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

If you have ceased operations, check "CANCEL SFU

Permit" below and enter the cancel date.

Corrections - please explain

Instructions for Utah Special Fuel User (SFU) Renewal Application and Decal Request

NOTE: You may want to order enough decal sets for this account to replace lost or damaged decals. If there are no changes to the

account information, sign below and return the completed form.

Renewal Application

Jurisdictions and Bulk Fuel

Complete and return the entire renewal application to renew your

Check the appropriate box below concerning your bulk fuel. Do not

SFU permit and decals. Return within 10 days. Account will not be

include dyed bulk fuel.

renewed unless all returns are filed and paid in full.

If you regularly travel in other jurisdictions besides Utah, contact our

Changes - Incorrect Information or Business Name or

office for an IFTA application, TC-920F. Do not renew your SFU

Ownership Changes

permit.

If there is a business name change or if the information is incorrect,

NOTE:

If you have any questions about your SFU renewal or need

make the corrections above. If there is an ownership change, you

forms, contact the Tax Commission by calling (801) 297-7705 or

must complete a new application, TC-920S.

toll-free 1-800-662-4335, ext. 7-7705 or access the Tax

Changes - Address and Telephone

Commission's web site at

If there is an address or telephone number change, make the

Record Statement

corrections above.

* My signature below acknowledges that l understand and will

SFU Permit

comply with reporting, payment, record keeping, and license display

When you receive your new SFU permit it will show the mailing

requirements as specified for Special Fuel User. l further agree that

address and business address listed on our SFU account file. A

Utah may withhold any refunds due if I become delinquent on

copy of the permit must be kept in the cab of each SFU-qualified

payment of fuel taxes. I understand that failure to comply with these

vehicle.

provisions shall be grounds for revocation of my SFU permit. Under

penalty of law, I certify that the information contained herein is true,

SFU Decals Display

correct, and complete.

Each SFU-qualified vehicle is required to display two decals, one on

each side of the vehicle cab.

If you need an accommodation under the Americans with

Disabilities Act, contact the Tax Commission at (801) 297-3811 or

Telecommunication Device for the Deaf (TDD) (801) 297-3819.

Please allow three working days for a response.

Utah Special Fuel User (SFU) Renewal Application and Decal Request

TC-938 Rev. 9/01

Year

Enter the calendar year (Jan - Dec)

Yes

Do you have undyed bulk fuel?

for which you are renewing.

CANCEL SFU Permit (Cancel date: ____________)

Enter the number of SFU decal sets needed

Business name

SFU account no., federal ID, or SSN U.S. DOT number

Telephone number

Utah State Tax Commission

Date signed

*Applicant's signature

(see Record Statement above)

SFU Renewal

210 N 1950 W

Filing option

SLC UT 84134-8140

Quarterly Only

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

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