Statutory Declaration For Motor Vehicles
Please fill in the form below print out Or fill in details below and Submit this form.
I, (insert name)
Of (insert address)
Do solemnly and sincerely declare the information I have provided to be true
Type of Car
Make:
Model:
Year:
Vehicle Chassis Number: (Vin)
Date Purchased:
Current Value for Customs Purposes:
Reason for importing:
I declare that the above vehicle being imported does not contain R12 or CFC
Gas compound
which has been checked by a qualified person.
Dated:
Signed Signature:_________________________________
Print Name:
Email:*
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