Free TC-756, Application for Utah Motir Vehicle Temorary Permits - Utah

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Application for Motor Vehicle Temporary Permits
Utah State Tax Commission · Motor Vehicle Enforcement Division 210 N 1950 W · Salt Lake City, UT 84134 · (801) 297-2600
(office use only)

TC-756
Rev. 3/09

Dealer Number: ___________

Dealer name: ___________________________________

I hereby make application to the Utah State Tax Commission, Motor Vehicle Enforcement Division, for the following amount of temporary vehicle permit books (check ONE only): 1 book (25 permits), $275.25 4 books (100 permits), $1,101.00 7 books (175 permits), $1,926.75 10 books (250 permits), $2,752.50 2 books (50 permits), $550.50 5 books (125 permits), $1,376.25 8 books (200 permits), $2,202.00 11 books (275 permits), $3,027.75 3 books (75 permits), $825.75 6 books (150 permits), $1,651.50 9 books (225 permits), $2,477.25 12 books (300 permits), $3,303.00

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

____________

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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. Call MVED at (801) 297-2600 to get a password for your dealership so you can take advantage of these services.