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    Contract Number:

    Salesperson:

    VEHICLE DETAILS VEHICLE PRIStock No. -$

    Make: 35.00$

    Model: 35.00$

    Year of Man: -$

    Comp Date: 35.00$

    Colour: 22.80$

    Trim Colour: -$

    Trans: -$

    Descript: 3.70$

    Reg No. -$

    Reg Exp. -$

    VIN No. 61.50$

    Eng No. -$

    Odometer:

    Odo in words: 61.50$

    Del Date:

    Engine Size: -$

    Body Type: 61.50$

    RECORD BOOKAcquired From:

    CRN:

    Acquisition Date:

    Km's - IN

    Disposed to:

    CRN:

    Disposed Date:

    CAR DEALER MANAGEMENT SYSTEM - V2.1

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    Km's - OUT

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    Phone: Work:

    Mobile:

    Home:

    Fax:

    D.O.B. (1)

    D.O.B. (2)

    Email:

    Phone: Office:

    Mobile:

    Fax:

    A.B.N.

    CRN:

    iness Name

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    Notice of cooling-off period and Statutory WarrantyProperty Agents and Motor Dealers Act 2000This form is effective from 1 July 2009

    1. Licensed Motor Dealer Details Contract order number: Stock Number:

    Motor Dealer Name:ABN: Hours of Business:Address:Suburb: State: 0 Postcode: 0Phone: Fax:Licence No.: Expiry Date:

    2. Buyer DetailsBuyer Name:Address:

    Suburb: State: 0 Postcode: 0Phone: Fax:

    3. Motor Vehicle DetailsMake: Model:VIN No.: Year of Manufacture:Description:Registration Number: Odometer Reading:

    0 0

    This form must be completed BEFORE a contract is finalised if the vehicle does have a statutory warranty.For a vehicle to be sold without a Statutory Warranty, pleaae complete PAMD Form 61 - Notice of Cooling-Off Period and Notice of No Statutory Warranty.

    Restorable vehicles (Vehicles at least 20 years old sold for restoration) must have a statutory warranty unless waived by the buyer.

    Cooling-off PeriodBy choosing to purchase this vehicle from a licensed motor dealer, you are automatically granted a cooling-off period, unless you take immediate possession of thevehicle or it is exempt under the legislation.

    InstructionsPlease complete in BLOCK letters. Attach extra pages if needed. All references to dates should be shown in DD/MM/YYYY.

    If you need more information or help completing this form, please contact the office of Fair Trading on 13 13 04.

    In accordance with Section 283A of the Property Dealers and Motor Dealers Act2000: I disclose that I am a licensed motor dealer.

    0

    PAMD Form 60

    Department of Employment, Economic Development andInnovation (DEEDI)

    ABN: 97 406 359 732

    0 0

    00

    00 0

    00

    00

    0 00 0

    00 0

    Property Agents and Motor Dealers Act 2000 - Section 300 and Section 317 - Form 60 - V3 - July 2009 Page 1 of 4

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    4. Cooling-Off Period

    Applies Doesn't Apply (as per PAMD)

    a)

    b)

    The cooling-off period:

    Starts at .. (time) on / / (date)D D M M Y Y Y Y

    ends at 5.00pm on / / (date)

    5. Statutory Warranty

    A Statutory Warranty does apply to this vehicle.

    Name of Warrantor (if not motor dealer named in Part 1.1)

    Class of Warranty (dealers tick which applies):

    (i)

    (ii) at the time the vehicle travels 5000 km after it is sold; whichever happens first.

    (i)

    (ii) at the time the vehicle travels 1000 km after it is sold; whichever happens first.

    The warranty period may be extended while a defect in a warranted vehicle is being repaired.

    6. The Statutory Warranty covers

    The warrantor o the vehicle warrants that:1) the vehicle is free from defects* (other than the defects listed on page 3 not covered by the statutory warranty)

    at the time of sale and for the warranty period; and2) the defects in the vehicle reported in writing during the warranty period will be repaired by the warrantor free of charge.

    at 5.00pm on the first day, other than a Sunday or public holiday, one month after the day the vehicle is sold when the warrantor'splace of business is open for business; or

    (* A Warranted vehicle has a defect if a part of a vehicle does not perform its intended function OR has deteriorated to an extent where it can notreasonably be relied upon to perform its intended function.)

    at 5.00pm on the first day, other than a Sunday or public holiday, three months after the day the vehicle is sold when the warrantor'splace of business is open for business; or

    A one day cooling-off period applies to this vehicle, providing it is not a new car, was not sold by auction and you (the buyer) do not take physicalpossession of the vehicle for a purpose other than a vehicle inspection or a test drive.

    To exercise your right to cancel this contract you must provide the dealer with written notification (Appendix A) prior to the cooling-off period ending.Cancelling the contract within the cooling-off period may result in you forfeiting up to $100.00. All other monies paid must be refunded.

