Form TC-142 "Application for Special Plates and Decals" - Utah

What Is Form TC-142?

This is a legal form that was released by the Utah State Tax Commission - a government authority operating within Utah. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2020;
  • The latest edition provided by the Utah State Tax Commission;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form TC-142 by clicking the link below or browse more documents and templates provided by the Utah State Tax Commission.

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Download Form TC-142 "Application for Special Plates and Decals" - Utah

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Utah State Tax Commission
TC-142
Rev. 10/20
Application for Special Plates and Decals
Get forms at tax.utah.gov/forms
Please complete the following information. Use a separate form for each license type.
Note: You must submit a current copy of your plate insurance declaration every time you order or renew plates. Insurance must
be issued in the name of the licensed business.
Company name: __ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ __ _______
License number: _________ __ _ __ _ _
Manufacturer
Transporter
Dealer
Dismantler
As owner, partner, or corporate officer of the above company, I am applying to the Utah State Tax Commission for the following items:
_ _ _ _ _ _ _ _ _ Dealer plates ($12.00 each - includes decal)........................................................................... $______ _ __ _ _
_ _ _ _ _ _ _ _ _ Motorcycle plates ($12.00 each - includes decal).................................................................... $____ __ _ __ _ _
_ _ _ _ _ _ _ _ _ Dismantler, Manufacturer, or Transporter plates ($10.00 each)................................................ $____ _ __ _ __ _
_ _ _ _ _ _ _ _ _ Renewal decals for Dealer plates ($10.50 each)...................................................................... $____ __ _ __ _ _
_ _ _ _ _ _ _ _ _ Renewal decals for Dismantler, Manufacturer, or Transporter plates ($8.50 each).................. $_____ __ _ __ _
For new plate orders only:
Handling fee for 1 or 2 plates - $2.50 Total (not per plate) OR .................................................................................$_____ _ __ _ __
Handling fee for 3 or more plates - $3.50 Total (not per plate) ..................................................................................$_____ _ __ _ __
Total: $_____ __ _ __ _
Additional instructions:__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ ________
Decal number (office use only):_ _ _ _ _ _ _ _ _ _ _ _ _ __ _ __ _______
Renewal decals are for plate numbers: _ _ _ _ _ _ _ _ _ __ _ __ __ _____
_ __ _ __ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ __ _______
_ __ _ __ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ __ _______
I, the undersigned, being duly sworn, depose and say that I have applied for a license to engage in the business shown above, and I hereby
make application for special license plates. The license plates will not be used on any vehicles other than the vehicles authorized under the
provisions of the law.
I further certify, under penalty of law, that all vehicles operated, displaying such special plates, will be insured as prescribed by
law.
Insurance company: _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ ________
Policy number: __________ _ __ _ __ _
Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ __ _ _______
Phone:______________ __ _ __ __
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _________
__________________ __ _ __ _
Signature (must be signed by owner, partner, or corporate officer or
Firm name
signer designated by POA on file with MVED)
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _________
__________________ __ _ __ _
Printed name of signer
Date
Return application and fees to:
Utah State Tax Commission
Motor Vehicle Enforcement Division
210 North 1950 West
Salt Lake City, UT 84134
Phone: 801-297-2600
Make check or money order payable to Utah State Tax Commission.
Utah State Tax Commission
TC-142
Rev. 10/20
Application for Special Plates and Decals
Get forms at tax.utah.gov/forms
Please complete the following information. Use a separate form for each license type.
Note: You must submit a current copy of your plate insurance declaration every time you order or renew plates. Insurance must
be issued in the name of the licensed business.
Company name: __ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ __ _______
License number: _________ __ _ __ _ _
Manufacturer
Transporter
Dealer
Dismantler
As owner, partner, or corporate officer of the above company, I am applying to the Utah State Tax Commission for the following items:
_ _ _ _ _ _ _ _ _ Dealer plates ($12.00 each - includes decal)........................................................................... $______ _ __ _ _
_ _ _ _ _ _ _ _ _ Motorcycle plates ($12.00 each - includes decal).................................................................... $____ __ _ __ _ _
_ _ _ _ _ _ _ _ _ Dismantler, Manufacturer, or Transporter plates ($10.00 each)................................................ $____ _ __ _ __ _
_ _ _ _ _ _ _ _ _ Renewal decals for Dealer plates ($10.50 each)...................................................................... $____ __ _ __ _ _
_ _ _ _ _ _ _ _ _ Renewal decals for Dismantler, Manufacturer, or Transporter plates ($8.50 each).................. $_____ __ _ __ _
For new plate orders only:
Handling fee for 1 or 2 plates - $2.50 Total (not per plate) OR .................................................................................$_____ _ __ _ __
Handling fee for 3 or more plates - $3.50 Total (not per plate) ..................................................................................$_____ _ __ _ __
Total: $_____ __ _ __ _
Additional instructions:__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ ________
Decal number (office use only):_ _ _ _ _ _ _ _ _ _ _ _ _ __ _ __ _______
Renewal decals are for plate numbers: _ _ _ _ _ _ _ _ _ __ _ __ __ _____
_ __ _ __ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ __ _______
_ __ _ __ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ __ _______
I, the undersigned, being duly sworn, depose and say that I have applied for a license to engage in the business shown above, and I hereby
make application for special license plates. The license plates will not be used on any vehicles other than the vehicles authorized under the
provisions of the law.
I further certify, under penalty of law, that all vehicles operated, displaying such special plates, will be insured as prescribed by
law.
Insurance company: _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ ________
Policy number: __________ _ __ _ __ _
Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ __ _ _______
Phone:______________ __ _ __ __
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _________
__________________ __ _ __ _
Signature (must be signed by owner, partner, or corporate officer or
Firm name
signer designated by POA on file with MVED)
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _________
__________________ __ _ __ _
Printed name of signer
Date
Return application and fees to:
Utah State Tax Commission
Motor Vehicle Enforcement Division
210 North 1950 West
Salt Lake City, UT 84134
Phone: 801-297-2600
Make check or money order payable to Utah State Tax Commission.