Free Utah Certificate of Inspection, TC-661 - Utah


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Date: July 19, 2007
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State: Utah
Category: Tax Forms
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http://tax.utah.gov/forms/current/tc-661.pdf

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Utah State Tax Commission
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Certificate Of Inspection

TC-661 Rev. 8/06

Division of Motor Vehicles · 210 North 1950 West · Salt Lake City, Utah 84134 · (801) 297-7780 or 1 800 DMV-UTAH (TDD 297-2020)

Units registered in the State of Utah for the first time (except new units sold by licensed and bonded Utah dealers) must be inspected by a MV Customer Service employee, designated contractor, Utah peace officer, licensed dealer or a certified safety inspector (mechanic). The signature in section 4 verifies that the officer or agent has physically inspected the identification number (VIN/HIN) as it appears on the unit. Inspection by out-of-state peace officers and authorized agents of other state motor vehicle agencies will be accepted. Any Alteration or Erasure Will Void This Document.
1. Customer Information Name (print last, first, middle) Address (street, city, state, zip)

2. Vehicle Information VIN/Serial number
1 2 3
4 5 6 7 8 9 10 11 12 13 14 15 16 17

VIN location Visible through windshield Body-left (driver side) Year Make Body-right Engine compartment Model Trunk Frame On engine

Plate number State of issue Other: _______________________ Body style Cylinders

Check the box that applies Gas 3. Boat Information Hull identification number
1 2 3
4 5 6 7 8 9 10 11 12

Diesel

Propane

Other _______________________________

Year Length

Make Hull material Feet: Inches:

Model

Glass or fiberglass Aluminum

Wood Rubber

Steel Plastic Total horse power Fuel

Propulsion type

Inboard (ex. I/O & Jet) Outboard outdrive

Jetdrive Airboat

Outboard Sailboat

Single/Twin

4. Certification

Only a MV Examiner, designated contractor, Utah peace officer, licensed dealer or a certified safety inspector (mechanic) may sign below verifying that the officer or agent has physically inspected the identification number (VIN/HIN) as it appears on the unit. Inspection by out-of-state peace officers and authorized agents of other state motor vehicle offices will be accepted. This is to certify that I have personally inspected the unit described above and find the description to be correct.
Signature of officer or agent X Department, dealer or station name Address Badge, dealer or safety inspection no. Date

5. Law Enforcement Only Signature of officer NCIC check performed X Badge number Date