Free TC-542, Request for Refund of DUI Administrative Impound Fee - Utah

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Request for Refund of DUI Administrative Impound Fee
Applicant Information Name Mailing address

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TC-542 Rev. 9/08

Daytime telephone number

Vehicle Information Make/Model License plate number Vehicle owner's name (if different from above) Owner's address (if different from above)

Vehicle Identification number (VIN) Licensed in what state

Model year Expiration date

Driver/Operator (Name of person who was operating or in control of the vehicle at the time of the arrest/impound)

Impound Information Date of impound

Impound report number

Citation number

Police agency

Attach a copy of the citation or vehicles impound report that states the charges or reason for impound. Has the vehicle been retrieved from the impound lot? Yes (Date: ________________________) No*

* If you have not already retrieved your vehicle from impound, you may do so upon payment of all fees and penalties. The DUI administrative fee will be refunded to you if you meet the conditions described in this form. Supporting Documentation Utah law requires the Division of Motor Vehicle to collect a $330 administrative fee prior to releasing any vehicle that was impounded pursuant to 41-6a-1406 of the Utah Code. The Tax Commission will refund the fee only under the following circumstances: 1. Proof of duplicate payment. 2. The vehicle owner filed a bona fide stolen vehicle report with a police agency and submits a copy of the police report with the refund request within 30 days of the date of the impound. 3. The vehicle owner submits a letter from the Driver License Division stating that the operator's driver license will not be revoked or suspended as a result of this incident. The refund request must be submitted within 30 days of the date of the Driver License Division letter. Complete this form and mail it along with all supporting documentation to: Utah State Tax Commission DMV - Accounting 210 N 1950 W Salt Lake City, Utah 84134 Upon receipt of your request and support documentation, the Tax Commission will process the refund request through the Department of Finance. The Department of Finance will send the refund check to the mailing address indicated above. Please allow 6 - 8 weeks for processing. Print or type name Date Signature X