Form TC-569D at a glance
What it is: TC-569D Rev. 11/20 is the Statement of Facts.
Where and when to file: The Utah State Tax Commission Division of Motor Vehicles is at PO Box 30412, Salt Lake City, UT 84130, 801-297-7780 or 1-800-368-8824.
A filled-in Form TC-569D example: a trailer owner completes the statement
How to fill out Form TC-569D, box by box
Section 1 - Vehicle Information
Under Section 1 - Vehicle Information, enter the Year, Make, Model, Vehicle/Hull Identification Number (VIN/HIN) and Body type.
License plate number, State last registered, Trailer length and Watercraft length
Enter the License plate number, State last registered, Trailer length or Watercraft length.
Name of individual completing statement
Under Section 2 - Statement of Facts, enter the Name of individual completing statement and the Email address.
Company name (if applicable)
Enter the Company name (if applicable) and the Email address.
Statement
Write the Statement.
Signature and Date
Under penalties of perjury, you declare that to the best of your knowledge and belief, this statement is true, correct, and complete; then add your Signature and the Date.
More rules for Form TC-569D
Get forms at tax.utah.gov/forms.
Sources
[1] Form TC-569D (Rev. 11/20), Statement of Facts, Utah State Tax Commission (the Official source link on this page).