Fillable Form Tc-303 - Motor Vehicle Salesperson Application Form (Page 2 of 2) in pdf

TC-303, page 2

To Be Completed by Employee

If you are not a U.S. citizen, you must apply in person at MVED, 210 N 1950 W, Salt Lake City, Utah. Bring proof that you are in

the United States lawfully under 8 U.S.C. 1641. Also bring your employment authorization card and documentation showing

the I-94 (arrival/departure) number and Alien Registration Number issued by the U.S. Citizenship and Immigration Service.

A. Under state and federal law we cannot issue a license to any person who does not provide this residency information:

Check one (Providing false information subjects the signer to the penalties of perjury.):

I am a U.S. citizen. SSN: ___ ___ __ ___ ___ __

I qualify under 8 U.S.C. 1641 and I am present in the U.S. lawfully.

I-94#: __ _ __ _ __ _ _ _ _ __ _ _

Alien #: _ __ _ __ _ __ _ __ _ __ _

Employment authorization card #: _ __ _ __ _ __ _ __ _ __ _

The Alien Registration Number (A#), (arrival/departure) number and employment authorization card are issued by the U.S. Citizenship and

Immigration Service.

B. I am familiar with the motor vehicle dealer licensing law and other laws of Utah governing the conduct of motor vehicle

salespersons and will cooperate with the Utah State Tax Commission to eliminate abuse and unfair trade practices.

I hereby state that I will engage in the business of selling motor vehicles for the designated dealer shown below during

the license period for which this application is made.

I certify under penalty of perjury that the statements contained in the foregoing application are true and correct.

Complete the rest of this form by hand after it has been printed.

Applicant’s signature: ____ ___ ___ ___ __ _ ___ _____ __ _ __ _ __ _ _ __ _ __ _ __ _ __ _ __ _

Applicant’s printed name: ________________________________________________________________

Date: ______/_______/________

To Be Completed by Employer

I hereby certify that ____ ___ ___ ___ __ _ ___ _____ __ _ _ __ _ __ _ __ _ __ _ __ _ _ _ _ __ _

Applicant’s name (please print)

is employed as a salesperson by the undersigned who has been duly licensed as a motor vehicle dealer by the State of Utah.

IMPORTANT:

I/we certify under penalty of perjury that the statements contained in the foregoing application are true

and correct to the best of my/our knowledge and belief. I/we recommend the applicant to be licensed to sell motor vehicles

in the State of Utah. Providing false information subjects the signer to the penalties of perjury.

_________________ __ ___ ___ ___

_ __ __ _ __ _ __ _ _ __ _ __ _ __ _ __ _ __ _

Dealer’s firm name

Address

_______________ ___ ___ ___ __ __

_ __ __ _ __ _ __ _ _ __ _ __ _ __ _ __ _ __ _

Signature of owner, partner or corporate officer*

Printed name of signer*

___ _ __ _ __ _ _ __ _ __ _ __ _ __ __ _ __ _

Date

* The signer must be on file with MVED as an owner, partner, corporate officer or POA.

This application will be rejected if it is incomplete or does not include the correct license fee.

If a license has been expired/suspended for two months or more, or if this is a new application, it must also include

a photograph of the applicant, Waiver (TC-465), and fingerprint card of the applicant by a law enforcement agency.

Make check or money order payable to: Utah State Tax Commission

Motor Vehicle Enforcement Division

210 North 1950 West

Salt Lake City, UT 84134

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IMPORTANT: To protect your privacy, use the "Clear form" button when you are finished.

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Form Tc-303 - Motor Vehicle Salesperson Application Form Page 2

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