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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