Monthly Report Of Sale By A Utah Licensed And Bonded Dealer

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Utah State Tax Commission

TC-928

Monthly Report of Sale

Rev. 2/12

by a Utah Licensed and Bonded Dealer

Reporting dealership

Dealer number

Total count of sales

Month

Year

Make

Model

Vehicle Identification Number

Odometer

Buyer’s name

Buyer’s dealer #

Consignor (if any)

Date of sale

Buyer’s address

Year

Make

Model

Vehicle Identification Number

Odometer

Buyer’s name

Buyer’s dealer #

Consignor (if any)

Date of sale

Buyer’s address

Year

Make

Model

Vehicle Identification Number

Odometer

Buyer’s name

Buyer’s dealer #

Consignor (if any)

Date of sale

Buyer’s address

Year

Make

Model

Vehicle Identification Number

Odometer

Buyer’s name

Buyer’s dealer #

Consignor (if any)

Date of sale

Buyer’s address

Year

Make

Model

Vehicle Identification Number

Odometer

Buyer’s name

Buyer’s dealer #

Consignor (if any)

Date of sale

Buyer’s address

Year

Make

Model

Vehicle Identification Number

Odometer

Buyer’s name

Buyer’s dealer #

Consignor (if any)

Date of sale

Buyer’s address

Year

Make

Model

Vehicle Identification Number

Odometer

Buyer’s name

Buyer’s dealer #

Consignor (if any)

Date of sale

Buyer’s address

Year

Make

Model

Vehicle Identification Number

Odometer

Buyer’s name

Buyer’s dealer #

Consignor (if any)

Date of sale

Buyer’s address

Year

Make

Model

Vehicle Identification Number

Odometer

Buyer’s name

Buyer’s dealer #

Consignor (if any)

Date of sale

Buyer’s address

Year

Make

Model

Vehicle Identification Number

Odometer

Buyer’s name

Buyer’s dealer #

Consignor (if any)

Date of sale

Buyer’s address

During the month of __ __ _ _ _ __ __ _ __ , 20 __ __ , I sold and delivered the vehicles listed above to the buyers listed above. I further state

that this is page number _ _ _ _ of __ _ _ total pages in this report, and that these pages contain a record of all wholesale sales, retail sales where

no temporary permit was issued, and non-resident sales made by this dealership during this month.

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__ _ ____ ___ __ _ _ _ _ _ __ __ _ __ _ __ __ _ __ _ __

_ __ _ _ _ _______ _ _ _ ______

___________

Signature of seller or authorized agent

Title

Date of report

Return this form to: Utah State Tax Commission, Motor Vehicle Enforcement Division, 210 N 1950 W, Salt Lake City, UT 84134.

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