Utah State Tax Commission
        Cover Sheet for Substitute Forms Submissions                                                                                    Clear form                                                                TC-99
                                                                                                                                                                                                                       Rev. 11/18
 Include this cover sheet with each submission.                                         Date submitted:
 See Guidelines for Substitute Utah Tax Forms at 
 tax.utah.gov/forms-pubs/developers.                                                     These forms will be used in a (check one):
 Email submission and form questions to: vendortaxforms@utah.govvendortaxforms@utah.gov    Stand-alone application                                   Web-based application 
                                                                                            Both                                                      Forms only
Substitute forms coordinator is Randolph Prawitt, 801-297-3505                           Type of submission:  Original                                Resubmission
Email Utah tax questions to taxmaster@utah.gov
                                                                                            Check this box if using the Tax Commission’s PDFs (not 
Submitter Info                                                                            reconstructed). Note: Using our PDFs will move your submission 
 Company:                                                                                  to the front of the line for review and reduce approval time.
 Contact name:                                                                           If you must send hard copies, mail to: 
 Address:                                                                                  Utah State Tax Commission
                                                                                           Substitute Forms Coordinator
 Phone:                                                                                    210 N 1950 W
 Email:                                                                                    SLC, UT (84134-3400 if U.S. Postal Service; 84116 if private carrier)
 NACTP Vendor ID:                                                                        Allow additional time for approval due to manual handling of your submission.

  List each form separately below.                                                                                                                                                          )

                                                                                                                                                                                                            Resubmit with
  State Form      Internal                                                                                                                                                                                  Corrections by:
  Number       Vendor No.                         Form Name and Page Number 
      (TC-)    (if applicable)                                                                                   Approved as  Submitted               Corrections                                           Email Fax Mail
                                                                                                                                        Approved with             NOT Approved               Fix & Resubmit(

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 Reviewed by:  ____________________________________________________________                 __________________________
               Signature                                                                    Date