SIDE 2
Utah State Tax Commission
TC-823
Reject Slip For Duplicate Title
Rev. 12/95
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1.
Please send the correct fee of $ _________________________.
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2.
Need lien release submitted from ________________________________.
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3.
Application must be signed by owner of record in section ______________________.
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Need a bill of sale submitted from __________________________________ to release
4.
his/her interest in the vehicle.
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The buyer listed in the "New Owner Section" may use duplicate application form as the title in the State of Utah.
5.
To register the vehicle in his/her name, please go to the nearest motor vehicle office and pay applicable fees.
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Application must show name(s) the exact same as the previous title that was lost. Any name change due to
6.
marriage or divorce requires a "Name Change Affidavit." Please complete the enclosed form.
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We are unable to find information for this vehicle on our files. Please indicate the Utah license plate
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number in the space provided __________________________.
A grace period of __________ days must be allowed after original title application before a
8.
duplicate title can be issued.
9.
A computer print-out is enclosed to assist you in completing your application.
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10.
Other:
Please sign and enclose this reject slip when documents are returned on both sides.
Signature
Date returned to Tax Commission
Please enclose this reject slip when documents are returned.
See other side for recording lien information