This document is a dealer application for vehicle title and registration in Utah. It collects information about the new owner or lessee such as their name, address, and signature. It also requests vehicle details like the make, model, VIN, license plate, and mileage. There are sections for lien holder information if the vehicle has a loan or lease. The dealer must provide their number and signature to verify the sale. Owners can choose to make their vehicle record public or protected under state law.

1. Clear form
Dealer Application for Utah Title and Registration Get forms online - tax.utah.gov
Section 1 - New Owner Name and Address Information
Owner Type - Check One Individual Lessor Trust Business
Primary Owner’s Name (Individuals use Last, First, Middle Initial, if Business use DBA) Relationship to Co-Owner:
And Or
Co-Owner’s Name (Last, First, Middle Initial) (if Street address is different from above, check here and list on back)
City State ZIP Code
Street Address (Primary Owner)
Mailing Address (Primary Owner), if different from Street Address City State ZIP Code
Section 2 - Lessee Name and Address Information
Lessee Type - Check One Individual Trust Business
Lessee’s Name (Individuals use Last, First, Middle Initial, if Business use DBA) Relationship to Co-Lessee:
And Or
Street Address City State ZIP Code
Mailing Address, if different from Street Address City State ZIP Code
Co-Lessee’s Name (Last, First, Middle Initial) (if Street address is different from above, check here and list on back)
Section 3 - Vehicle and Registration Information Contribute $2 to: ATV-Off Highway Fund Friends For Sight Organ Donation Support
Missing or incorrect information may result in rejected application.
MSRP: $ _______________ Farm use
Outboard Motor
Trailer (Length: ___________ feet)
Passenger
Street Motorcycle Watercraft (Length: ft_____ in_____)
Heavy truck (over 12,000 lbs) Registered Wt. _________________
Off-Highway
Light truck, Van, or Utility Manufactured Housing Personal watercraft (Length: ft_____ in_____)
Snowmobile
ATV/Motorcycle
Small motor vehicle (CC ________ Horsepower ________) Unit Number
Enter mileage, no tenths Fleet Number
Color of vehicle/vessel (required) _____________________
Fuel Type If Branded Title, Brand Type
Cylinders
Make VIN/HIN/Serial Number
Year
License Plate Type - Life Elevated Arches plates will be issued unless otherwise indicated. For new Personalized Plate, complete TC-817, all fees are due.
Title only Life Elevated Arches Life Elevated Skier Other:
Renewal required
Expiration Date:
If transferring existing license plate, plate to be transferred:
Situs address of vehicle/vessel, if different from Street Address above City State ZIP Code
Section 4 - Lien Holder Information
Lien Holder Name
City State ZIP Code
Mailing Address
Section 5 - Purchase and Dealer Information
Purchase Date Dealer Number
New Used
Permit Number
Permit Issue Date Dealer/Authorized Representative Signature Date
Section 6 - Owner(s) Signature
Federal and Utah laws allow you to decide if you want your motor vehicle information Public: may be disclosed to any business or individual, otherwise
the record will be Protected: only disclosed to government agencies, law enforcement, or private entities having a legitimate business need.
Protected record status applies to all owner’s of record Yes - Make my motor vehicle record information Public
I declare that I am the owner of the vehicle/vessel described on this application and that all the above information is accurate and true. I/we certify that
I will maintain in effect owner’s or operator’s security (insurance) for this vehicle/vessel as required by law in order to operate this vehicle/vessel on a
highway, quasi-public road, parking area, or waterway within this state.
Owner’s Signature Date
Owner’s Signature Date
TC-656D MVA Rev. 1/08