Form Tc-920 - Ifta License And Special Fuel User (Sfu) Permit Application Page 2

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SFU
Utah State Tax Commission
IFTA License and Special Fuel
TC-920
Rev. 12/97
User (SFU) Permit Application
IFTA License Application is on the reverse side of this form.
Requirements to determine if you need to apply for a Special Fuel User Permit
1. Do you have Utah registered di esel powered vehicles that operate only in Utah which is
ov er 26,000 pounds or which have three axles?
2. Do
you have bulk storage of diesel fuel in Utah and two axle diesel vehicles registered under 26,001 pounds?
If you answered “ Yes”to either question 1 or 2, then you are required to apply for a Special Fuel User Permit. Complete S
ections 1 and 2.
Section 1 - General Information
1. Business Name and Address (P.O. Box Not Acceptable):
2. Type of Ownership:
Individual SSN: _______ - ______ - _________
Partnership Fed ID: _____ - _______________
Corporation Fed ID: _____ - _______________
U.S. DOT #: _____________________
Fax telephone number
3. Mailing Address if Different Than Business Address:
4. Telephone Number
5. Identify Owner, Partners or Corporate Officers:
Name, Address, City, State, ZIP Code
Telephone
Social Security Number
Section 2 - Special Fuel User (SFU) Section
Number of decals needed
My signature below acknowledges that I understand and will comply with the
SFU requirements for maintaining records.
Date signed
Title
Signature
X

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