Form Tc-656v - Vessel Application For Utah Title

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Utah State Tax Commission
Clear form
TC-656V
Vessel Application For Utah Title
Rev. 9/13
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
New
Change of ownership
Change of lienholder
Corrected title
Title only
Friends For Sight
Organ Donation Support
Contribute $2 to:
ATV-Off Highway Fund
Section 1 - New Owner Information
And
Or
Relationship to co-owner:
Primary owner’s driver license no. or
DL state
Primary owner’s date of birth
DL state
Co-owner’s driver license no. or
Co-owner’s date of birth
FEIN, if business
FEIN, if business
Primary owner’s name (last, first, middle initial, or business name)
Co-owner’s name (if at different street address, check here
and list on back)
Street address (primary owner)
State
City
ZIP code
Mailing address, if different from Street Address (primary owner)
City
State
ZIP code
Section 2 - New Lessee Information
Relationship to co-lessee:
And
Or
DL state
Lessee’s driver license
no.
or
Lessee’s date of birth
Co-lessee’s driver license no. or
DL state
Co-
lessee date of birth
’s
FEIN, if business
FEIN, if business
Lessee’s name (last, first, middle initial, or business name)
Co-lessee’s name (if at different street address, check here
and list on back)
Street address (primary lessee)
State
City
ZIP code
Mailing address, if different from street address (primary lessee)
City
State
ZIP code
Section 3 - Vessel Information (Missing or incorrect information may result in a rejected application)
Year
Make
Model
Personal watercraft (length: ft ___ in_____
Watercraft (length: ft ___ in_____
Hull Identification Number (HIN)
Fuel type
State which vessel will be principally used ___________
Hull material
If branded title, brand type
Color
Certificate number previously issued ___________
Use
Manufacturer's Suggested Retail Price
Purchase price
Private
Rent/Lease
Dealer demo
$
$
Commercial passenger
Commercial fishing
Commercial other: ___________________
Vessel Type
Open
Cabin
House
Other ___________
Propulsion type
Outboard (HP______)
Inboard-Outboard (HP______)
Inboard (HP______)
Sail
Other: _________________
Section 4 - Lien Holder Information
Lien holder’s name
FEIN or driver license no., if individual
Branch number
Mailing address
City
State
ZIP code
Section 5 - Owner(s) Signature
I declare that I am the owner of the vessel described on this application and that all the above information is accurate and true. I certify that I will maintain in effect owner’s or
operator’s security (insurance) for this vessel if required by law in order to operate this vessel on a waterway within this state.
Owner’s signature
Date
Co-owner’s signature
Date
X
X
Section
6
- Purchase and Dealer Information
(This Section for Utah Dealership Use Only)
I certify that the vessel is accurately described on this application and has been delivered to the purchaser named above. I also certify that this transaction was completed in
compliance with the sales tax reporting requirements set forth in Section 59-12-107 of Utah Code.
Purchase date
Dealer number
New
Used
Permit issue date
Permit number
Dealer/Authorized representative’s signature
Date
X

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