Utah DMV TC-656 Form – Fill Out and Use This PDF

Section 1: New Owner Name Information

Relationship to co-owner:  And  Or

Primary owner’s name (last, first, middle initial, or business name)

Email address

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 2: New Lessee Information

Relationship to co-lessee:

 And

 Or

Lessee’s driver’s license no. (or FEIN, if business)

DL state

Lessee’s DOB

Co-lessee’s driver’s license no. (or FEIN, if business)

DL state

Co-lessee’s DOB

Lessee’s name (last, first, middle initial, or business name)

Co-lessee’s name (if at different Street address, check here  and list on back)

Street address (primary lessee)

City

State

ZIP code

Mailing address, if different from Street address (primary lessee)

City

State

ZIP code

 Passenger, light truck, van, or utility

Year

Make

Model

Farm use?

Yes  No

 Street motorcycle

Vehicle Identification Number (VIN)

Cylinders

Fuel type

 Small motor vehicles (CC_____HP_____ )

 Motor home (Length: ___ ft. ___ in.) (Class____)

Color

Fleet number

Unit number

 Off-highway vehicle (check one:  ATV  Motorcycle)

 Street-legal ATV

Body type (trailers)

If branded title, brand type

MSRP

Purchase price

$

$

 Low-speed vehicle

 Snowmobile

Odometer Disclosure

I certify that the odometer reading (check one):

 Manufactured housing

 Reflects actual mileage for this vehicle

 Heavy truck (Registered weight: _______ )

 Reflects the mileage in excess of odometer’s mechanical limits

Commercial vehicle with registered weight of at least

Enter odometer reading (no tenths)

 Is not the actual mileage (Warning: Odometer discrepancy)

10,001 lbs? Enter your USDOT #:_______ .

 Camper

 Park model  Tent trailer  Travel trailer  Utility trailer  Other trailer: __________ Length of trailer selected: ___ ft. ___ in.

Section 4: Registration Information

License plate type (For a new personalized plate, complete TC-817. Additional fees will apply.)

 Title only

 In God We Trust  Life Elevated Arches

 Life Elevated Skier

 Transfer: __________  Other: ___________

Situs/Physical address of vehicle, if different from Street address above

City

State

ZIP code

Contribute $2 to:  Friends for Sight  Organ Donation Support

Contribute $3 to:  Emergency Medical/Search & Rescue

Section 5: Lien Holder Information