Inhoudsopgave

18.00.00 Tijdelijke invoer

Handboek Douane

18.00.00 Tijdelijke invoer, 12 april 2010, versie 6

50. Bijlage 4. Formulier bijzonder kentekenbewijs


>	Belastingdienst/Centrale Administratie (B/CA)

		Telefoon Telefax

		Bezoekadres:

Application by a person whose normal place of residence is outside the customs territory of the European Community and who will be staying temporarily in that customs territory for permission to take delivery of an unused motor vehicle from a bonded warehouse under the scheme allowing conditional exemption from import duty, turnover tax, registration tax on motorcars and motorcycles.


1. Name and initials of the applicant:	1

2. Place of residence outside the customs territory of the	2

Community (full address):

3. Temporary address in the Netherlands (full address):	3

4. Can you be contacted in the Netherlands by telephone	4	Yes, at number				No

5. Nationality	5

6. Date of birth:	6

7. Occupation:	7

8. a Are you a member of a family?	8 a		yes	No

b If so, what is the family's place of residence?	b

(full address)

9. Date of arrival in the Netherlands:	9

10. a Have you ever been in the Netherlands before?	10 a		Yes	No

b If so, when and during what periods?	b from to

	from to

	from to

11. a On what date will you be finally leaving the	11 a

Netherlands?

b To what country/countries will you be going then?	b

c When will you be returning to your place of residence	c

outside the customs territory of the Community?

12. Into which country will the motor vehicle be finally	12

imported?

13 Reason for the temporary stay in the Netherlands:	13

14. a Are you gainfully employed in the Netherlands?	14 a		Yes	No

b If so, for what period of time?	b

c As an employee or as a self-employed person?	c		as an employee		as a self-employed

	(see also point 20) person

d Name and address of your employer	d



15. a Will the motor vehicle also be used for business	15 a		Yes	No

purpose during your stay in the Netherlands?

b If so, to what extent in relation to the total use?	b %

c Is an allowance paid in respect of the use of the	c		Yes	No

motor vehicle?

16. a Are you studying in the Netherlands?	16 a		Yes	No (see also point 20)

b If so, for what period of time?	b

c Name and address of the educational establishment:	c

(DO 21 - 2Z*3PL)


17. a Have you brought or are you bringing household effects to the	17 a	Yes	No

to the Netherlands?

b If so, have you received or applied for, or will you be receiving or	b	Yes	No

applying for, exemption from duty and/or tax on them on

importation?

c From whom or to whom	c

18. Name and address of the supplier of the motor vehicle:	18



19. a Has a registration certificate been issued for the vehicle already?	19 a	Yes	No

b If so, in what country?	b

c What is the registration number?	c

20. If you are gainfully employed in the Netherlands as an employee or	20	enclosed		not enclosed

are studying in the Netherlands, a declaration from the employer or

educational establishment, indicating the duration of the employment

or course of the study, must be enclosed with this application

The applicant hereby declares:

a that the information given in the foregoing application is correct;

b that he knows that the motor vehicle must be finally exported before the expiry of the registration certificate;

c that he will contact the Belastingdienst/Centrale Administratie (B/CA), section licence-cards without delay if it proves impossible to fulfil the obligation referred to under b;

d that the motor vehicle tax due on the motor vehicle will be paid;

e that he is aware that the motor vehicle may be used only by himself.

The following documentary evidence should be submitted with the application:

a a photocopy of a valid identity paper (passport) including eventual visum;

b a photocopy of the invoice of purchase.

	Place

	Date

	Signature

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Handboek Douane

50. Bijlage 4. Formulier bijzonder kentekenbewijs

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