Form Tc-72e - Dealer Plate And Decal Requisition

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Utah State Tax Commission
TC-72E
Dealer Plate and Decal Requisition
Rev. 1/13
Get forms online - tax.utah.gov
Division of Motor Vehicles · PO Box 30412, Salt Lake City, UT 84130
· Telephone
801-297-7780 or 1-800-368-8824
Warehouse Fax Number 801-297-3898 - Warehouse Telephone Number 801-297-3878
Company name (ship to)
Requester’s name
Address
Telephone number
Request date
City
Org. number
Shipping number
Plates
Warehouse Use Only
Catalog
Quantity ordered
Quantity sent
Ending number
Beginning number
Plate description
number
(box)
(box)
Life Elevated Skier
1091
1151
Life Elevated Arches
Each box contains 50 sets of plates. Please order by box.
Validation and Monthly Decals
Catalog
Quantity ordered
Quantity sent
Decal description
number
(each)
(each)
MV Yearly 2014
2700 - 14
MV Yearly 2013
2700 - 13
January
2500
February
2510
March
2520
April
2530
May
2540
June
2550
July
2560
August
2570
September
2580
October
2590
November
2600
December
2610
Envelope
White Batch Envelope (
order per box
)
011612X15P

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