Fillable Printable Tc-756, Application For Utah Motir Vehicle Temorary Permits

Tc-756, Application For Utah Motir Vehicle Temorary Permits

Dealer Number:

___________

Dealer name:

___________________________________

I hereby make application to the Utah State Tax Commission, Motor Vehicle Enforcement Division, for the following amount of temporar

vehicle permit books (check ONE only):

1 book (25 permits), $266.50 2 books (50 permits), $533.00 3 books (75 permits), $799.50

4 books (100 permits), $1,066.00 5 books (125 permits), $1,332.50 6 books (150 permits), $1,599.00

7 books (175 permits), $1,865.50 8 books (200 permits), $2,132.00 9 books (225 permits), $2,398.50

10 books (250 permits), $2,665.00 11 books (275 permits), $2,931.50 12 books (300 permits), $3,198.00

Attached is my payment of $

___________

. I am the owner, partner or corporate officer of the above-noted dealership, or I

have been authorized by the dealership to place this order.

___________________________ ______________________ ____________

Signature of authorized representative Print name Date of application

Save valuable time and money by using the Internet.

Temporary permits can be purchased and temporary permit

audits can be cleared online at mved.utah.gov.

Payments can be made online using Visa, MasterCard,

America Express and Discover.

Utah State Tax Commission

Motor Vehicle Enforcement Division

210 N 1950 W

Salt Lake City, UT 84134

801-297-2600

mved.utah.gov

(office use only)

TC-756

Rev. 11/14

Utah State Tax Commission

Application for Motor Vehicle Temporary Permits

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