    .' Class B 'The warranty period for a 'Class B' warranted vehicle (a vehicle that at day of its sale has an odometer reading of 160,000km or more; ORwas manufactured at least 10 years before the date of sale) ENDS:

    The cooling-off period ends 5.00pm the next business day (excludes Sunday and Public Holidays). If the motor dealer closes prior to 5.00pm, then thecooling-off period is extended to the first day of the following where the dealer closes on or after 5.00pm. (Excludes Sunday and Public Holidays).

    The cooling-off period ends when the buyer takes permanent possession of the vehicle (not for an inspection/test drive).

    You must provide the dealer with written advice prior to the cooling-off period finishing if you do not want to go ahead with this purchase (Apeendix A).

    .' Class A '

    The warranty period for a 'Class A' warranted vehicle (a vehicle that at day of its sale has an odometer reading of less than 160,000km ANDwas manufactured less than 10 years before the date of sale) ENDS:

    Property Agnets and Motor Dealers Act 2000 - Section 300 and Section 317 - Form 60 - V3 - July 2009 Page 2 of 4

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    7. The Statutory Warranty DOES NOT cover

    Under the Act, the following defects are NOT covered by the statutory warranty:Any defect in tyres, batteries, lights and radiator hoses.

    The following used vehicles are NOT covered under this statutory warranty:

    a)

    (i) Incapable of being registered in Queensland because of it's design; or

    (ii) on the written off vehicle register; or

    b) a motor vehicle sold on consignment, unless the owner of the vehicle is a motor dealer or auctioneer; orc) a caravan; ord) a motorcycle; ore) a commercial vehicle.

    8. Buyer's obligation regarding warranty

    If a repair is required under statutory warranty, the buyer must give written notice (includes facsimiles) to the warrantor prior to repair.

    9. Motor Dealer's Declaration

    I,

    1)2)3)4)

    5) I have given the buyer PAMD Form 60 and Appendix A at (time) on / / (date)D D M M Y Y Y Y

    Motor Dealer's Signature

    date signed: / / (date)D D M M Y Y Y Y

    10. Acknowledgement by the buyer

    I,

    acknowledge that I have received this PAMD Form 60 and Appendix A.

    Buyer'sSignature

    date signed: / / (date)D D M M Y Y Y Y

    (the buyer)

    A commercial vehicle is a vehicle built mainly for carrying or hauling goods or designed to carry more than nine persons. However, a utility with anominal load carrying capacity on one tonne or less is not a commercial vehicle and has a statutory warranty.

    Delivery of motor vehicle when making claim on statutory warranty - the buyer is advised that it is their obligation to deliver the motor vehicle that is tobe repaired under the statutory warranty to the warrantor if the motor vehicle is within 200kms of the warrantors place of business at the time the buyernotifies the warrantor of the defect.

    If the motor vehicle is located more than 200kms from the warrantors place of business at the time the buyer notifies the warrantor of the defect, thebuyer must deliver the motor vehicle to the qualified repairer closest to the vehicles location. If the warrantor elects to send the motor vehicle to anotherlocation it is at the warrantor's expense.

    0 (print name) declare:(the motor dealer)

    There is no prior contract with another buyer to purchase this vehicle.I have not attempted to pursuade the buyer to forfeit the buyer's cooling-off rights.This motor vehicle has a statutory warranty.I have not attempted to pursuade the buyer to forfeit their statutory warranty.

    0:00

    0 (print name)

    A defect in the vehicles f itted airbag.

    A defect in the vehicles installed radio, tape recorder or CD Player.A vehicle accessory prescribed under a regulation.For Class B warranted vehicle, a defect in the vehicles air conditioning system.Any defect in the vehicles paintwork or upholstery that should have been apparent on any reasonable inspection of the vehicle before the buyer tookdelivery.

    Any defect after the buyer takes delivery arising from or incidental to any accidental damage to the vehicle or arising from the buyer's misuse ornegligence.Any defect in an accessory to the vehicles not fitted to the vehicle when sold to the buyer.

    an unregistered motor vehicle that is:

    Property Agents and Motor Dealers Act 2000 - Section 300 and Section 317 - Form 60 - V3 - July 2009 Page 3 of 4

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    PAMD Form 60

    Notice of cooling-off period and Statutory WarrantyProperty Agents and Motor Dealers Act 2000

    This form is effective from 1 July 2009

    I, (print name)

    of

    (buyer's address)

    Exercise my cooling-off rights during the cooling-off period and withdraw my intention to purchase the vehicle.I exercise my rights by signing this notice and giving it to you, the dealer.

    Buyer's Signaturedate signed: (date)

    D D M M Y Y Y Y

    Note to Buyer:

    ABN: 97 406 359 732Department of Employment, EconomicDevelopment and Innovation (DEEDI)

    Cancellation of agreement during cooling-off period

    To be completed by prospective buyer, If they want to cancel the contract to buy the vehicle within the one-business day cooling-off period.

