Form Tc-305 - Motor Vehicle Salvage Buyer Application

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Utah State Tax Commission
TC-305
Rev. 10/13
Motor Vehicle Salvage Buyer Application
Start here


Buyer license number
THIS BOX FOR MVED USE ONLY
New - $203
Renewal - $203
First name
Middle name
Last name
Alias/maiden name
Home address (physical address, not P.O. box)
City
State
ZIP Code
Home telephone number
Work telephone number
Citizenship
Date of birth
Social Security Number
Gender
Height
Weight
Race
Eye color
Hair color
Male
Female
ft.
in.
Place of birth
Driver’s license number
State of issue
1. Have you ever been the holder of a motor vehicle salvage buyer, salesperson, dealer, dismantler or body shop license?
Yes
No
If yes, name of business: _ _ ___ ___ ___ ____ ___ ___ ____ _ ___ ___
If business was not in Utah, please list state: _ ____ ___ ___ ____ _ ___ ___
2. Has the license mentioned above been denied, suspended or revoked?
Yes
No
If yes, please explain: __ __ _ _ ___ ____ ___ ____ ___ ___ __ __ ____
_ ___ ____ __ ____ __ _ __ __ _ __ __ _ __ ___ ___ ___ ____ ___ ___ ____ ____ __
3. 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 attached, if each page is
signed by the owner of the business.)
____ ____ _____ __ _ __ __ _ __ _ _ __ _ __ ___ ___ ___ ____ ___ ___ ____ ___ __
____ ____ _____ __ _ __ __ _ __ _ _ __ _ __ ___ ___ ___ ____ ___ ___ ____ ___ __
____ ____ _____ __ _ __ __ _ __ _ _ __ _ __ ___ ___ ___ ____ ___ ___ ____ ___ __
____ ____ _____ __ _ __ __ _ __ _ _ __ _ __ ___ ___ ___ ____ ___ ___ ____ ___ __
4. Are you currently on probation or parole, court
Do you still owe restitution?
Yes
No
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:
____ ____ _____ __ _ __ __ _ __ _ _ __ _ __ ___ ___ ___ ____ ___ ___ ____ ___ __
5. Have you ever had business experience in buying, selling or otherwise working with salvage vehicles?
________ __ __ ___ __ __ __ ___ __ __ __ _ _ _ _ _ _ _
Yes
No
If yes, please explain:
_ _ _ __ ___ __ ___ __ __ _ _ __ _ __ _ __________ __ __ ___ __ __ __ ___ __ __ __ _ _ _ _ _ _ _
_ _ _ __ ___ __ ___ __ __ _ _ __ _ __ _ __________ __ __ ___ __ __ __ ___ __ __ __ _ _ _ _ _ _ _
6. Are you engaged in, or do you intend to engage in, any business or occupation other than that of selling motor vehicles?
Yes
No
If yes, what kind of business? __ ___ ___ ___ ____ ___ ___ ____ ___ __
7. Employing MV business number: _ __ _ __ _ _ __
MV business name: ___ ____ ___ ___ _ ____ _

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