Utah State Tax Commission Clear form
Division of Motor Vehicles TC-844
Request for Unmarked Exempt License Plates Rev. 7/03
(Standard license plates)
Get forms online - tax.utah.gov
VIN Year Make Model
Street address City State Zip code
A standard plate is requested for this vehicle because (check one box):
The personal security of the occupants of the vehicle would be jeopardized if the "EX" license plate were in place.
The vehicle is provided to an official of the entity as part of a compensation package allowing unlimited personal
use of that vehicle.
The vehicle will be used in the direct service of the governor, lieutenant governor, attorney general, state auditor,
or state treasurer of Utah.
Authorized requester's signature for request above Title and agency telephone number Date
IF VEHICLE IS TO BE USED IN OFFICIAL INVESTIGATIVE WORK, WHERE SECRECY OF ALL RECORDS ARE ESSENTIAL
DO NOT USE THIS FORM.
Please submit a written statement on your agency letterhead that includes the following:
· Detail information regarding the need for undercover plates;
· Fictitious name and legitimate address to be listed on registration; and,
· Agency head signature approval.
Submit with this letter, a completed TC-656 MVA title registration, along with a copy of the MSO, if a new vehicle
or title and the safety and emission inspections, if applicable to:
Division of Motor Vehicles
Attn: Kevin Park
210 N 1950 W
Salt Lake City, UT 84134
If approved, you will be informed of the fees required for registration. If you have any questions, please call
(801) 297-3567 or (801) 297-3531.