How to fill out Utah TC-569B

The form that moves a vehicle out of a default rather than out of a sale, and it is not a borrower's to sign. It is completed by the recorded lien holder or their authorised agent, certifying a lawful repossession and conveying the vehicle to whoever the lender has sold it to. A private seller meets it from the wrong end - as the person whose car has gone - and the reason it is worth reading is that it shows exactly what a lender has to swear to before your name comes off the record.

Written against TC-569B (Rev 12/12), issued under Utah Code 41-1a-704. If your car has been repossessed, this is the document that will take your name off the title, and you never see it. What you can do is the same thing any seller does: take the plate off if you still have it, and report the vehicle as no longer yours, so that a plate registered to you is not on a car being moved by somebody else.

Two documents, and they are not the same thing. Take the blank TC-569B from the files.tax.utah.gov copy so you get the revision that is current today.

Step 1 · the form itself Blank TC-569B — Repossession Statement PDF at files.tax.utah.gov · new tab

Filled in

What a completed one looks like

This is the actual TC-569B, rendered from the PDF the Utah State Tax Commission, Motor Vehicle Division publishes and completed end to end: letterhead, every field, and the blocks at the foot.

Amber — you write it
Grey — not yours to fill
Numbered — explained below

Utah form TC-569B filled in by a lender: a 2010 Subaru Legacy with identification number 4S3BMHB67A3247190 repossessed from Anders P. Follett of Riverdale by Weber Canyon Federal Credit Union on 24 July 2026, conveyed to a new owner, and signed by the repossessor. — Written entirely in the lender's voice. The owner block records who the vehicle came from, and it is the only part of the sheet about the person who lost the car.

Field by field

Every line, in the order you meet it

1
The lienholder fills this in
Section 1, the vehicle
Year, make, model, identification number, body type, plate number and the state it was registered in.
Watch out: The plate and the identification number both go in because the Division is ending one registration and starting another.
2
The lienholder fills this in
Section 2, the former owner
The name and address of the person or company the vehicle was repossessed from.
Watch out: This is the borrower. Leaving it out because they have moved does not make the statement easier to accept - it makes it unverifiable.
3
The lienholder fills this in
Section 3, the lien holder and the date
The recorded lien holder's name and address, and the date the vehicle was repossessed.
Watch out: The name has to match the lien recorded against the vehicle. A loan sold on to another institution needs the record updated before this statement will work.
4
The lienholder fills this in
The certification
A signature under the perjury declaration that the repossession was lawful and made under default on the original agreement.
Watch out: The same paragraph conveys the vehicle onward, so signing it is both a certification about the past and a transfer to whoever is named in Section 4.
5
The lienholder fills this in
Section 4, the new owner
The name and address of whoever the vehicle is going to.
Watch out: It is often the lender itself, pending a sale. Naming a buyer who has not yet been found leaves the Division issuing a title to somebody who is not there.

At a glance

What goes where

On the form	What to put in it
Section 1 - Vehicle Information	Year, make, model, identification number and body type, with the trailer and watercraft measurements the Division puts on all of its 569-series statements.
License plate number and State last registered	The live registration the repossession is about.
Section 2 - Owner Information	The person the vehicle was taken from - name, co-owner, street address and mailing address. This is the borrower, not the lender.
Section 3 - Repossession Information: Recorded lien holder	The lender's name, which has to be the lien holder actually recorded against the vehicle.
Date repossessed	The day possession was taken, beside the lender's name.
The lender's street address, city, state and ZIP	On the rule underneath.
The certification	A declaration under penalties of perjury that the signer is the recorded lien holder or an authorized agent for the recorded lien holder, and that they did lawfully repossess the vehicle under default, based on the conditions of the original agreement.
The conveyance	In the same paragraph: that the vehicle was repossessed from the person or company named on this statement, and that the signer delivered and conveyed all rights, title, and interest to the new owner named below.
The indemnity	An agreement to indemnify the Utah State Tax Commission and all persons acting under their direction from any and all liability, and to defend all litigation that may arise as a result of the issuance of a new certificate of title.
Repossessor's signature and Date	One line, marked with a printed X. No notary block.
Section 4 - New Owner Information	Who the vehicle is going to, with a co-owner block and both addresses - which may be the lender itself, or an auction's buyer.

What gets this one rejected

•Signed by the borrower. Everything on the sheet is in the lender's voice and the certification names the recorded lien holder specifically.
•A lender that is not the one recorded against the vehicle. The certification is tied to the record, not to whoever currently holds the debt.
•No date of repossession. The date is what fixes the moment ownership stopped being the borrower's.
•Section 2 left blank because the borrower cannot be found. The statement has to name the person the vehicle was taken from - that is the whole of what it certifies.
•Used as a substitute for the certificate on an ordinary sale. It moves a vehicle out of a default; a private seller in a normal transaction endorses the title or signs a duplicate title application instead.
•Section 4 left empty. Without a new owner the statement conveys nothing and there is nobody for a title to issue to.

Rules that decide whether it is accepted

•The registration ends by operation of law. Utah Code 41-1a-704 says that where title passes other than by voluntary transfer the registration of the vehicle expires, and the vehicle may not be operated until the person entitled to possession obtains a valid registration or temporary permit.
•There is a seventy-five-mile allowance and it is narrow. The same section lets the person entitled to possession move the vehicle for a distance not exceeding 75 miles on the former owner's plates. It is a recovery allowance, not a licence to use the car.

Every line here was read off TC-569B (Rev 12/12) itself — the PDF is here — and off the Utah State Tax Commission, Motor Vehicle Division pages. This is plain-language help with a form, not legal advice, and where our wording and the agency's differ, theirs governs.

Back to all Utah seller paperwork, or what selling a car in Utah involves.

How to fill out Utah TC-569B

What a completed one looks like

Every line, in the order you meet it

Section 1, the vehicle

Section 2, the former owner

Section 3, the lien holder and the date

The certification

Section 4, the new owner

What goes where

What gets this one rejected

Rules that decide whether it is accepted

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