Form Tc-938 - Utah Special Fuel User (Sfu) Renewal Application And Decal Request 2002

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If you have ceased operations, check "CANCEL SFU
Permit" below and enter the cancel date.
Corrections - please explain
If you have any questions about your SFU renewal or need forms,
contact the Tax Commission by calling (801) 297-7705 or toll-free
1-800-662-4335, ext. 7705 or access the Tax Commission web site
Instructions for Utah Special Fuel User (SFU) Renewal Application and Decal Request
TC-938 Rev. 10/02
READ THIS FIRST: Read this information before you complete this form.
If you have exempt use of Utah tax paid fuel, you may file for a refund on a quarterly basis, using form TC-942, Application for Undyed
Diesel Fuel Tax Refund. You are required to sign both the "Record statement signature" and the "Fuel Certification" signature, below.
If you purchase fuel without the proper Utah tax paid, you will be required to file a return, form TC-922, due and payable at the Tax
Commission on or before the last day of the month following the reporting period. You only need to complete the renewal information
and sign the "Record statement signature" below. Do not sign the "Fuel Certification" below.
Every user must maintain detailed mileage records and summaries, detailed fuel purchase records, and bulk disbursement records for
vehicles traveling in Utah.
Renewal Application
SFU Decals Display
Complete and return the entire renewal application to renew your SFU permit and
Each SFU-qualified vehicle is required to display two decals, one on each side of
decals. Return within 10 days.
the vehicle cab. Order enough decal sets to replace any lost or damaged decals.
Changes - Incorrect Information or Business Name or Ownership Changes
Bulk Fuel
If there is a business name change or if the information is incorrect, make the
Check the appropriate box below concerning your bulk fuel.
corrections above. If there is an ownership change, you must complete a new
Non-Utah Travel
application, TC-920S.
If you regularly travel in other jurisdictions besides Utah, contact our office for an
Changes - Address and Telephone
IFTA application, TC-920F. Do not renew your SFU permit.
If there is an address or telephone number change, make the corrections above.
SFU Permit
When you receive your new SFU permit it will show the mailing address and
business address listed on our SFU account file. A copy of the permit must be kept
in the cab of each SFU-qualified vehicle.
Enter the calendar year (Jan - Dec)
Do you have bulk storage facilities?
for which you are renewing.
If "Yes," list supplier(s): _____________________________
Enter the number of SFU decal sets needed
CANCEL SFU Permit (Cancel date: ____________)
Business name
Mail to :
Utah State Tax Commission
SFU account no., federal ID, or SSN U.S. DOT number
SFU Renewal
210 N 1950 W
SLC UT 84134-8140
Telephone number
Record Statement
Fuel Certification
I certify that all of my fuel purchased for the prior year has had the proper
acknowledge that I will comply with reporting, payment, record keeping and
Utah taxes paid at the time of purchase. In addition, no dyed or otherwise
license display requirements. l agree that Utah may withhold any refunds due
non-Utah paid fuel was consumed in any of my vehicles which operate on
if I become delinquent paying fuel taxes. Failure to comply with these provisions
the highways of this state.
are grounds for revocation of my SFU permit. I certify that the information
contained herein is true, correct, and complete.
Date signed
Date signed


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