Form Tc-585 - Application And Authorization For Loaded Demonstration Permit 2001
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1UTAH STATE TAX COMMISSION
Application and Authorization for
TC-585
Rev. 01/01
Loaded Demonstration Permit
TO BE USED WITH A VALID UTAH DEALER PLATE
Date permit issued
Expiration date
Trip will originate from
Destination of trip
Driver or representative of company
Prospective purchaser
Vehicle Description
Year
Make
Model
Vehicle Identification Number (VIN)
ONE ROUND TRIP ONLY.
Demonstration is limited to
Type of demonstration: __________________________________________________________________________________________
____________________________________________________________________________________________________________________________
It is fully agreed that this vehicle will be entitled to be demonstrated for one round-trip only on the dates, and in only the same manner as
described above. It is also understood that our regular dear plate must be used for this demonstration and that the permit, properly
acknowledged, and signed by the prospective purchaser, must be returned to the office of the Motor Vehicle Enforcement Division within
ten (10) days after the completion of the demonstration trip.
___________________________________________ _______________________________________
_____________________
Signature of authorized dealer representative
Title
Date
AFFIDAVIT OF PROSPECTIVE PURCHASER
This is to certify that I demonstrated the above described vehicle, loaded to normal capacity, and further state under oath that the only
reason for this demonstration trip was to determine whether or not this vehicle will meet requirements if purchased.
Signature of prospective purchaser
Subscribed and sworn before me this
_______________ day of _______________________ , 20________ .
Address
City
State
Zip Code
Signature of Notary Public
TO ANY LAW ENFORCEMENT OFFICER:
This is to certify that
___________________________________________________,
____________________________________
(Dealer Name)
(Dealer Number)
has been granted permission by the Utah State Tax Commission to demonstrate the loaded motor vehicle described above by properly
displaying the dealer plate ___________________________ .
(Dealer Plate Number)
This permit is not valid unless it has the
Office Use Only
embossed seal and signature of the Motor
Vehicle Enforcement Administrator.
Motor Vehicle Enforcement Administrator
RETURN TO: Motor Vehicle Enforcement Division,
210 N 1950 W, Salt Lake City, UT 84134 within ten
(MVED Seal)
days of the completion of the demonstration trip.
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