    Contract Order No:

    0

    It is recommended that the buyer uses this appendix when advising the motor dealer that they wish to exercise their right to cancel the contract for the vehiclementioned in this form.

    The Office of Fair Trading recommends you keep a copy and can prove it has been delivered to the dealer.

    Complete this form, photocopy and deliver to the delaer personally or by receipted courier or fax before the cooling-off period ends.

    (the buyer)

    Property Agents and Motor Dealers Act 2000 - Section 300 and Section 317 - Form 60 - V3 - July 2009 Page 4

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    PART A

    DEALER LIC.

    Customer (Buyer): A.C.N.

    Address: A.B.N.

    P/CODE Ref No

    Phone: (work) (mobile) (Home) (Fax)

    Occupation Employer Licence (1) D.O.B

    Email: Licence (2) D.O.B

    Make Model Body Type Trans Rego

    Compliance Plate Date VIN # Due Date:Year Of Manufacture Odometer Odometer (words)Body Colour Trim Del. Date Eng. No. Eng. size

    Trade In AllowanceLess Payout to:Branch:AC No.:Chq No.Less Refund to ClientNet Trade Equity:

    Finance being arranged by

    Dealer Customer

    Finance Provider

    Branch .

    Contact ..

    Phone No. ..

    Buyers Signature (Finance Only)Balance of Payment Rec NoCashBank Cheque

    Rec No.:

    TOTAL SETTLEMENT $

    $

    AMOUNT FINANCED

    $

    $$

    $

    35.00$-$

    35.00$22.80$

    -$

    Compulsory Third Party Insurance (Inc. GST)SUB TOTALOther Conditions/Supplies

    -$61.50$

    TOTAL PURCHASE PRICE (INC.GST)

    PAYMENT

    Price Including GSTStamp DutyRegistration/ConcessionalTransfer FeePPRS CertificateWOVR Certificate

    61.50$

    PURCHASER DETAILSCash Price (Inclusive of GST)Optional Accessories

    PPRS Administration FeeSUB TOTALLess other allowances

    -$

    AMOUNT-$

    3.70$-$

    35.00$

    2 2VEHICLE PRICING SETTLEMENT DETAILS$ $ AMOUNT

    $

    $

    DepositDeposit Rec No.:

    $

    0

    1/0/1900

    0

    0

    000

    1/0/190000

    0 000

    2Please supply the following vehicle ("hereater called the vehicle') to the customers as described above, upon

    the terms and conditions stated on the face and on the back of this contract.

    0

    0 0

    0 1/0/1900

    0

    0

    0

    Salesperson.

    0

    LICENSED MOTOR DEALER

    0

    1 CONTRACT / ORDER FORM TO BUY A USED MOTOR VEHICLE

    0

    Contract Order No.

    Stock No.00 0 0

    0

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    PART B

    I/We have this day sold the vehicle described above to the Motor Dealer shown together with all accessories (as listed), tyres, radio, tools etc for

    the sum of $

    Accessories:

    (a) The engine HAS/HAS NOT been replaced by/on behalf of the vendor. If replaced, the approximate date of replacement was / / (dd/mm/yyyy)

    (b) The Odometer HAS/HAS NOT been replaced by/on behalf of the vendor, and I confirm to the best of my knowledge that the odometer reading is correct.(c ) The Concessional Registration HAS/HAS NOT been claimed in respect of this vehicle by the vendor.

    (d) if fitted with airbags have the air bags been activated YES/NO(e)

    (g)

    The said encumberance IS/IS NOT to be paid out by the Motor Dealer.

    I am not bankrupt and have not committed any act of bankruptcy.

    The vehicle HAS/HAS NOT been used as a taxi or hire car.

    That no defect notice has been issued against this vehicle.

    The vehicle IS/IS NOT to be sold at auction. The reserve price for the vehicle at auction is $....................... ..........................(delete as applicable)

    Goods and Services Tax StatementI am registered or required to be registered for GST - YES/NO

    The supply of the abovementioned vehicle by me represents a taxable supply by me in the course of an enterprise which I carry on - YES/NO

    The supply of the abovementioned vehicle is not a GST-free supply, by me.

    If this supply does represent a taxable supply by me, I will provide the Dealer with a valid tax invoice at the time of the Dealer signing this contract.

    Declared at this day of . 20

    . (Witness)

    The licensed Motor Dealer or a person duly authorised by the Motor Dealer as described in Part A, declares and guarantees that

    This Dealer's Statement; and

    Part A of this Contract Date

    Received attached copy of PAMD Form 60 (with warranty) Accepted for and on behalf of the Licensed Motor Dealer

    PAMD Form 61 (without warranty)

    __________________

    Dealer .... Date1/0/1900

    Buyer .. Date

    Witness.. Date1/0/1900

    1/0/1900

    This vehicle HAS/HAS NOT previous been recorded on the written off vehicle register.

