Form Tc-656v - Vessel Application For Utah Title

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Utah State Tax Commission

Clear form

TC-656V

Vessel Application For Utah Title

Rev. 9/13

Get forms online - tax.utah.gov

Division of Motor Vehicles · PO Box 30412, Salt Lake City, UT 84130

· Telephone

801-297-7780 or 1-800-368-8824

New

Change of ownership

Change of lienholder

Corrected title

Title only

Friends For Sight

Organ Donation Support

Contribute $2 to:

ATV-Off Highway Fund

Section 1 - New Owner Information

And

Relationship to co-owner:

Primary owner’s driver license no. or

DL state

Primary owner’s date of birth

DL state

Co-owner’s driver license no. or

Co-owner’s date of birth

FEIN, if business

Primary owner’s name (last, first, middle initial, or business name)

Co-owner’s name (if at different street address, check here

and list on back)

Street address (primary owner)

State

City

ZIP code

Mailing address, if different from Street Address (primary owner)

City

State

ZIP code

Section 2 - New Lessee Information

Relationship to co-lessee:

And

DL state

Lessee’s driver license

no.

Lessee’s date of birth

Co-lessee’s driver license no. or

DL state

Co-

lessee date of birth

’s

FEIN, if business

Lessee’s name (last, first, middle initial, or business name)

Co-lessee’s name (if at different street address, check here

and list on back)

Street address (primary lessee)

State

City

ZIP code

Mailing address, if different from street address (primary lessee)

City

State

ZIP code

Section 3 - Vessel Information (Missing or incorrect information may result in a rejected application)

Year

Make

Model

Personal watercraft (length: ft ___ in_____

Watercraft (length: ft ___ in_____

Hull Identification Number (HIN)

Fuel type

State which vessel will be principally used ___________

Hull material

If branded title, brand type

Color

Certificate number previously issued ___________

Use

Manufacturer's Suggested Retail Price

Purchase price

Private

Rent/Lease

Dealer demo

Commercial passenger

Commercial fishing

Commercial other: ___________________

Vessel Type

Open

Cabin

House

Other ___________

Propulsion type

Outboard (HP______)

Inboard-Outboard (HP______)

Inboard (HP______)

Sail

Other: _________________

Section 4 - Lien Holder Information

Lien holder’s name

FEIN or driver license no., if individual

Branch number

Mailing address

City

State

ZIP code

Section 5 - Owner(s) Signature

I declare that I am the owner of the vessel described on this application and that all the above information is accurate and true. I certify that I will maintain in effect owner’s or

operator’s security (insurance) for this vessel if required by law in order to operate this vessel on a waterway within this state.

Owner’s signature

Date

Co-owner’s signature

Date

Section

- Purchase and Dealer Information

(This Section for Utah Dealership Use Only)

I certify that the vessel is accurately described on this application and has been delivered to the purchaser named above. I also certify that this transaction was completed in

compliance with the sales tax reporting requirements set forth in Section 59-12-107 of Utah Code.

Purchase date

Dealer number

New

Used

Permit issue date

Permit number

Dealer/Authorized representative’s signature

Date