Form Tc-928 - Monthly Report Of Sale By Utah Licensed And Bonded Dealer
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1Show Instructions to Dealers
Utah State Tax Commission
Monthly Report of Sale
TC-928
Hide Instructions to Dealers
Do not mark in this area
Rev. 4/01
By Utah Licensed and Bonded Dealer
Month
Year
?
Reporting dealership
Dealer number
Total count of sales
?
?
Buyer's name
Buyer's dealer #
Year
Make
Model
Vehicle Identification Number
Odometer
?
?
?
?
?
?
?
Buyer's address
Consignor (if any)
Date of Sale
?
?
?
Buyer's name
Buyer's dealer #
Model
Year
Make
Vehicle Identification Number
Odometer
Buyer's address
Consignor (if any)
Date of Sale
Buyer's name
Buyer's dealer #
Year
Make
Model
Vehicle Identification Number
Odometer
Buyer's address
Consignor (if any)
Date of Sale
Buyer's name
Buyer's dealer #
Model
Year
Make
Vehicle Identification Number
Odometer
Buyer's address
Consignor (if any)
Date of Sale
Buyer's name
Buyer's dealer #
Year
Make
Model
Vehicle Identification Number
Odometer
Buyer's address
Consignor (if any)
Date of Sale
Buyer's name
Buyer's dealer #
Year
Make
Model
Vehicle Identification Number
Odometer
Buyer's address
Date of Sale
Consignor (if any)
Buyer's name
Buyer's dealer #
Year
Make
Model
Vehicle Identification Number
Odometer
Buyer's address
Consignor (if any)
Date of Sale
Buyer's name
Buyer's dealer #
Year
Make
Model
Vehicle Identification Number
Odometer
Buyer's address
Date of Sale
Consignor (if any)
Buyer's name
Buyer's dealer #
Year
Make
Model
Vehicle Identification Number
Odometer
Buyer's address
Consignor (if any)
Date of Sale
Buyer's name
Buyer's dealer #
Year
Make
Model
Vehicle Identification Number
Odometer
Buyer's address
Date of Sale
Consignor (if any)
During the month of ____________________________, 20 _____, I sold and delivered the vehicles above to the buyers noted above. I further state that this is
page number _______ of _______ total pages in this report, and that these pages contain a record of all wholesale sales, retail sales where no temporary permit
was issued, and non-resident sales made by this dealership during the month noted above.
Signature of seller or authorized agent
Title
Date of report
Return this form to: Utah State Tax Commission, Motor Vehicle Enforcement Division, 210 North 1950 West, Salt Lake City, Utah 84134.
TC-928.CDR Rev. 2/00
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