Tc 569B Form PDF Details

In the realm of vehicle ownership and financial agreements, the TC 569B form issued by the Utah State Tax Commission serves as a crucial document for documenting the repossession of a vehicle or watercraft due to the failure of the owner to meet the terms of their financing agreement. This comprehensive form, revised as of December 2012, facilitates the transition of rights, titles, and interests from the defaulting owner back to the lienholder or to a new owner, ensuring that all legal and state requirements are met in the process. It not only covers essential vehicle information, including year, make, model, and identification numbers but also delves into detailed owner information, providing spaces for both the primary and co-owners' details. The third section of the form is dedicated to repossession information, requiring the recorded lienholder to verify the lawful repossession of the vehicle under the stipulated agreement conditions. A distinctive feature of this form is the stipulation for the repossession agent to agree to indemnify the Utah State Tax Commission and all related parties from any potential legal liabilities arising from the repossession and title transfer process. Completing this form is a necessary step for recorded lienholders to officially declare the repossession of a vehicle or watercraft, and it plays a pivotal role in the transfer of ownership in the state of Utah.

QuestionAnswer
Form NameTc 569B Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesWatercraft, repossession statement utah, tc 569b, utah repossession statement

Form Preview Example

Utah State Tax Commission

Repossession Statement

TC-569B

Rev. 12/12

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

 

 

 

 

 

 

 

 

Section 1

- Vehicle Information

 

 

 

 

 

 

 

 

 

 

 

 

Year

 

Make

Model

Vehicle/Hull Identification Number (VIN/HIN)

 

Body type

 

 

 

 

 

 

License plate number

State last registered

Trailer length

Watercraft length

 

 

 

 

ft________ in________

 

ft________ in________

 

 

 

 

 

 

 

 

Section 2

- Owner Information

 

 

 

 

 

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)

City

State

ZIP code

Mailing address, if different from Street Address (primary owner)

City

State

ZIP code

Section 3 - Repossession Information and Signature

Recorded lien holder

Date repossessed

Street address

City

State

ZIP Code

Under penalties of perjury, I declare that I am the recorded lien holder or am an authorized agent for the recorded lien holder for the above-described vehicle and that I did lawfully repossess the vehicle under default, based on the conditions of the original agreement. I certify that the above-described vehicle was repossessed from the person or company named on this statement and that I delivered and conveyed all rights, title, and interest to the new owner named below. I agree to indemnify the Utah State Tax Commission and all persons acting under their direction from any and all liability and shall defend all litigation that may arise as a result of the issuance of a new Certificate of Title on the above-described vehicle.”

Repossessor’s signature

X

Date

Section 4 - New Owner Information

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)

City

State

ZIP code

Mailing address, if different from Street Address (primary owner)

City

State

ZIP code

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The best way to prepare repossession statement portion 1

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Filling out part 2 in repossession statement

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