Utah State Tax Commission 210 N 1950 W · Salt Lake City, UT 84134 · www.tax.utah.gov
Sales and Use Tax Exemption Affidavit for Exclusive Use Outside of Utah
TC-721A
Rev. 6/06
Clear form
This sales tax exemption may be allowed only if all names and addresses are complete and this form is signed.
Type Year Make
Model
Style
Identification number
Purchaser
Name
Dealer
Name
Address
Address
City
State
ZIP Code
City
State
ZIP Code
USE THIS FORM to apply for an exemption of sales tax on a purchase of: 1. a vehicle required to be registered under the Motor Vehicle Act, 2. a boat required to be registered under the State Boating Act, 3. a boat trailer, or 4. an outboard motor. This exemption is only valid if the vehicle, boat, boat trailer or outboard motor is both: 1. not registered in Utah, and 2. not used in Utah except as necessary for transportation to the borders of the state.
I have read and understand this affidavit and I certify I take sole responsibility in determining I am eligible for this claim of exemption. In addition, I certify the vehicle described on this affidavit will be taken out of Utah permanently and will not be used or registered in Utah. This affidavit is true and correct to the best of my knowledge.
Date signed
X
IMPORTANT: To protect your privacy, use the "Clear form" button when you are finished.
Clear form
DEALERS: Keep this form for your records to verify the sales tax exemption. DO NOT send it to the Tax Commission.