1. Utah State Tax Commission
TC-301
Bonded Motor Vehicle Business Application Rev. 7/08
Dealer number: ____________ _ _ _
___
Complete entire form and return it to the Motor Vehicle Enforcement
Application date: ____________ _ _ _
___
Division at: 210 North 1950 West, Salt Lake City, UT 84134.
Sales tax number: __________ _ _ _
____
Telephone: (801) 297-2600
Business organization License type
New motor vehicle and/or New motorcycle and/or
Sole proprietorship LLC Entity change
new large trailer dealer ($127) new small trailer dealer ($51)
Partnership LLP Used motor vehicle and/or Used motorcycle and/or
used large trailer dealer ($127) used small trailer dealer ($51)
Corporation S-Corp Bodyshop ($112) Additional location ($26 each)
Business name Telephone number
Principal place of business street address
City State ZIP Code
Mailing address (if different from street address) City State ZIP Code
Address of additional Utah locations of this business (attach additional sheet(s) if necessary) ($26 fee for each location)
Street address Lot # Street address Lot #
City ZIP Code City ZIP Code
Street address Lot # Street address Lot #
City ZIP Code City ZIP Code
Owner(s), partner(s) or corporate officers information (attach additional sheet(s) if necessary)
Name Title Home phone
Home address Social security number Driver’s license number and state
City State ZIP Code Date of birth
Hair color Eye color Height Weight Gender
Name Title Home phone
Home address Social security number Driver’s license number and state
City State ZIP Code Date of birth
Hair color Eye color Height Weight Gender
Name Title Home phone
Home address Social security number Driver’s license number and state
City State ZIP Code Date of birth
Hair color Eye color Height Weight Gender
Page 1 of 3

2. TC-301, page 2
Franchise Dealers
If you are a franchise dealer of new vehicles, RVs, motorcycles and/or trailers, report the information below and attach your franchise
agreement to this application
Make Name of manufacturer or distributor
Address of manufacturer or distributor
Make Name of manufacturer or distributor
Address of manufacturer or distributor
Make Name of manufacturer or distributor
Address of manufacturer or distributor
Make Name of manufacturer or distributor
Address of manufacturer or distributor
1. Has anyone connected with the ownership or management of the dealership ever been the holder of a motor vehicle salesperson,
dealer, dismantler or auction license?
Yes No
If yes, give business name and indicate which owner: ______________________________ _ _ _
____
_ _ _ _ _ _ _ _ _ _ _ _ _ _______________________________ _ _ _
_____________ ____
_ _ _ _ _ _ _ _ _ _ _ _ _ _______________________________ _ _ _
_____________ ____
2. Has the above license ever been denied, suspended or revoked?
Yes No
If yes, give details and indicate which owner:_ _
_ ________________________________ _ _ _
____
_____________
_ _ _ _ _ _ _ _ _ _ _ _ ________________________________ _ _ _
____
_____________
_ _ _ _ _ _ _ _ _ _ _ _ ________________________________ _ _ _
____
3. During the past 10 years, have you been convicted of any misdemeanors or felonies in Utah or any other state, or do you have any
pending charges awaiting judicial action or review?
Yes No Failure to disclose any of the requested information may result in suspension of this license. A
criminal conviction for a motor vehicle or drug-related crime, fraud or registered sex offense can be
grounds for denial.
If yes, list each conviction and indicate which owner: ________________________________ _ _ _
___
__ _ _ _ _ _ _ _ _ _ _ _ _________________________________ _ _ _
____________ ___
__ _ _ _ _ _ _ _ _ _ _ _ _________________________________ _ _ _
____________ ___
__ _ _ _ _ _ _ _ _ _ _ _ _________________________________ _ _ _
____________ ___
__ _ _ _ _ _ _ _ _ _ _ _ _________________________________ _ _ _
____________ ___
__ _ _ _ _ _ _ _ _ _ _ _ _________________________________ _ _ _
____________ ___
__ _ _ _ _ _ _ _ _ _ _ _ _________________________________ _ _ _
____________ ___
__ _ _ _ _ _ _ _ _ _ _ _ _________________________________ _ _ _
____________ ___
__ _ _ _ _ _ _ _ _ _ _ _ _________________________________ _ _ _
____________ ___
__ _ _ _ _ _ _ _ _ _ _ _ _________________________________ _ _ _
____________ ___
Page 2 of 3

3. TC-301, page 3
4. Are you currently on probation or parole?
Yes No
If yes, which owner? _______________________________________________
I am familiar with the motor vehicle dealer licensing law and other laws of Utah governing the conduct of motor vehicle
salespersons and will cooperate with the Utah State Tax Commission to eliminate abuse and unfair trade practices.
I do solemnly swear (or affirm) that the statements contained in the foregoing application are true and correct and that I, as
owner, as a member of the partnership, or as an officer of the corporation, have authority to sign this application and to
make the statements set forth herein.
____________________________
Firm name
____________________________
Signature or owner, partner or corporate officer*
____________________________
Printed name of signer
* The signer must be owner, partner or corporate officer, or have POA. Submit copy of POA if applicable.