Section 1: New Owner Name Information
Primary owner’s driver’s license no. (or FEIN, if business) DL state Primary owner’s DOB Co-owner’s driver’s license no. (or FEIN, if business) DL state Co-owner’s DOB
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) City State ZIP code
Mailing address, if different from Street address (primary owner) City State ZIP code
Section 2: New Lessee Information
Lessee’s driver’s license no. (or FEIN, if business) DL state Lessee’s DOB Co-lessee’s driver’s license no. (or FEIN, if business) DL state Co-lessee’s DOB
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) City State ZIP code
Mailing address, if different from Street address (primary lessee) City State ZIP code
Section 3: Vehicle Information (Note: Missing or incorrect information may result in a rejected application.)
Year Make Model Farm use? (Y/N)
Vehicle Identification Number (VIN) Cylinders Fuel type
Color Fleet number Unit number
Body type (trailers) If branded title, brand type
Manufacturer’s Suggested Retail Price (MSRP) Purchase price
Section 4: Registration Information
License plate type (For a new personalized plate, complete TC-817. Additional fees will apply.)
Situs/Physical address of vehicle, if different from Street address above City State ZIP code
Section 5: Lien Holder Information
Lien holder’s name FEIN (or driver’s license no., if individual) Branch number
Mailing address City State Zip code
Section 6: Owner Signature(s)
I declare that I am the owner of the vehicle described on this application and 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.
Owner’s signature Date Co-owner’s signature Date
Section 7: Purchase and Dealer Information (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 the 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 the Utah Code.
Purchase date Dealer number
Permit number Permit issue date Dealer/Authorized representative’s signature Date
New
New
And
Change of ownership
Change of lienholder
Corrected title
Salvage title
Non-repairable title
Dismantling permit
X X
X
Used
Relationship to co-owner:
Or
Relationship to co-lessee:
And
Or
Passenger, light truck, van, or utility
Street-legal ATV
Off-highway vehicle (check one:
ATV
Motorcycle)
Small motor vehicles (CC
_____
HP
_____
)
Street motorcycle
Motor home (Length:
___
ft.
___
in.) (Class
____
)
Heavy truck (Registered weight:
_______
)
Manufactured housing
Snowmobile
Low-speed vehicle
If this is a commercial vehicle with a registered
weight of 10,001 lbs. and greater, you must provide
your USDOT number:
____________
.
Camper
Other trailer:
_________
Utility trailer
Travel trailer
Tent trailer
Park Model Length of trailer selected:
___
ft.
___
in.
Reflects the mileage in excess of odometer’s mechanical limits
Reflects actual mileage for this vehicle
Is not the actual mileage (Warning: Odometer discrepancy)
I certify that the odometer reading (check one):
Odometer Disclosure
Enter odometer reading (no tenths)
Contribute $2 to:
ATV-Off Highway Fund
Friends For Sight
Organ Donation Support
Title only
Other:
___________
Transfer:
__________
Life Elevated Skier
Life Elevated Arches
In God We Trust
$$
TC-656
Rev. 12/16
Get forms at tax.utah.gov/forms
Utah State Tax Commission
Division of Motor Vehicles • PO Box 30412 • Salt Lake City, UT 84130 • 801-297-7780 or 1-800-368-8824
Vehicle Application For Utah Title
