Form Tc-758 - Application For Motor Vehicle Business License 2000
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1Utah State Tax Commission
TC-758
Application For Motor Vehicle
Rev. 6/00
Business License
Complete entire form and return it to the Motor Vehicle Enforcement Division,
210 North 1950 West, Salt Lake City, Utah 84134, telephone (801) 297-2600.
License type
Salvage Buyer’s Business License
Business organization
Manufacture ($100)
Renewal ($ __________)
Dismantler ($100)
Address change
Sole Proprietorship
LLC
Distributor ($60)
Name change
Partnership
LLP
Transporter ($50)
Off-site ($25)
Corporation
Trust Fund
Crusher ($100)
Additional Lot #__________ ($25)
Company Information
Company name
License number
Address
Telephone number
City
State
ZIP code
Ownership
Name
Title
Date of birth
Home telephone number
Home address
City
State
ZIP code
Hair color
Color of eyes
Height
Weight
Gender
SSN
Male
Female
Ft.
In.
Name
Title
Date of birth
Home telephone number
Home address
City
State
ZIP code
Hair color
Color of eyes
Height
Weight
Gender
SSN
Male
Female
Ft.
In.
Name
Title
Date of birth
Home telephone number
Home address
City
State
ZIP code
Hair color
Color of eyes
Height
Weight
Gender
SSN
Male
Female
Ft.
In.
Off-site (complete this section to apply for an off-site license only)
Include a photograph of the off-site sale sign with EACH application
Address
Date of sale
Start
End
City
State
ZIP Code
Telephone number
Additional Place or Address Change (complete this section with
NEW
location information only)
Address
City
State
ZIP Code
Telephone number
I hereby apply for renewal of this license. I have reviewed the information printed
above and made corrections where necessary. I certify that this information is
correct and complete.
(Firm name)
STATE OF UTAH
County of
Signature (must be signed by owner, partner, or corporate officer)
Title of signer
Print name of signer
Subscribed and sworn to before me this ___________________________________ day of
___________________________________
, 20 __________.
My Commission Expires
(Notary Public)
TC-758.CDR Rev. 6/00
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Parent category: Financial