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93881

If you have ceased operations, check "CANCEL SFU

Permit" below and enter the cancel date.

Corrections - please explain

9998

If you have any questions about your SFU renewal or need forms,

contact the Tax Commission by calling (801) 297-6800 or toll-free

1-888-251-9555 or access the Tax Commission web site at tax.utah.gov.

Instructions for Utah Special Fuel User (SFU)

Renewal Application and Decal Request

TC-938

Rev. 11/12

READ THIS FIRST: Read this information before you complete this form.

If you purchase fuel with the proper Utah tax paid you do not have to file a quarterly return.

You are required to sign the Record Statement and the Fuel Certification below.

If you have exempt use of Utah tax paid fuel, you may file for a refund on a quarterly basis using form TC-922, IFTA/SFU Tax

Return. You are required to sign the Record Statement and the Fuel Certification below.

If you are anticipating a refund or you have bulk storage, maintain detailed mileage records and summaries, detailed fuel purchase

records and bulk disbursement records for vehicles traveling in Utah.

If you purchase fuel without the proper Utah tax paid, you will be required to file form TC-922, IFTA/SFU Tax Return, due and

payable at the Tax Commission on or before the last day of the month following the reporting period. You only need to complete

the renewal information and sign the Record Statement signature below. Do not sign the Fuel Certification below.

Renewal Application

SFU Permit

Complete and return the entire renewal application to renew your SFU permit

Your SFU permit will be sent to the current address listed on our SFU account

and receive decals. Return within 10 days.

file. A copy of the permit must be kept in the cab of each SFU qualified vehicle.

Corrections - Business Name, Address and Telephone Information

SFU Decals Display

If corrections need to be made to your business name, address or telephone

Each SFU qualified vehicle shall display two decals, one on each side of the

number, then note the corrections in the area provided above.

vehicle cab.

Ownership Changes

Bulk Fuel

If there is an ownership change or if the account number preprinted on this

Check the appropriate box below concerning your bulk fuel.

application is incorrect, you must contact the Tax Commission, (801) 297-6800

Non-Utah Travel

or toll free 1-888-251-9555 for instructions.

If you regularly travel in jurisdictions other than Utah, apply for IFTA using form

TC-69MC. Do not renew your SFU permit.

USTC Use Only

Year

Enter the calendar year (Jan - Dec)

Do you have bulk storage facilities?

Sch. A

for which you are renewing.

If "Yes," list supplier(s): _____________________________

There is no charge for SFU decals. Enter the

number of qualified vehicles needing SFU decals

CANCEL SFU Permit (Cancel date: ____________)

Business name and address

Mail to :

Utah State Tax Commission

SFU account number

U.S. DOT number

SFU Renewal

210 N 1950 W

SLC UT 84134-8160

Telephone number

Fuel Certification

Record Statement

I certify all of my fuel purchased for the prior year has had the proper

I acknowledge that I will comply with reporting, payment, record keeping and

license display requirements. l agree that Utah may withhold any refunds due

Utah taxes paid at the time of purchase. In addition, no dyed or otherwise

if I become delinquent paying fuel or other taxes. Failure to comply with these

non-Utah paid fuel was consumed in any of my vehicles which operate on

the highways of this state.

provisions are grounds for revocation of my SFU permit. I certify that the

information contained herein is true, correct, and complete

Signature

Date signed

Signature

Date signed

For office use only

_________________

Form Tc-938 - Instructions For Utah Special Fuel User Renewal Application And Decal Request

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