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Motor Vehicle Tax Declaration Form

1) This document is a form declaration for paying motor vehicle tax in the state of Goa, Daman and Diu according to the Motor Vehicles Tax Rules of 1974. 2) The form requires information about the vehicle such as unladen weight, seating capacity, horsepower, and intended use within or outside local authority limits. 3) Once completed, certified and signed, it is submitted along with tax payment to the taxation authority for the issuance of a tax token for the vehicle.

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127 views3 pages

Motor Vehicle Tax Declaration Form

1) This document is a form declaration for paying motor vehicle tax in the state of Goa, Daman and Diu according to the Motor Vehicles Tax Rules of 1974. 2) The form requires information about the vehicle such as unladen weight, seating capacity, horsepower, and intended use within or outside local authority limits. 3) Once completed, certified and signed, it is submitted along with tax payment to the taxation authority for the issuance of a tax token for the vehicle.

Uploaded by

NGL Ventures
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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FORM I

Form of declaration
(Rule 3 and rule 5)

The Goa, Daman and Diu Motor Vehicles Tax Rules, 1974

For of declaration to be made in respect of motor vehicle used or kept for use in the state

I, …………………………………………………………………………………………………………………………. address …………………

……………………………………………………………………………………………….. desires to pay in respect of motor vehicle


No. ………………………………………………………….. *

From ………………………………………………… up to 30th June / 3oth September / 31st December / 31st March of
the current financial year and tender Rs……………………………………………………….. by cash/ cheque/ demand
draft/ money order being the tax due for the period ……………………………………………………………………………….

a) Weight unladen ……………………………………………………..………………………………………………………………


b) R.L.W. …………………………………………………………………….………………………………………………………………
c) Seating capacity (excluding driver) …………………………………………………………………………………………
d) Standing capacity …………………………………………………………………………………………………………………..
e) Horse power ……………………………………………………..…………………………………………………………………..
1) I intend / do not intend to use the vehicle solely within the limits of …………………………………….
Which has / has not levied a tax on motor vehicle.
2) I intend to use the vehicle both within and without the limits of local authorities.
3) The fuel used in the vehicle petrol / diesel.
4) Name of insurer ……………………………………………………………………………………………………………………
5) Insurance certificate no. ……………………………………………………………………………………………………….
6) Date of validity from …………………………………………….. to ………………………………………………………..

Signature

Certified that the above mentioned vehicle is liable to tax class ……….……………… of clause
……………. Of the schedule annexed to the Goa, Daman and Diu Motor vehicles tax Rules, 1974
and that Rs. …………………… is due for the period commencing on ……………………………. And ending
on …………………………….

Date: ………………………… (signature)

Taxation authority

___________________________________________________________________

1
The tax of Rs. …………………………………… mentioned above has been received by me, vide receipt
no. ……………………………………. Dated ………………………………

(Signature)
Cashier
__________________________________________________________________
Tax token no. ………………………….. to expire on …………………………….. has been issued today.

Form no III completed initials to token clerk

Index card completed initials of posting clerk

Tax posting made

*Strike out whichever in inapplicable.

**Here specify name of local municipality. (Signature)

Taxation authority

Price: Rs. 10.00/-

Please pay the cost of this form at the concerned RTO Printed from www.goatransport.gov.in

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