    Body Colour

    Compliance Plate DateYear Of Manufacture

    Make ModelVIN #Odometer

    Trim Pers Plates

    Odometer (words)

    Eng. No. Eng. size

    Body Type Trans Rego

    Stock No.5 VENDOR'S STATEMENT TO DEALERProperty Agents and Motor Dealers Act 2000 Section 331

    (f)

    That any conversion or modification from the manufacturers specifications HAS/HAS NOT been approved by the Queensland Transport Department and aletter of approval is held and modification plates are fixed to the vehicle.

    This vehicle IS/IS NOT currently on the written off vehicle register

    STATEMENT

    1

    Due Date:

    DESCRIPTION OF USED MOTOR VEHICLE (OR THE TRADE IN)

    2 (a)

    (b)

    The vehicle is the vendors sole and absolutely unemcumbered property and free from any consumer mortgage, Bill of Sale, Hire Purchase Agreement, Lien,

    charge or an adverse interest whatsoever, and no person or corporation has any rights, title or interest therein and the vendor has good right and title to sellsame; or

    There is an encumberance, charge, lien, or the other adverse interest whatsoever by the way of Bill of Sale/Hire Purchase Agreement/other over the saidvehicle is to . For $ (inclusive of GST)

    (c )

    34567 In the interpretation of this document, the singular shall include the plural and any statement or warranty by or obligation upon more than one person shall bind

    them jointly and severally.

    8(i)

    (ii)

    (iii)

    (iv)9 I understand that under section 576 of the Property Agents and Motor Dealers Act 2000, I am liable to penalty if I wilfully represent anything that is false or

    misleading about the total distance travelled by the abovementioned motor vehicle.

    I/We certify that the above information supplied is true and correct

    (a) This contract is not binding on the Dealer or Buyer until it is accepted by theMotor Dealer

    ....(vendor/seller)

    Property Agents and Motor Dealers Act 2000 Sections 255, 295 (4) & 332 DEALER'S STATEMENT

    1 The details of the vehicles required to be stated for the purpose of sections 332 or 255 of the Property Agents and Motor Dealers Act 2000, and regulation 25 of theProperty Agents and Motor Dealers Regulation 2001 are as detailed in

    Signtaure of Dealer 1/0/1900

    (e)

    This may become A LEGALLY BINDING CONTRACT on acceptance by the Dealer. Thbuyer should carefully read all pages to this contract before signing. I acknowledg

    that and consent to the personal information I have been provided in this documebeing used and disclosed for marketing purposes relating to the sale of motor

    vehicles (delete if required)(b) The prices, allowances and amounts shown in this contract may be adjusted in

    accordance with clause 2 on the back hereof.(c ) The buyer is not under the age of 18 years, not a bankrupt and has not

    committed an act of bankruptcy.(d) Prior to the buyer signing this contract, all material particulars have been

    inserted in this contract and the buyer has read and understands suchparticulars and terms and conditions set out on all pages to this contract,including the conditions on the back of this page.

    (i)

    (ii)

    The Buyer acknowledges that:

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    t

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    Statutory Warranty Period and Guarantee of title to buyerProperty Agents and Motor Dealers Act 2000This form is effective from 1 July 2009

    1. Licensed Motor Dealer Details Contract order number: Stock Number:

    Motor Dealer Name:ABN: Hours of Business:Address:Suburb: State: 0 Postcode: 0Phone: Fax:Licence No.: Expiry Date:

    2. Buyer DetailsBuyer Name:Address:Suburb: State: 0 Postcode: 0

    Phone: Fax:

    3. Motor Vehicle DetailsMake: Model:VIN No.: Year of Manufacture:Description:Registration Number: Odometer Reading:

    000

    0

    0 00 0

    00 0

    000

    0 1/0/1900

    In accordance with Section 283A of the Property Dealers and Motor Dealers Act2000: I disclose that I am a licensed motor dealer. 0 0

    00 0

    If you need more information or help completing this form, please contact the office of Fair Trading on 13 13 04.

    If the motor dealer owns the motor vehicle or is appointed to sell the vehicle on consignment for someone other than another motor dealer orauctioneer, then the motor dealer is also the responsible licensee.

    PAMD Form 62ABN: 97 406 359 732

    Department of Employment, Economic Development andInnovation (DEEDI)

    This form must be completed upon delivery of a vehicle

    This form is to be used if a used motor vehicle, including a motor vehicle to be sold on consignment, is to be sold by or for a motor dealer (not byauction) to someone else ("the buyer"). The responsible licensee must ensure that the buyer gains clear title to the motor vehicle at the time thatproperty in the motor vehicle passes to the buyer.The Motor Dealer who sells the motor vehicle to the buyer must give this form to the buyer of the motor vehicle IMMEDIATELY AFTER property in thevehicle passes to the buyer.If no statutory warranty applies, please use PAMD Form 63 - Guarentee of title to buyer (by a motor dealer).

