Clear form Utah State Tax Commission TC-656 Rev. 9/13 Vehicle Application For Utah Title 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 Non-repairable title Salvage title Corrected title Section 1 - New Owner Name Information Primary owner’s driver license no. or FEIN, if business Dismantling permit And Relationship to co-owner: DL state Co-owner’s date of birth DL state Primary owner’s date of birth Co-owner’s driver license no. or 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 Street address (primary owner) City State ZIP code Mailing address, if different from Street Address (primary owner) City State ZIP code Section 2 - New Lessee Information and list on back) And Relationship to co-lessee: DL state Lessee’s date of birth Lessee’s driver license no. or FEIN, if business Or Or DL state Co-lessee’s date of birth Co-lessee’s driver license no. or FEIN, if business Lessee’s name (last, first, middle initial, or business name) Co-lessee’s name (if at different street address, check here Street address (primary lessee) City State ZIP code Mailing address, if different from street address (primary lessee) City State ZIP code and list on back) Section 3 - Vehicle Information (Missing or incorrect information may result in a rejected application) Year Passenger, light truck, van, or utility Street motorcycle Make Model Farm use? (Y/N) Cylinders Fuel type Vehicle Identification Number (VIN) Small motor vehicles (CC______ HP______) Off-highway vehicle (check one: ATV Unit number Fleet number Color Motor home (length: ft______ in ______) (Class______) Motorcycle) Body type (trailers) If branded title, brand type Low-speed vehicle Manufacturer's Suggested Retail Price Purchase price Snowmobile $ $ Street-legal ATV Manufactured housing Odometer Disclosure Heavy truck (registered weight _________________) If this is a commercial vehicle, with a registered weight of 10,001 lbs and greater, you must provide your USDOT number: __________________________ Tent trailer Travel trailer Utility trailer Section 4 - Registration Information I certify that the odometer reading: (check one) Reflects actual mileage for this vehicle Reflects the mileage in excess of the odometer’s mechanical limits Enter odometer reading (no tenths) Other trailer: _____________________ Contribute $2 to: Is not the actual mileage. Warning - Odometer Discrepancy Enter length of trailer selected: ft______ in ______ ATV-Off Highway Fund Friends For Sight Organ Donation Support License Plate Type - Life Elevated Arches plates will be issued unless otherwise indicated. For a new personalized plate, complete TC-817. Additional fees will apply. Title only Life Elevated Arches Life Elevated Skier Situs/physical address of vehicle, if different from street address above Transfer: _________________ City Other: __________________________ ZIP code State Section 5 - Lien Holder Information Lien holder’s name FEIN or driver license no., if individual Mailing address City Branch number State ZIP code Section 6 - Owner(s) Signature I declare that I am the owner of the vehicle 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 vehicle as required by law in order to operate this vehicle on a highway, quasi-public road, or parking area within this state. Date Owner’s signature X Co-owner’s signature X Date Section 7 - Purchase and Dealer Information (This Section for Utah Dealership Use Only) I certify that the vehicle is accurately described on this application and has been delivered to the purchaser named above and that this dealership is in compliance with the licensing requirements set forth in Title 41 Chapter 3 Part 2 of Utah Code. 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 Used New Permit issue date Permit number Dealer/Authorized representative’s signature X Date