Form Tc-305 - Motor Vehicle Application - Salvage Buyer

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Utah State Tax Commission
TC-305
Salvage Buyer
Motor Vehicle
Application
Rev. 5/05
Buyer license number
THIS BOX FOR MVED USE ONLY
Start here
New - $203
This application will not be considered unless completed and
accompanied by the correct license fee and photograph of the
Renewal - $203
applicant.
First name
Middle name
Last name
Alias/maiden name
Home address (physical address, not P.O. box)
City
State
ZIP Code
Home telephone number
Work telephone number
Citizenship
Date of birth
Social security number
Gender
Height
Weight
Race
Eye color
Hair color
Male
Female
ft.
in.
Place of birth
Driver's license number
State of issue
Current MVED ID number
1.
Have you ever been the holder of a motor vehicle salvage buyer, salesperson, dealer, dismantler, or body shop license?
Yes
No
If yes, name of business
2. Has the license mentioned above been denied, suspended, or revoked?
Yes
No
If yes, please explain
3.
During the past 10 years, have you been convicted of any misdemeanors or felonies in Utah or in any other state?
Failure to disclose any of the requested information may result in suspension of this license.
Yes
No
A criminal conviction for a motor vehicle or drug related crime, fraud or registrable sex
offense can be grounds for denial.
If yes, please list each conviction
4.
Have you had business experience in buying, selling or otherwise working with salvage vehicles?
Yes
No
If yes, please explain
5. Are you engaged in, or do you intend to engage in, any business or occupation other than that of selling motor vehicles?
Yes
No
If yes, what kind of business?
MV business name:
6. Employing MV business number:
Applicant and employer must complete the reverse side

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