    If the motor delaer is selling the motor vehicle for another motor dealer or auctioneer, the other motor dealer or auctioneer for whom the vehicle isbeing sold on behalf of is the responsible licensee.

    InstructionsPlease complete in BLOCK letters. Attach extra pages if needed. All references to dates should be shown in DD/MM/YYYY.

    Property Agents and Motor Dealers Act 2000 - Section 295 and Section 314 - Form 62 - V3 - July 2009 Page 1 of 2

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    4. Responsible Licensee (The person who is responsible for guaranteeing title of the vehicle)

    If the responsible licensee is the same as in section 1 of the form, please tick box and proceed to section 5.

    Name:

    Address:

    Suburb: .State: Postcode

    Phone: . Fax: Mobile: . Email:

    License number: .Expiry date:

    5. Statutory Warranty Period

    The motor dealer to fill out this section immediately prior to the buyer taking delivery of vehicle.

    The warranty period STARTS on / /

    The warranty period ENDS on / /

    This statutory warranty covers a motor vehicle which is 'Class A' or 'Class B' .

    6. Responsible Licensee's declaration.

    I, (the responsible licensee)

    Signature Date Signed:

    6. Declaration, the buyer's statement about de livery and acknowledgement of the title guarentee..

    I on

    (Date) and that I have received:

    a)b)

    Buyers Signature Date Signed:

    0

    D D M M Y Y Y Y

    declare that I guarentee that the buyer gains clear tital to the motor vehicle at the time that the property in the motor vehicle passess tothe buyer.

    / /D M Y Y

    ABN:

    /D D

    /M M Y Y Y Y

    If the motor dealer owns the motor vehicle or is appointed to sell a vehicle on consignment for someone, other than another motor dealer orauctioneer, then the motor dealer is the responsible licensee.

    If the motor dealer is selling the motor vehicle for another motor dealer or auctioneer, then the motor dealer or auctioneer for whom the vehicle isbeing sold on behalf of is the respons ible licensee.

    D D M M Y Y Y Y(Start date)

    (The warranty period for a 'Class A' and a 'Class B' vehicle starts at the time/date that the buyer takes physical possession of the vehicle. A warrantycannot expire on a Sunday, public holiday, or a day when the dealers business is not open until 5.00pm. When the expected expiry date is due to fallon one of these options, then it will be extended to 5.00pm on the first day following that is not a Sunday, public holiday and the Dealer's business isopen.)

    (END date)D D M M Y Y Y Y

    (The warranty period will be extended if a defect in a warranted vehicle is being repaired. It is the buyer's duty to notify the warrantor in writing ofdefects before the end of the warranty period.)

    YD M Y

    (the buyer)

    / /

    0 (print name), state that I took delivery of the vehicle at 0:00(time)

    D D M M Y Y Y Y

    A copy of this form, PAMD Form 62, signed by the responsible Licensee; ANDA Security interest certificate for the motor vehicle.

    / /

    Property Agents and Motor Dealers Act 2000 - Section 295 and Section 314 - Form 62 - V3 - July 2009 Page 2 of 2

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    Phone:Email:

    ABN

    INVOICE NO.

    INVOICE TO:

    STOCK No. Year of Manufacture: Compliance Date:DESCRIPTION:COLOUR: TRIM: TRANSMISSION: BODY TYPE:

    REGISTRATION NUMBER: REGISTRATION EXPIRES:

    VIN: ENG No.

    PLEASE EMAIL ALL REMITTANCE ADVICES TO:

    00

    0 0

    Business name Dealer Licence: 0

    TAX INVOICE

    00

    0

    DATE: Friday, September 19, 2014 0

    00000

    VEHICLE DESCRIPTION:0 0 Jan-00

    00 0 0 0

    0 0 ODOMETER: 0

    0 0

    PRICE EXCLUDING GST GST TOTAL INC GSTPRICINGNET VEHICLE PRICE

    STAMP DUTY

    $0.00$0.00

    $20.73

    $0.00REGISTRATION $0.00

    $2.07

    $0.00$0.00

    $22.80

    $3.18

    $0.00 $0.00

    BANK TRANSFER

    WOVR CERTIFICATE

    $0.00$31.82

    $3.36$0.00

    $0.00

    OTHER ALLOWANCES

    TOTAL VEHICLE COST

    OTHER INCLUSIONS$0.00

    $0.00$0.00

    BALANCE PAYABLE: $0.00

    ACCOUNT No.: 0BANK: 0

    0

    $0.00 $0.00 $0.00

    PAYMENT RECEIVED $0.00

    ACCOUNT NAME: 0BSB: 0

    OTHER

    $61.50$5.59$55.91

    DEPOSIT

    $0.00 $0.00$0.00

    PAYMENT IN FULL

    $0.34$0.00

    $0.00$35.00

    $3.70$0.00

    $0.00

    PAYMENT OFBALANCE OWING

    $0.00 $0.00$0.00 $0.00

    $0.00

    COMPULSORY THIRD PARTY INSURANCEPPRS ADMINISTRATION FEE

    PPRS CERTIFICATE

    $0.00

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    Vehicle Registration Transfer ApplicationTransport Operations (Road Use Management) Act 1995

