Utah Division Of State Parks And Recreation Non-Resident Off Highway Vehicle User Permit Application And Affidavit

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STATE OF UTAH NATURAL
RESOURCES
Division of Parks and Recreation
Utah Division of State Parks and Recreation
Non-resident Off Highway Vehicle User Permit Application and Affidavit
(NOTE: Incomplete applications, applications submitted on anything other than this form, or
application packets which do not contain all required fees and documents will not be processed.)
Off Highway Vehicle Owner Information
Name
Phone (
)
Address
City
State
Zip Code
Driver License Number
State Issued
Exp.
Email address
Off Highway Vehicle Information
ATV
Off Highway Motorcycle
Snowmobile
UTV/side by side
Off Highway Vehicle Make and Model
Year
Vehicle Identification Number (VIN)
Certification
I hereby certify, under penalty of law, that I am not a resident of the state of Utah and that the
vehicle described above is not owned by a resident of the state of Utah. I further certify that all the
information I have provided herein is true and correct.
Signature of Off Highway Vehicle Owner
Date
Check
Visa
MasterCard
American Express
Discover
Credit card orders: Name on card
Credit Card Number
Expiration
Card holders signature

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