Form Tc-839s - Certificate Of Sale (Self-Storage Lien)

Download a blank fillable Form Tc-839s - Certificate Of Sale (Self-Storage Lien) in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Tc-839s - Certificate Of Sale (Self-Storage Lien) with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

Clear form

Utah State Tax Commission

TC-839S

Certificate of Sale

Rev. 8/10

(Self-Storage Lien)

Division of Motor Vehicles · PO Box 30412, Salt Lake City, UT 84130 (801) 297-7780 or 1-800-368-8824

Get forms online - tax.utah.gov

Vehicle Information

Make

Vehicle/Hull Identification Number (VIN/HIN)

Model

Body type

Year

Trailer length

Watercraft length

License plate number

State last registered

ft________ in________

Registered Owner Information

Registered owner’s name

Registered owner's address (include street, city, state, and ZIP)

Lien holder’s name

Lien holder's address (include street, city, state, and ZIP)

Self-Storage Facility Information

Company’s name

Representative’s name

Daytime telephone number

Company’s address (include street, city, state, and ZIP)

Sales Information

Date of sale

Amount of bid

Amount of storage lien

Date lien became delinquent

Signature of person conducting sale

Date

Disclosure Statement and Transfer of Ownership

I certify that the odometer reading: (check one)

Reflects the actual mileage.

Enter odometer reading (no tenths)

Reflects the mileage in excess of the odometer’s mechanical limits.

Is not the actual mileage. Warning - Odometer Discrepancy

I further certify that motor vehicle record information indicates that the outstanding title is: (check one)

Not branded

Branded (print brand type): __________________________________________

If branded, you are required by Utah Code 41-1a-1004 to give any prospective purchaser written notification on form TC-814, available at any DMV office.

After lawful advertising and foreclosure of said lien, I certify the vehicle described above was sold to the highest bidder to satisfy a storage lien.

The action was taken after due notice of lien was furnished to the registered owner and lien holder of record. Required documentation is attached.

Signature of self-storage facility representative

New Owner Information

Purchaser’s name

Purchaser's address (include street, city, state, and ZIP)

Purchaser's signature

If you need an accommodation under the Americans with Disabilities Act, contact the Tax Commission at (801) 297-3811 or

Telecommunications Device for the Deaf (801) 297-3819. Please allowing three working days for a response.