The form has two sections: Section 1 - Vehicle Information and Section 2 - Statement of Facts.
Vehicle: Year, Make, Model, Vehicle/Hull Identification Number (VIN/HIN), Body type, License plate number, State last registered, Trailer length and Watercraft length.
Section 2: the name of the individual completing the statement, an email address, and a company name (if applicable) with an email address.
Signature: the form has a Signature and Date line below the statement.
| Question | Answer |
|---|---|
| Form Name | Form TC-569D |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 3 min |
| Edition | Rev. 11/20 |
| Issuing agency | Utah State Tax Commission |
| Other names | TC-569D, TC569D, Form TC-569D, TC 569D, Statement of Facts |
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