Utah State Tax Commission
TC-465
Rev. 1/00
Waiver
I hereby ask that the criminal information requested be released to the Utah State Tax Commission, Motor Vehicle Enforcement Division and release the Utah State Bureau of Criminal Identification from any liability resulting from such request.
Signed
Date
Subscribed and sworn to before me this
day of
, 20
.
Signature of notary public
Notary public for the state of
Commission expires ORIGINAL - BCI YELLOW - MVED
TC-465.CDR Rev. 1/00