Free TC-863 - Utah

Utah State Tax Commission

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Age-Based Fee/Property Tax Exemption Certificate
Name of person, business or institution claiming exemption (purchase)

TC-863 Rev. 2/06

Telephone number

Street address

City

State

Zip code

Authorized signature X

Name (please print)

Date

NATIVE AMERICAN I certify I am an enrolled member of a Native American tribe and am residing on that tribe's reservation. (Vehicle must be titled in the name of the tribal member and they must have their tribal card and picture identification showing an address on the reservation.) NOT-FOR-PROFIT ORGANIZATION I certify that this property is owned by a non-profit entity is used exclusively for religious, charitable or educational purposes and qualifies under Internal Revenue code Section 501(c). (3). Annual documentation from the County Board of Equalization indicating exemption for property tax has been granted. UTAH-BASED NON-RESIDENT MILITARY I certify that I am a Utah based non-resident member of the United States Military. (Vehicle must be titled in name of member of the Military and they must have their Leave and Earnings Statement (LES) or letter from their Commanding Officer on Military letterhead confirming that they are a non-resident.) UTAH MILITARY BASED OUT-OF-STATE I certify that I am a Utah resident member of the United States Military based out of state. (Vehicle must be titled in the name of the member of the Military and must be located out of state. They must have a copy of their military orders or a letter from their Commanding Officer on Military letterhead with the description of the vehicle, confirming they are stationed out of state.) STATE AND LOCAL GOVERNMENT I certify that this property is owned by the State of Utah or a local municipality and is used in the exercise of governmental functions.
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