reflects the mileage in excess of odometer's mechanical limits Reading is: Miles Kilometers Is not the actual mileage (Warning: Odometer discrepancy)

(Kilometers will be converted to miles on the title.)

Camper Park model Tent trailer Travel trailer Utility trailer Other trailer: ___________________ Length of trailer selected: _____ ft. ____ in.

Section 4: Registration Information

License plate type (For a new personalized plate, complete TC-817. Additional fees will apply.)

Title only In God We Trust Life Elevated Arches Life Elevated Skier Transfer: __________

Situs/Physical address of vehicle, if different from Street address above

City

Other: ___________

State

ZIP code

Contribute $2 to: Friends for Sight Organ Donation Support Contribute $3 to: Emergency Medical/Search & Rescue

Section 5: Lien Holder Information

Lien holder's name

Email address

FEIN (or driver's license no., if individual) Branch number

Mailing address

City

State

Zip code

Section 6: Owner Signature(s)

I declare that I am the owner of the vehicle described on this application and all the above information is accurate and true. I certify that I will maintain in effect owner's or operator's security (insurance) for this vehicle, as required by law, in order to operate this vehicle on a highway, quasi-public road, or parking area within this state.

Owner's signature

Date

Co-owner's signature

Date

X

X

Section 7: Purchase and Dealer Information (For Utah Dealership Use Only)

I certify that the vehicle is accurately described on this application and has been delivered to the purchaser named above and that this dealership is in compliance with the licensing requirements set forth in Title 41, Chapter 3, Part 2 of the Utah Code. I also certify that this transaction was completed in compliance with the sales tax reporting requirements set forth in Section 59-12-107 of the Utah Code.

Purchase date

Dealer number

New

Used

Permit number

Permit issue date

Dealer/Authorized representative's signature

Date

X

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