The document is an application form for dealerships to purchase temporary vehicle permit books from the Utah State Tax Commission's Motor Vehicle Enforcement Division. It allows dealerships to purchase between 1 and 12 books of permits, with each book containing either 25, 50, 75, 100, 125, 150, 175, 200, 225, or 250 permits. The dealer must select the number of books desired and include payment for the total amount due.

1. Print Form
Application for Motor Vehicle Temporary Permits TC-756
Utah State Tax Commission • Motor Vehicle Enforcement Division
Rev. 3/09
210 N 1950 W • Salt Lake City, UT 84134 • (801) 297-2600
(office use only)
Dealer Number: ___________ Dealer name: ___________________________________
I hereby make application to the Utah State Tax Commission, Motor Vehicle Enforcement Division, for the following amount of temporary
vehicle permit books (check ONE only):
1 book (25 permits), $275.25 2 books (50 permits), $550.50 3 books (75 permits), $825.75
4 books (100 permits), $1,101.00 5 books (125 permits), $1,376.25 6 books (150 permits), $1,651.50
7 books (175 permits), $1,926.75 8 books (200 permits), $2,202.00 9 books (225 permits), $2,477.25
10 books (250 permits), $2,752.50 11 books (275 permits), $3,027.75 12 books (300 permits), $3,303.00
Attached is my payment of $___________ . I am the owner, partner or corporate officer of the above-noted dealership, or I
have been authorized by the dealership to place this order.
___________________________ ______________________ ____________
Signature of authorized representative Print name Date of application
Clear form Print Form
Save valuable time and money by using the Internet.
Temporary permits can be purchased and temporary permit
audits can be cleared online at mved.utah.gov.
Payments can be made online using Visa, MasterCard,
America Express and Discover.
Call MVED at (801) 297-2600 to get a password for your
dealership so you can take advantage of these services.