Any Alteration or Erasure Will Void This Document.
Section2-Vehicle/Vessel Information
Section 1 - Applicant Information
Vehicle/Hull Identification Number (VIN/HIN) or serial number
VIN/HIN location
Name (last, first, middle initial, or business name)
Address (street, city, state, zip)
Plate number
State of issue
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Visible through windshield
Trunk
Body-left (driver side)
Frame
Body-right
On engine
Engine compartment
Other: _______________________
Signature of officer or agent
Department, dealer or station name
Date
ID, badge, dealer or license no.
X
Section 3 - Inspection Certification
Only a DMV employee, designated contractor, Utah peace officer, licensed dealer or a certified safety inspector may sign below verifying
that the officer or agent has physically inspected the identification number (VIN/HIN) as it appears on the unit. Inspection by out-of-state
peace officers and authorized agents of other state motor vehicle offices will be accepted.
TC-661
Rev. 12/12
Certificate Of Inspection
Division of Motor Vehicles · PO Box 30412, Salt Lake City, UT 84130 801-297-7780 or 1-800-368-8824· Telephone
Get forms online - tax.utah.gov
Utah State Tax Commission
Year
Make Model
Body style
Cylinders
Fuel type
Length (trailers and watercraft)
ft________ in________
Hull material (watercraft)
Propulsion type (watercraft)
This is to certify that I have personally inspected the unit described above and find the description to be correct.
No Hit Found Hit Found
For Office Use Only
Partial Hit Found
Officer/Agent name
Agency name
ID/Badge number
Date
Officer/Agent name
Agency name
ID/Badge number
Date
Units registered in the State of Utah for the first time (except new units sold by licensed and bonded Utah dealers) must be inspected
to verify the vehicle/hull identification number.
Inboard (ex. I/O & Jet)
Outboard outdrive
Jetdrive
Airboat
Outboard
Sailboat
Engine size
HP________ CC________
No Record Found
10 - State
Record found in: ______________________________________________
50 - State
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