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DoormanStatutory 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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