    1 4 continuedHas the Disposer provided a Registration Certificate? The registered operator above is (tick one box)

    > Private Individual/s > Go to 5 Registered Company

    Is the vehicle's registration current? Business/Trust Other/Legal entities>

    Company/Business DetailsDoes the vehicle have personalised plates attached? Australian Company Number (CAN)/Business Number (BN)

    >You must nominate one proprietor/trustee of the business or trustas the second registered operator.

    5 Is the vehicle to be transferred into two names?2 No > Go to 7 Yes

    6 Second registered operator's details

    No >Yes >

    3 Full name (please print)

    7 Where will the vehicle be garaged?(must be in Queensland)

    8 Date of disposal

    Disposer's CRN9 Will the vehicle be registered to an individual/s and used

    exclusively for personal and domestic activities?

    Yes

    4 No > Please indicate purpose of use below (please tick onebox only)

    10 Vehicle Registration Duty

    No

    $

    Yes

    It is an offence to give false of misleading information under the Transport Operations (Road Use Management) Act 1995

    X

    Part A. Transfer Application: Acquirer to complete and submit to the Department of Transport and Main RoadsMaximum penalty may exceed $6000.

    Registration Details

    Yes No This application may not be processed

    XYes No

    unless a Registration Certificate is attached.

    Any outstanding fees must be paid with

    X

    label)

    0Check digit

    XNo Yes

    Vehicle Details - please print

    The disposer must submit a Remove and/or

    Attach Personalised Number Plates Application

    Note: If registered in joint names all disposers details must becompleted below.

    The CRN is your Qld Driver Licence number, Adult Proof of Age Cardnumber or your refernce number issued by TMR.

    First Disposer's detailsDisposers Customer Reference Number (CRN)

    Make, Model and Body Shape (e.g. Ford Falcon Station

    Vehicle Identification Number (VIN) or Chassis Number

    The vehicle is to be transferred from:-

    Disposer's name (please print)

    Second Disposer's details (if applicable)

    No

    First Registered operator's details

    Full name and residential/business address (please PRINT)

    Postal address (if same as above write 'AS ABOVE')

    Disposer's name (please print)

    The vehicle is to be transferred to:-Note: The vehicle may be transferred into one or two names

    Evidence of Identity (EOI) is required for all acquirers

    as above

    0

    0 0 0

    this application.

    (F2964) or a Personalised Number Plate/s

    Transfer Application (F2963) with this application.

    (note: the check digit is the single number that appears following theregistration number on the Regis tration Certificate or windscreen

    continued

    0

    business Name

    0

    0

    Registration/plate number

    0

    0

    Yes

    > Complete a New Customer Application (Form F3503)

    X > CRN

    Does the above individual or organisation have a CRN?

    The CRN is your Qld Driver Licence number, Adult Proof of Age Card

    number or your refernce number issued by TMR.

    Commercial COML

    Details must be those of an individual or the proprietor/trustee ofthe business/trust.

    0/01/1900

    TRAIDriver Training orTuition

    Taxi TAXI

    Used for NonProfit

    NONP

    Priv > Go to 10 X

    Adult Proof of Age Card number or your reference numberDo you have a CRN? The CRN is your Qld Driver Licence number,

    issued by TMR.

    PPSE

    Limousine LIMO

    LSPLSpecial PurposeLimousine

    0

    X

    0 0 0

    Complete a New Customer Application (Form F3503)

    CRN

    Farming FARM

    Licensed TowTruck

    LTOW

    Duty (if applicable) on tractor-based mobile machinery ischarged at a flat rate of $25.00

    $0.00 Dutiable Value(Market Value)

    > Exemption code/number (as listed in the vehicleRe istration Dut Exem tions section

    Is there an exemption from paying duty?

    X > Dutiable Value' is defined in the duty and Dutiable Valuesection. For vehicles other than tractor-based mobilemachinery, what is the dutiable value at the date ofdisposal?

