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Declaration and Undertaking
I hereby declare that I am transferring my normal residence to the State on the date declared on page 1 of this form. I
also declare that the property (including any motor vehicle) detailed in this application:
● was in my possession and was used by me at my place of previous normal residence outside the State for a
minimum period of at least six months prior to my taking up residence in the State,
● was acquired by me under the general conditions of taxation in force in the domestic market of a country and is not
the subject, on the grounds of exportation or departure from that country, of any exemption from or refund of any
tax*,
● is my personal property at the time of my transfer of residence to the State,
● is being brought permanently into the State by me within twelve months of the date of my taking up permanent
residence in the State.
I further declare that the information given in this form relates to this application and is true and correct. I understand that
the onus to supply the proof as set down in law rests with me. I also understand that my failure to supply the required
proof, or otherwise, to fail to comply with the conditions for the granting of the exemption may result in the refusal of this
application.
I undertake that the property, including any vehicle, whose details appear on this application will not be sold or
otherwise disposed of, hired out, lent or given as security in the State without the prior written permission of the
Revenue Commissioners for a period of twelve months following its importation and, in the case of any vehicle,
during the period of twelve months following its registration unless payment of the appropriate import charges
and, where applicable, the Vehicle Registration Tax has been made.
I hereby claim relief from the payment of import charges and, where appropriate, Vehicle Registration Tax in respect of
the property detailed on this form.
Signature of Applicant: Date:
*Please delete this paragraph if the vehicle was acquired duty free through diplomatic / consular arrangements or
because of membership of an international organisation as described in VRT information concerning Transfer of
Residence on www.revenue.ie.
The Revenue Commissioners collect taxes and duties and implement customs controls. Revenue requires customers
to provide certain personal data for these purposes and certain other statutory functions as assigned by the Oireachtas.
Your personal data may be exchanged with other Government Departments and agencies in certain circumstances where
this is provided for by law. Full details of Revenue’s data protection policy setting out how we will use your personal data
as well as information regarding your rights as a data subject are available on our Privacy page on www.revenue.ie.
Details of this policy are also available in hard copy upon request.
WARNING
UNDER THE LAW ANY PERSON MAKING, SUBSCRIBING OR CAUSING
TO BE MADE OR SUBSCRIBED ANY FALSE DECLARATION IN ANY
MATTER RELATING TO CUSTOMS DUTIES AND / VEHICLE REGISTRATION TAX
IS LIABLE ON CONVICTION TO HEAVY PENALTIES.
D D M M Y Y