C104A Form – Fill Out and Use This PDF

Particulars of motor vehicle

Make and model (e.g. Ford	Left or right hand drive	Colour
Mondeo 1.8 XL.)
Previous UK registration No.	Engine number	Chassis number (VIN)
(if appropriate)
Foreign registration number	Year of manufacture	Date of 1st registration
		when new

Particulars of any caravan, trailer, small craft etc. attached

Optional extras (e.g. ABS, automatic transmission etc.)

1. Have you	Tick appropriate box ü

a)lived outside the EC for a continuous period of twelve

(12)months, and

b)possessed and used the vehice in the country of your normal home (see note below) for at least six

(6)months?

2.Was the vehicle supplied tax free when new?

If yes, when you took delivery of the vehicle were

you one of the following:

a)a diplomat;

b)a member of an officially recognised international organisation;

c)a member of NATO forces or civilian component; and are you able to provide evidence of this?

3.Have all customs duties, VAT etc been paid on the vehicle either in the country of origin or in the country from which it is now being imported?

4.Have these taxes been refunded or will they be refunded?

YES NO

Tick appropriate box ü

YES NO

5.a) Have you spent any time in the EC during the past six

(6) months?

b)Has the vehicle been brought into the EC during that time?

6.From what date have you possessed

and used the vehicle outside the EC? ..................................

7.On what date did the vehicle arrive

in the EC?..................................

8.On what date did your stay in the

EC start?..................................

9.On what date did the vehicle arrive

in the United Kingdom?..................................

10.How long do you expect your stay in

the EC to last?..................................

11.Which EC country will be your

home?..................................

Note: Your normal home is regarded as the place where you usually live for at least one hundred and eighty-five (185) days in a period of twelve

(12)months because of your personal and occupational ties. But if you have no occupational ties, or your occupational and personal ties are in different countries, then your normal home is where your personal ties are. (However if you are a UK citizen working outside the EC, your normal home can be where you are working so long as you have lived there for 185 days or more in a period of 12 months). As an example if you are a UK citizen returning with your family after working in the USA for 5 years, your normal home is the USA.

The countries of the EC are:

Austria, Belgium, Denmark, Finland, France, Germany, Greece, Irish Republic, Italy, Luxembourg, Netherlands, Portugal, Spain, Sweden and the United Kingdom. Although they have close links with the EC the following are regarded as outside the EC for VAT purposes: the Åland Islands, Andorra, the Canary Islands, the Channel Islands, French Guiana, Guadeloupe, Martinique, Mount Athos, Reunion, San Marino and Turkey.

Signature of importer ..................................................

Address in the ..................................................

United

Kingdom (including ..................................................

flat number, if

applicable)..................................................

Date	United Kingdom telephone number

Warning: There are heavy penalties for making false

declarations including possible forfeiture of the vehicle

Note: Officers must ensure that the reverse of the form is completed

Place of importation

Ship's name/Aircraft flight no.

Date of importation

Place of examination

Port or place of foreign loading

Bill of lading number