Fillable Application to Licence a Vehicle or Transfer a (Services Australia)

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Application to Licence a Vehicle or Transfer a (Services Australia)

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Services Australia, (previously DHS - Department of Human Services) is responsible for delivering services relating to health and welfare of Australian citizens. It processes payment of child support other services.

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Application to Licence a Vehicle or
Transfer a Vehicle Licence
Motor Vehicle Dealers
Road Trafc (Vehicles) Act 2012
VL12
ORIGINAL- OFFICE COPY
DEALER’S REGISTERED NO. MAKE MODEL
PLATE NUMBER DATE ACQUIRED DEALER’S REG’D PREMISES NO.
Vehicle Details (Details to be completed from vehicle licence papers)
VEHICLE LICENCE DUTY EXEMPTION ON THE GRANT OR TRANSFER OF A VEHICLE LICENCE. SECTION
246(1) OR 246(2) OR 247(1) OF THE DUTIES ACT 2008.
NAME OF BUSINESS:
Dealer’s Certicate
DEALERS TRADE NAME
(OFFICIAL COMPANY STAMP)
SURNAME
OTHER NAMES
OTHER NAMES
PREVIOUS LICENCED OWNER
SURNAME
Last updated: 26.10.2017
I
being an Authorised Ofcer of the above business, do hereby certify that the motor vehicle described above, for which
an application is being made for a licence/the transfer of a licence, under Part II of the Road Trafc (Vehicles) Act 2012,
has been acquired solely for the purpose of (select the applicable option below):
. Acquiring the vehicle under a hire purchase or leasing agreement for re-sale or disposal; or
i. Selling or re-selling the vehicle in the ordinary course of business;
ii. Demonstrating the vehicle to the prospective purchasers;
iii. Loaning the vehicle to charitable organisations, to schools for driver education, for philanthropic or for other specied
purposes;
iv
v. Taking possession of the vehicle that is the subject of a mortgage, charge, hire purchase or leasing agreement for re-sale
or disposal.
(If (iii) above has been selected, please complete the appropriate section in the ‘Loan Vehicle Dealer’s
Declaration- Approved Form’, and forward to the Commissioner of State Revenue and retain a copy for your record
keeping purposes)
SIGNATURE OF AUTHORISED OFFICER:_________________________ Date: _____ /_______/____________
ENGINE NUMBER
VIN/CHASSIS NUMBER
YEAR OF MANUFACTURE
POSTCODE
POSTCODE
POSTCODESUBURB OR TOWN
ADDRESS
ADDRESS
RESIDENTIAL ADDRESS
ENTITY
NAME
LICENCE EXPIRY DATE
ODOMETER READING
PURCHASE PRICE DUTIABLE VALUE
$ $
VEHICLE ACQUIRED FROM:
(PRINT ALL NAMES IN FULL)
THIS PAGE HAS BEEN INTENTIONALLY LEFT BLANK
VL12
DUPLICATE- DEALERS COPY
Application to Licence a Vehicle or
Transfer a Vehicle Licence
Motor Vehicle Dealers
Road Trafc (Vehicles) Act 2012
Vehicle Details (Details to be completed from vehicle licence papers)
I
being an Authorised Ofcer of the above business, do hereby certify that the motor vehicle described above, for which
an application is being made for a licence/the transfer of a licence, under Part II of the Road Trafc (Vehicles) Act 2012,
has been acquired solely for the purpose of (select the applicable option below):
i. Selling or re-selling the vehicle in the ordinary course of business;
ii.
Demonstrating the vehicle to the prospective purchasers;
iii.
Loaning the vehicle to charitable organisations, to schools for driver education, for philanthropic or for other specied
purposes;
iv.
Acquiring the vehicle under a hire purchase or leasing agreement for re-sale or disposal; or
v.
Taking possession of the vehicle that is the subject of a mortgage, charge, hire purchase or leasing agreement for re-sale
or disposal.
(If (iii) above has been selected, please complete the appropriate section in the ‘Loan Vehicle Dealer’s
Declaration- Approved Form’, and forward to the Commissioner of State Revenue and retain a copy for your record
keeping purposes)
SIGNATURE OF AUTHORISED OFFICER:_________________________ Date: _____ /_______/____________
Last updated: 26.10.2017
DEALER’S REGISTERED NO. MAKE MODEL
PLATE NUMBER DATE ACQUIRED DEALER’S REG’D PREMISES NO.
VEHICLE LICENCE DUTY EXEMPTION ON THE GRANT OR TRANSFER OF A VEHICLE LICENCE. SECTION
246(1) OR 246(2) OR 247(1) OF THE DUTIES ACT 2008.
NAME OF BUSINESS:
Dealer’s Certicate
DEALERS TRADE NAME
(OFFICIAL COMPANY STAMP)
SURNAME
OTHER NAMES
OTHER NAMES
PREVIOUS LICENCED OWNER
SURNAME
ENGINE NUMBER
VIN/CHASSIS NUMBER
YEAR OF MANUFACTURE
POSTCODE
POSTCODE
POSTCODESUBURB OR TOWN
ADDRESS
ADDRESS
RESIDENTIAL ADDRESS
ENTITY
NAME
LICENCE EXPIRY DATE
ODOMETER READING
PURCHASE PRICE DUTIABLE VALUE
$ $
VEHICLE ACQUIRED FROM:
(PRINT ALL NAMES IN FULL)
A person who provides information to the Commissioner knowing it to be false or misleading in a material particular commits
an offence under the Taxation Administration Act 2003. The penalty for the offence is:
(a) $20,000 and
(b) three times the amount of duty that was avoided or might have been avoided if the false or misleading information had
been accepted as true.
If a vehicle in respect of which an exemption has been granted under section 246(1) or (2) or 247 (1) of the Duties Act 2008
(‘Duties Act’) is used for a different purpose referred to in section 246(1) or (2) or 247(1), the dealer must notify the
Commissioner of State Revenue (‘the Commissioner’) within one (1) month after the day on which the use of the vehicle
changed. It is an offence not to notify the Commissioner, for which the maximum offence penalty is $5,000.
If a vehicle in respect of which an exemption has been granted under section 246(1) or (2) or 247 (1) of the Duties Act 2008 is
used for a purpose other than a purpose referred to in section 246(1) or (2) or 247 (1), the dealer must notify the
Commissioner within one (1) month after the day on which the use of the vehicle changed. It is an offence to use a vehicle that
has been granted an exemption under section 246(1) or (2) or 247 (1) of the Duties Act for other purposes, with the exception
of minor incidental purposes, unless the Commissioner is notied. The maximum offence penalty is $20,000.
If a dealer noties the Commissioner of the change in use, the exemption will be removed and duty will be charged on the
dutiable value of the vehicle at the time of the change in use.
If a dealer does not notify the Commissioner of the change in use, the exemption will be removed and duty will be charged on
the dutiable value of the vehicle at the time the grant or transfer of the licence was exempted. Penalty tax equal to the amount
of duty payable will also be charged.
For further information, please contact Ofce of State Revenue at www.osr.wa.gov.au or phone (08) 9262 1100.
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Application to Licence a Vehicle or Transfer a (Services Australia)

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Completed 1 December 2020

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