    Emergency EMER

    School ActivitiesOnly (Transportingchildren,teachers)

    Rental(Self Driver Rental)

    RENT

    SCHA

    Public PassengerService

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    11 Current Odometer (Speedo) reading (if applicable) 18 continuedRepresentatives signature

    12 Registration periods 19 CertificationAre you paying the renewal at the time of transfer?

    Is the vehicle's GVM or ATM over 4.5 tonne?Acquirer/s signature Date

    12 months13

    Now complete Part B Proof of Transfer/Notice of Disposal

    Yes Trans erring registration

    Yes

    14 Buyer's checklistCheck that:

    the vehicle has a Qld Safety Certificate or Qld COI

    the Qld safety certificate is attached to a conspicuous part of the vehicle

    the Qld safety certificate identifies the issuing AIS

    the Qld safety certificate or Qld COI is current

    15 the vehicle has been inspected by an independent mechanic

    >Go to 16

    >

    16

    Yes

    17 Identificatioon sighted? Yes No> Go to 18 Is there a change of POU? Yes No

    Is there a change of CTP? Yes NoYes > is there a change of ITCE? Yes No

    Vehicle Inspection? Yes No

    Authorising person's name

    18

    Authorising person's signature Date

    > Go to 19Yes > Concession Codes

    Veterans Affairs Pension:-PVA1 - Granted rior 1 7 94PVA2 - granted ono or after 1/7/94EXSV - exserv ce ersonsSoc. Sec. Pension Conc. :-PSS1 - granted prior 1/7/94PSS2 - ranted on or after 1/7/94

    Dept. of Communities :-SENR - Seniors Card

    Only GST registered businesses may be able to claim an input taxcredit (ITC). Is anyone entitled to claim the GST component of the CTPinsurance premium for the vehicle as an ITC? If unsure contact yourtax advisor.

    No x

    6 months

    >if yes, name of CTP insurer

    Compulsory Third Party (CTP) Insurance

    You must present the relevant gas certificate, FormPGR101/102 (fuel system) or Form PGA734 (cookingfacilities), with this application unless exempt. Forused vehicles the issue date of the certificate mustnot be more than 3 months before the lodgementdate of this a lication.

    Gas fuel systems certificate/CompliancePlate no.

    Do you wish to nominate a new CTP insurer?

    You may choose a new CTP insurer for the next registration period.For a list of l icensed insurers visit www.maic.qld.gov.au.

    No x

    You, the acquirer, may have to pay a prorata fee withthis application.

    Is the current registration under concession?(The registration Certificate shows whether a vehicle has a concessiona lied to the re istrationNo x >

    (Your representative will need to bring proof of their identification as wellas proof of your identity, e.g. Original Driver Licence). Refer to the separateEvidence of Identity Information sheet (F4362) or www.tmr.qld.gov.au forre uirements.

    $

    X

    What type of concession will you be applying for?

    An Application for Concession and proof of entitlementma need to be su lied with this a lication.

    Is someone lodging this application on your behalf?

    Are you applying for a registration concession?No x

    xRepresentative's details - Name (in full)

    If you are buying a second-hand vehicle, motorbike, caravan or trailer, it is advisable tocheck through the Personal Property Securities Register (PPSR) whether the vehicle hasa security interest registered against it prior to finalising the purchase. The PPSR is anational register where details of security interests in personal property can be

    registered and searched. You can access PPSR at www.ppsr.gov.au or by phone on 1300007 777.

    if the vehicle runs on gas or is fitted with gas appliances, fittings or systems thevehicle has a Gas Certificate. The certificate must not be more than three months

    continued

    Fee CalculationRenewalTransfer

    Surcharge

    you lodge a completed Transfer of Registration Application (form F3520) andcertificate of registration at a TMR Customer Service Centre within 14 days ofpurchase. This form must be signed by both the person selling the vehicle and theperson buying the vehicle. See instructions (tear-off Information Sheet) for other

    Privacy Statement - The Department of Transport and Main Roads (the department) is collectingthe information on this form for the purposes of maintaining the department's vehicle registrationregister, as required under the Transport Operations (Road Use Management) Act 1995. Whererequired, the department or it's agents/contractors may give some or all of this information tovehicle insurers, statutory entities, insolvency entities, lawyers, persons involved in vehicleincidents/accidents, vehicle manufacturers, third parties who are involved in or intend tocommence various legal proceedings, tolling entities, law enforcement agencies and to or through

    interstate registering authorities. Your personal information will not be disclosed to any other thirdparty without your consent, unless authorised or required to do so by law.

    Office use only

    Duty

    Pre-RataAdmin

    Total

    No

    All acquirers must sign, however, future transactions will only require one signature.!/We declare that the information provided is correct and that the true DutiableValue has been declared. I/We consent to TMR verifying my evidence of identitydocuments or information with the issuing authority or their agencies.

