Form Tc-301 - Bonded Motor Vehicle Business Application
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Motor Vehicle Enforcement Division
210 N 1950 W • Salt Lake City, UT 84134 • 801-297-2600 • mved.utah.gov
TC-301
Bonded Motor Vehicle Business Application
Rev. 5/15
Business number
(MVED office use only)
General Instructions
• Read the instructions carefully. Type or print clearly.
_____________ _ __ __
Application date:
Incomplete or illegible forms will be rejected.
• Contact the proper city or county for business licensing requirements.
If located in Utah, provide your Utah sales tax number:
• Complete entire form and return it to the Motor Vehicle Enforcement
Division at: 210 North 1950 West, Salt Lake City, UT 84134.
• Make check or money order payable to Utah State Tax Commission.
Federal ID number:
Organizational Structure
Must check one.
Individual
Government
Business
Trust
Sole Proprietor
Federal
Corporation
Trust
State
General Partnership
Tribal
Limited Partnership
Political Subdivision
Limited Liability Partnership
Limited Liability Company
Organization Date
Enter the date of qualification or incorporation in Utah: ___________________
(Contact the Dept. of Commerce at 801-530-4849)
Department of Commerce Entity Number
Enter number issued by the Dept. of Commerce.
License Type
You must submit a separate application for each license type.
New motor vehicle dealer $127
New motorcycle, off-highway
Distributor branch/distributor/
Transporter $51
vehicle and/or small trailer dealer $51
factory branch $61
Used motor vehicle dealer $127 Used motorcycle, off-highway
Manufacturer $102
Dismantler $102
vehicle and/or small trailer dealer $51
Special equipment dealer $127
Body shop $112
Remanufacturer $102
Crusher $102
Salvage Acquisition $0
Business Information
Business entity name - PRINT
Business phone number
Business street address (PO Box not acceptable)
Cell phone number
Fax number
City
County
State
ZIP Code
Business mailing address
Business email address
City
County
State
ZIP Code
DBA/Business Name
(the business or trade name you operate under)
Only complete this section if different than business entity.
DBA name (must be the name listed on your sign)
Business phone number
Business street address - PO Box not acceptable
Cell phone number
Fax number
City
County
State
ZIP Code
Business mailing address
Business email address
City
County
State
ZIP Code
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