Form Tc-305 - Motor Vehicle Application - Salvage Buyer Page 2
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TO BE COMPLETED BY EMPLOYEE
I am in compliance with Title 41 Chapter 3, Utah Code Ann. (UCA), the Motor Vehicle Business Regulation Act, Salvage
Buyer Law, R877-23V-18, and other laws of Utah governing the conduct of motor vehicle salvage buyers and will cooperate
with the Utah State Tax Commission to eliminate abuse and unfair trade practices.
I am in compliance with all laws and regulations regarding the disposal of hazardous material under Title 19 Chapter 6
(UCA) Hazardous Substances, and will provide evidence of compliance to MVED upon request.
I hereby state that I will engage in the business of purchasing salvage motor vehicles for the designated dealer, body shop
or dismantler shown below during the license period for which this application is made.
I do solemnly swear (or affirm) that the statements contained in the foregoing application are true and correct.
Applicant's signature
State of Utah
County or City of
Subscribed and sworn to before me this _____________________day of ____________________________, 20 _______
Examining Officer Number
Notary Public
My commission expires: _____________________________________________
TO BE COMPLETED BY EMPLOYER
I hereby certify that
Applicant's name (please print)
is employed as a salvage buyer by the undersigned who has been duly licensed as a motor vehicle dealer, body shop or
dismantler by a U.S. State or jurisdiction.
IMPORTANT
I/we certify 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 purchase salvage motor vehicles.
Dealer's firm name
Address
Signature of owner, partner, or corporate officer
Print name of signer & position
State of Utah
County or City of
Subscribed and sworn to before me this _____________________day of ____________________________, 20 _______
Notary Public
My commission expires: _____________________________________________
This application will not be considered unless completed and
.
accompanied by the correct license fee and photograph of the applicant
Make check or money order payable to : Utah State Tax Commission
Motor Vehicle Enforcement Division
210 North 1950 West
Print Form
Salt Lake City, Utah 84134
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Parent category: Financial