Two transactions on one sheet: an owner giving up a personalised combination, and somebody else applying for it. A seller meets it in one of two ways - because the personalised plate is being sold with the car and the bill of sale says this form is required, or because they are letting the combination go and want somebody specific to have it. The sheet also prints the warning about what happens if a seller does nothing at all, which is the part worth reading first.
Written against TC-840 (Rev 11/24), issued under Utah Code 41-1a-411(2) and 41-1a-413. A personalised combination is worth something and it is lost by inaction rather than by decision. The warning on the sheet is that failing to surrender it on a sale, or failing to keep a vehicle registered using it, releases your priority and the Division makes the combination available to the public.
Two documents, and they are not the same thing. Take the blank TC-840 from the files.tax.utah.gov copy so you get the revision that is current today.
This is the actual TC-840, 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.
The plate number printed in the box under the relinquishment sentence.
Watch out: Print it exactly as it appears on the plate, spaces and all. A combination written down wrongly relinquishes nothing and applies for something that does not exist.
Printed, signed and dated by the person the plate is currently issued to.
Watch out: If the plate is issued jointly, ask the Division whose signature it wants before filling it in. The sheet gives one line.
Name, telephone, address, and a plate design - skier, arches, or another written into the Other line.
Watch out: The design is not decoration. The combination is manufactured onto whichever plate is chosen and changing it afterwards means ordering again.
Current plate, expiration date, year, make and identification number of a vehicle that is registered now.
Watch out: Current registration is a condition on the heading. A vehicle with expired tags cannot receive the plate until the registration is put right.
The new registered owner signs and dates their half, and the fees are paid before anything is manufactured.
Watch out: Personalised plates are issued first come, first served. A completed sheet sitting on a kitchen table holds no place in the queue.
| On the form | What to put in it |
|---|---|
| Plate Number Relinquished by Previous Owner | One line, under the sentence I hereby relinquish all rights to personalized plate number, with the instruction to print the plate number in the box. |
| Previous registered owner's name (print) and signature, with Date | Three fields on one rule. This half of the page ends the old owner's claim to the combination. |
| New Owner Application: New owner name and Telephone number | The applicant's block. |
| Address, City, State, Zip code | Where the new registration will sit. |
| Plate type: Life Elevated Skier / Life Elevated Arches / Other | Two named designs and a write-in line, because a personalised combination still has to sit on a plate design. |
| The refusal power, printed on the sheet | Pursuant to Utah Code 41-1a-411(2), the DMV may refuse to issue any combination of letters, numbers or both that may carry connotations offensive to good taste and decency or that would be misleading. |
| Vehicle information where plate will be reassigned (must have current registration) | Current plate, expiration date, year, make and identification number - and the bracket is a condition, not a hint. |
| The fees line | All plates must be manufactured and all fees paid. Personalized plates are issued on a first-come, first-served basis. |
| The forfeiture warning | That failure to comply with Utah Code 41-1a-413 concerning surrender of personalized license plates upon transfer, sale or disposal of a vehicle - or failure to register or renew a vehicle using them - constitutes release of that owner's priority, and the Division shall make that combination available to the public. |
| New registered owner's signature and Date | The applicant signs their own half. |
| Make checks payable to the Utah State Tax Commission | Printed above the signature line. |
Every line here was read off TC-840 (Rev 11/24) 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.