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    TC 661

    Uploaded by

    cjae1962

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    TC 661

    Uploaded by

    cjae1962
    8 views1 page

    Original Title

    tc-661

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    8 views1 page

    TC 661

    Uploaded by

    cjae1962

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Any alteration or erasure will void this document.


    Units registered in the State of Utah for the first time (except new units sold by licensed and bonded Utah dealers) must be inspected to
    verify the vehicle/hull identification number.

    Section 1 - Applicant Information


    Name (last, first, middle initial, or business name)

    Address (street, city, state, ZIP)

    Section 2 - Vehicle/Vessel Information


    Vehicle/hull identification number (VIN/HIN) or serial number

    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
    VIN/HIN location Plate number

     Visible through windshield  Body-right  Trunk  On engine


    State of issue
     Body-left (driver side)  Engine compartment  Frame  Other: _______________________
    Year Make Model Body style Cylinders

    Fuel type Engine size Length (trailers and watercraft) Hull material (watercraft)

    HP _____ CC _____ ft _____ in _____


    Propulsion type (watercraft)

     Inboard (ex. I/O & Jet)  Jetdrive  Outboard  Outboard outdrive  Airboat  Sailboat
    Section 3 - Inspection Certificate
    Only the following individuals may sign below, verifying that the unit’s VIN/HIN or serial number has been physically inspected: a DMV
    employee of Utah or another state, a designated contractor, a law enforcement agency employee, a licensed dealer, a certified safety
    inspector, or a person that DMV authorizes in writing.

    By signing below, I certify that I have physically inspected the unit described above in person and find the vehicle information above to be correct.

    Signature of officer or agent Date


    X
    Department, dealer or station name ID, badge, dealer or license no.

    For Office Use Only


    NCIC Check

     No Hit Found  Hit Found  Partial Hit Found


    Officer/Agent name Agency name

    ID/Badge number Date

    NLETS Search

     10 - State  50 - State  No record found  Record found in: ________________________


    Officer/Agent name Agency name

    ID/Badge number Date

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