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Form 14

This document is a form from the Government of Karnataka's Motor Vehicle Department for applying for a taxation card for a motor vehicle. It requires details such as the vehicle's registered number, class, insurance information, and the tax amount due. The form must be submitted for initial registration and for each subsequent tax payment.

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kabadibhavan241
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2K views1 page

Form 14

This document is a form from the Government of Karnataka's Motor Vehicle Department for applying for a taxation card for a motor vehicle. It requires details such as the vehicle's registered number, class, insurance information, and the tax amount due. The form must be submitted for initial registration and for each subsequent tax payment.

Uploaded by

kabadibhavan241
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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' '',, .,'.

Government of Karnataka FORM NO. {4 Motor Vehicle Department


(See Rule 17)
at
r, ..".....A.*.fg.*.........."....,...:.. , , ..-..,.""" resicling
hereby apply to
..":........... ...........fjs-kn E*.laxi.
Taxation card / enclosed the Taxation Card bearing No' " "'"" "
in respect of a motor vehicte to the following discription^

1. Registered Number: Nrr'r


2. Class of Vechile :

3. (a) Name of the Company issuing the


Cover Note
(b) Cover Note or lnEurance certiflcate
or Policy No, and its validitY

ANP
being the tax due for the period
from
lhereby tender Rs
to

I hereby claim exemption for the Vehicle


on'the following grounds'

Place: Bangalore !\.*ta


Si(1riat0ret
Dated:

(FOR THE U$E OF TNffiTION AUTHORITY)


Amountof Rs, .....Ps...,'."..,.. Credited in challan Number

Taxation Endorsement for period ending issued o0,.,..tr...

'lr-
Dated Taxation AuthoritY

Note : 1. For item 2 please mention the class of Vehicle such as Motor tSycle
with or without side-cab, Motor car, Trailer etc.
2. This form should be attached to the form of application for registmtion
when the tax is to be paid for the first time, $imilarly it should btl
submitted at the time of each subsequent payment of the tax.

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