Request For Refund Of Administrative Impound Fee Tc542

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Utah State Tax Commission
Clear form
TC-542
Request for Refund of Administrative Impound Fee
Rev. 6/14
Division of Motor Vehicles · PO Box 30412, Salt Lake City, UT 84130 · Telephone 801-297-7780 or 1-800-368-8824
Get forms online - tax.utah.gov
Applicant Information
Name (last, first, middle initial)
Daytime telephone number
Mailing address
Vehicle Information
Make/Model
Model year
Vehicle Identification Number (VIN)
License plate number
State registered
Expiration date
Vehicle owner's name (if different from above)
Owner's address (if different from above)
Driver/Operator (Name of person who was operating or in control of the vehicle at the time of the arrest/impound)
Impound Information
Date of impound
Citation number
Police agency
Impound report number
Attach a copy of the citation or vehicle’s impound report that states the charges or reason for impound.
Has the vehicle been retrieved from the impound lot?
Yes (Date: ________________________)
No*
* If you have not already retrieved your vehicle from impound, you may do so upon payment of all fees and penalties.
The administrative fee will be refunded to you if you meet the conditions described in this form.
Supporting Documentation
Utah law requires the Division of Motor Vehicle to collect an administrative fee prior to releasing any vehicle that was impounded
pursuant to Utah Code 41-6a-527. The Tax Commission will refund the fee only under the following circumstances pursuant to
Utah Code 41-6a-1406:
1. Proof of duplicate payment.
2. The vehicle owner filed a bona fide stolen vehicle report with a police agency and submits a copy of the police report with the
refund request within 30 days of the date of the impound.
3. In the event of a DUI, the vehicle owner submits a letter from the Driver License Division stating that the operator’s driver license
will not be revoked or suspended as a result of this incident.
The refund request must be submitted within 30 days of the date of the
Driver License Division letter
.
Complete this form and mail it along with all supporting documentation to Utah State Tax Commission, DMV - Accounting,
PO Box 30412, Salt Lake City, UT 84130.
Upon receipt of your request and support documentation, the Tax Commission will process the refund request through the Department
of Finance. The Department of Finance will send the refund check to the mailing address indicated above. Please allow 6 - 8 weeks for
processing.
Print or type name
Date
Signature
X
For Office Use Only
Case number
DLD letter date
Received date
Preliminary approval/denial
Date
Final DMV accounting approval/denial
Date

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