Form Tc-301 - Bonded Motor Vehicle Business Application Page 3
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4TC-301, page 3 of 4
1. List at least five years of employment history, including dates, for each owner. Also include any motor vehicle salesperson, dealer,
dismantler or auction license you have held and if the license has ever been denied, suspended or revoked. Attach additional pages
if needed.
Owner #1
Owner #2
Owner #3
2. During the past 10 years, have you been charged with, found in violation of, or convicted of any misdemeanors or felonies in Utah or in
any other state? This includes any charges to which a “plea in abeyance,” or a guilty plea, are entered. You are not required to disclose
simple traffic infractions.
Yes
No
Failure to disclose any of the requested information may result in suspension or revocation of this license. A charge,
violation of, or criminal conviction for a motor vehicle or drug-related crime, fraud or registered sex offense can be
grounds for denial, suspension or revocation of your application or license, even if the plea is held in abeyance. Attach
additional pages if needed.
If yes, list each, including dates: (A copy of your criminal history, provided by BCI, may be attched.)
Owner #1
Owner #2
Owner #3
Yes
No
3. Are you currently on probation or parole, court
Do you still owe restitution?
supervision of any kind, or in a “plea in abeyance”?
Yes
No
:
If yes, state what type and from which event from your criminal history
____________ ____________ ____ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Franchise Dealers
If you are a franchise dealer of new vehicles, RVs, motorcycles and/or trailers, report the information below and attach your franchise
agreement to this application
Make
Name of manufacturer or distributor
Address of manufacturer or distributor
Utah license number
Make
Name of manufacturer or distributor
Address of manufacturer or distributor
Utah license number
Make
Name of manufacturer or distributor
Address of manufacturer or distributor
Utah license number
Make
Name of manufacturer or distributor
Address of manufacturer or distributor
Utah license number
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