Form Tc-840 - Relinquished Personalized Plates And Reassignment printable pdf download

Form Tc-840 - Relinquished Personalized Plates And Reassignment

Utah State Tax Commission

TC-840

Rev. 6/01

Relinquished Personalized Plates and Reassignment

Division of Motor Vehicle, 210 North 1950 West, Salt Lake City, Utah 84134, (801) 297-7783, 800-DMV-UTAH, TDD 297-2021

Date _________________________

I _________________________________________ hereby relinquish all rights to

personalized plate number _____ _____ _____ _____ _____ _____ _____

Signed ________________________

Registered owner only

NEW OWNER APPLICATION

Date _________________________

Name ___________________________________________________

Address __________________________________________________

City ____________________________ State _______ Zip ____________

Telephone Number ______________________________

Vehicle information where plate will be reassigned (must have current registration)

Current plate

Expiration date

Year

Make

VIN

IMPORTANT: All plates must be manufactured and all fees paid.

As the registered owner of the vehicle on which they are to be displayed, I hereby make application for the

personalized plate combination designated above.

Failure of any vehicle owner to comply with the provisions of Utah Code §41-1a-413 concerning surrender of

personalized license plates upon transfer, sale, or disposal of a vehicle; or failure of any owner to register or renew

registration of a vehicle using the personalized license plates issued for that purpose, shall constitute release by that

owner of any priority for those personalized license plates; and the Motor Vehicle Division shall make that combination

of letters and/or numbers available to the public.

Checks should be made payable to the Utah State Tax Commission.

Signed ________________________

Registered owner only

FORM TX840

Form Tc-840 - Relinquished Personalized Plates And Reassignment