Fillable Printable Tc-162 - Utah State Tax Commission

Tc-162 - Utah State Tax Commission

Under penalty of perjury, I declare that to the best of my knowledge the information contained hereon is true, correct, and complete.

I further state that to the best of my knowledge, the vehicle is free and clear of any liens, encumbrances, lawful claims, demands of

any person, and that the vehicle is not in any existing or pending litigation. I agree to indemnify the Utah State Tax Commission and

all persons acting under the direction of the Tax Commission from any and all liability and shall defend all litigation which may arise

as a result of the issuance of a Utah Motor Vehicle Identification Number.

I understand that the Utah Motor Vehicle Identification Number must be permanently affixed to the vehicle in an accessible location

using the adhesive backing and rivets (provided by the Division of Motor Vehicles).

Only a DMV employee, designated contractor, Utah peace officer, licensed dealer, or a certified safety inspector (mechanic) may sign

below verifying that the officer or agent has physically inspected the above-described unit.

This is to certify that I have personally inspected the above-described unit and find the vehicle information to be correct.

Application For Utah Motor Vehicle Identification Number

Utah State Tax Commission

TC-162

Rev. 1/13

Section 1 - Reason for application

VIN altered, missing, or defaced

Other

Check if no VIN found on any major part

Reconstructed vehicle

If essential or major component parts from existing motor vehicles were used in the construction of this vehicle, list all VINs for these parts.

Applicant's signature

Date

Utah Vehicle Identification Number _______________________________________ has been properly affixed in accordance with the instructions

to the _____________________________________________________________________________________ of the vehicle described.

Section 3 - Affidavit of Construction

Section 5 - Certification of Post-Installation VIN Inspection

Newly constructed vehicle (Date completed: ___________________________)

Section2-Vehicle Information

Year

Make

Model

Body type

Applicant's address

Applicant's name (print)

If you need accommodation under the Americans with Disabilities Act, contact the Tax Commission at (801) 297-3811 or

Telecommunications Device for the Deaf (801) 297-2020. Please allow three working days for a response.

Signature of officer or agent Date

Signature of officer or agent

Date

Get forms online - tax.utah.gov

VIN on title (if reconstructed)

Additional VIN (indicate location)

VIN on body

Utah assigned VIN (for office use only)

Body length (if boat or trailer)

ft________ in________

Any Alteration or Erasure Will Void This Document

VIN on frame

Section 4 - Certification of Pre-Installation VIN Inspection

Division of Motor Vehicles · PO Box 30412, Salt Lake City, UT 84130 · Telephone 801-297-7780 or 1-800-368-8824

ID, badge, dealer, or license no.

Department, dealer, or station name

ID, badge, dealer, or license no.

Clear form

Requirements For Registering A Homebuilt Trailer/Vehicle

Submit original receipts or copies of original receipts for materials purchased to build the vehicle.

If receipts are not available, please indicate on the Ownership Statement why receipts are not

available.

Provide pictures of all sides of the vehicle, including the interior.

Complete the following forms:

a. TC-656, Application for Utah Title

b. TC-569A, Ownership Statement

c. TC-162, Application for Utah Motor Vehicle Identification Number (reverse side)

Obtain a property tax clearance from the county assessor (if mobile/manufactured home).4.

Direct questions to the Motor Vehicle office or contact a representative at 1-800-DMV-UTAH.

Obtain necessary safety and/or emissions inspections, if required.5.

Definitions

Essential Parts:

Major Component Parts:

Reconstructed Vehicle:

All integral and body parts of a vehicle of a type required to be registered in this

state, the removal, alteration, or substitution of which would tend to conceal the identity of the

vehicle or substantially alter its appearance, model, type, or mode of operation.

The front body component of a motor vehicle consisting of the

structure forward of the firewall; the passenger body component of a motor vehicle including the

firewall, roof, and extending to and including the rear-most seating; the rear body component of a

motor vehicle consisting of the main cross member directly behind the rear-most seating

excluding any auxiliary seating and structural body assembly rear of the cross members; and the

frame of a motor vehicle consisting of the structural member that supports the auto body.

Every vehicle, of a type required to be registered in this state, that is

materially altered from its original construction by the removal, addition, or substitution of

essential parts, new or used.