Utah State Application For Ifta Sfu And Irp Tc69mc

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Utah State Application for IFTA, SFU and IRP, TC-69MC
TC-69MC Rev. 4/09
Use this form to register with the Utah State Tax Commission for International Fuel Tax Agreement (IFTA), Special Fuel User (SFU), and
International Registration Plan (IRP). For registration of a DBA, use Department of Commerce form, Business Name Registration / DBA
Application, available at all registration locations, online at commerce.utah.gov, or by telephone at 801-530-4849.
Utah State Tax Commission
General Instructions
Motor Carrier Section
" Read the instructions carefully.
210 North 1950 West
" Type or print clearly.
Salt Lake City, UT 84134-8040
" Applications with missing or illegible information may be rejected.
801-297-6800
" Mail or fax the completed application to the Tax Commission (address at right).
1-888-251-9555
" Allow 15 business days for processing if submitting a paper application.
Fax: 801-297-6899
" Contact the appropriate city or county for business licensing requirements.
motorcarrier.utah.gov
Section 1 - Account Type
Please answer the following questions to establish if you are applying for IFTA, SFU and/or IRP.
1. Do you have one or more Utah registered vehicles which includes one of the following configurations?
Two axles and a gross vehicle weight exceeding 26,000 pounds
Two axles and a registered weight exceeding 26,000 pounds
Three or more axles regardless of weight (power unit only)
A combined vehicle weight exceeding 26,000 pounds (power unit and trailer)
Yes. You have a qualified vehicle - GO TO line 2
No - GO TO line 3
2. Determine which one of the following applies to you (mark only one)
GO TO
line 4
One or more qualified vehicles travel interstate -
All qualified vehicles travel only in Utah
If any vehicles are diesel powered - GO TO line 5
If none of the vehicles are diesel powered - GO TO line 6
3. Do you have bulk storage of diesel fuel in Utah?
Yes - Do you have a diesel powered motor vehicle which operates on public highways?
USTC Use
Only
Yes - list suppliers and GO TO line 5
3. A, B
No - GO TO line 6
No -
GO TO
line 6
4. Based on your answers, you qualify as an IFTA licensee. Complete Sections 1A, 2, 4 and 5.
Submit IRP form TC-852 and TC-899B. Application effective date: __________________.
5. Based on your answers, you qualify as a SFU licensee. Complete Sections 1A, 2, 3 and 5.
6.
You are
NOT
required to have an lFTA license or a Special Fuel User permit.
Submit form TC-852 and TC-899B if you need an
International Registration Plan (lRP) number
.
Section 1A - Account Type
No
7.
Do you anticipate having exempt use of Utah tax paid fuel?
Yes
7. A, B
8. Based on your answers in Section 1, check all account types for this application.
SFU
IFTA
IRP

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