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30412, Salt Lake City, UT 84130 Telephone 801-297-7780 or 1-800-368-8824 Get forms online - tax.utah.gov IMPORTANT: Incomplete information will delay issuance of your windshield placard or disabled person license plates. SECTION 1 Applicant Information Primary owner s name (last, first, middle initial) or business name If available, enter owner s driver license no. Telephone number Owner s date of birth If business, enter FEIN Street address City State ZIP code Mailing addres.

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