    0/01/00

    Disposer's signature/s - if currently in joint names the signature of onlyone disposer is required Date

    0/01/00

    0

    Yes No > Go to 13

    3 months

    No x > Registration period options6 months 12 months

    Yes > Registration period options

    Issue Date

    (exemptions listed in Gas Certificate Exemptions)Other Gas systems Certificate/CompliancePlate no. Issue Date

    Qld Safety or Qld Inspection CertificateIs there an exemption from providing a Qld Safety or QldInspection Certificate?No x > The original Qld Safety/Inspection Certificate must

    be attached to this application (see instructions-tear-off sheet)

    Yes > Exemption Category (as listed ininstructions)Is this vehicle fitted with gas fuel systems or other gassystems?

    NoYe

    x

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    Vehicle Registration Transfer ApplicationTransport Operations (Road Use Management) Act 1995

    1 5 continued

    2 Full Name (Please print)

    Disposer's Customer Reference Number (CRN) Qld Safet OR Qld Ins ection Certificate details if a licable

    Qld Safety/Qld Inspection Certificate number Issue Date

    7 Is this vehicle fitted with an odometer (speedo)?

    3 8

    Acquirer/s Signature/s

    Date

    Date

    No > Complete a New Customer Application (form F3503)>

    4

    5

    No > Complete a New Customer Application (form F3503)

    >

    It is an offence to give false of misleading information under the Transport Operations (Road Use Management) Act 1995Maximum penalty may exceed $6000.

    Part B. Proof of Transfer/Notice of Disposal: Seller to keep.

    As the disposer of this vehicle, you must positively identify the personwho will now be res onsible for the vehicle.

    Private individual/s X

    Note: If registered in joint names all disposers details must be completedbelow.First Disposer's details

    The CRN is your Qld Driver Licence number, Adult Proof of Age Cardnumber or your reference number issued by TMR.

    Organisation

    No

    0

    I/We declare that the information provided is correct and that the trueDutiable value has been declared.

    Acquirer's identification details

    Disposer's name (please print)

    xYes > What is the reading on day of disposal?

    Certification - All Acquirer/s must sign, however, futuretransactions will require only one signature.

    Details must be those of an individual or the proprietor/trustee of the

    business/trust.

    00 0

    0

    GMB Auto WholesalersSecond Disposer's details (if applicable)Disposer's Customer Reference Number (CRN)

    Disposer's name (please print)

    You keep part B (seller's copy) of the transfer Application and the yellow copy of the Qld Safety Certificateas proof of transfer until the vehicle is transferred from your name.

    Private Individual/s

    0

    The registered operator above is (tick one)

    Yes CRN

    The vehicle is to be transferred to:-

    Note: The vehicle may be transferred into one or two names.

    0/01/00

    First Registered Operator's detailsFull name and residential/business address (please PRINT)

    0

    0

    AS ABOVE

    CRN

    Does the above individual or organisation have a CRN?

    Yes X

    Postal address (if same as above write 'AS ABOVE')

    Do you have a CRN? The CRN is your Qld Driver Licence number, AdultProof of Age Card number or your reference number issued by TMR.

    0/01/00

    Part A & B of this form should be separated and completed in full and s igned byboth parties. The Disposer must keep the 'Sellers Copy' and a copy of the QldSafety or Qld Inspection Certificate until the vehicle is transferred from theirname. You need to do this for your own protection as you could innocentlybecome accountable for offences committed by the acquirer/s. If you

    reasonable believe the Acquirer has not applied for transfer of the vehiclesregistration within 14 days, you may lodge the 'Sellers Copy' and a copy of theQld Safety or Qld Inspection Certificate with the department.

    Seller's checklistMake sure:

    the current Qld Safety Certificate is attached to a conspicuous part of the vehicle when offered for sale

    if the vehicle runs on gas or is fitted with gas appliances, fittings or systems the vehicle has a gas certificate.The certificate must not be more than 3 months old and be from an authorised gas installer.

    A transfer of vehicle registration Application (Form F3520) is completed and signed by both the person/sselling the vehicle and person/s buying the vehicle.

    Business/Trust Other/Legal entities

    Company/Business details

    Is the vehicle to be transferred into two names?No

    ACN/ABN

    You must nominate one proprietor/trustee of the business or trust as thesecond registered operator.

    X > Go to 6 Yes

    Seller's Copy

    Vehicle DetailsRegistration/plate number Check digit

    0

    Expiry Date

    1/0/1900The vehicle is to be transferred from:-

    Important : It is an offence for a disposer to fail to produce a Qld Safety orQld Inspection Certificate on transfer of registration.

    1/0/1900Date of Disposal Dutiable Value

    $ $ -

    continued

    >Go to 4 Registered CompanyX

    >Second registered operators details

    The CRN is your Qld Driver Licence number, Adult Proof of Age Cardnumber or your reference number issued by TMR.

    Disposer/s Signature/s - if currently in joint names the signature of onlyone disposer is required.

    Read the following:

    you have obtained a Qld Safety Certificate or COIThe Qld Sfaety Certificate identifies the issuing AIS.

    Go to 5