South Africa Customs And Excise Form Page 2
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3REPUBLIC OF SOUTH AFRICA
DA 304 A
CUSTOMS AND EXCISE.
MOTOR VEHICLE
DECLARATION BY A NATURAL PERSON ON PERMANENT CHANGE OF RESIDENCE TO THE REPUBLIC ITEM
407.04 SCHEDULE No. 4 TO THE CUSTOMS AND EXCISE ACT OF 1964
PERSONAL AND TRAVEL PARTICULARS
Name
Passport No.
Address
Nationality
Mode of travel
Place of departure
Place of arrival
Date of arrival
PARTICULARS OF MOTOR VEHICLE
Type of motor vehicle
Year of manufacture
Date of purchase
Value of vehicle
Date of registration of vehicle in name of importer
Date on which physical delivery was taken from seller
Date and place of handing over for shipment
Date of shipment (Bill of lading date)
1.
Documentary proof in support of these particulars must be furnished.
NOTES
2.
A separate declaration (DA 304) must be completed in respect of household effect.
DECLARATION
I, …………………………………………………………………………… hereby declare that -
*(i)
I am an immigrant
*(ii)
I am a returning South African resident who left the Republic with the intention to settle permanently in
…………………………………………………………………………………..
(*Delete which is not applicable)
and that I have permanently changed the residence of myself and my family to the Republic of South Africa, that the
motor vehicle described above is the bona fide property of myself and has been owned and used by me for the period of
………………….. year(s) …………………… months prior to my departure for the Republic of South Africa and that it was
not acquired under a tax rebate scheme.
I further declare that the motor vehicle here concerned will not be offered for sale, advertised, lent, hired,
leased, pledged, given away, exchanged, sold or otherwise disposed of within two years of the date of entry thereof
under rebate of duty without payment of duty as specified in the Regulations.
I undertake to pay the applicable duty as specified in the Regulations should I be absent without the vehicle in
question for a period of longer than 3 months from the place where such a vehicle is usually used in the Republic.
Signature of
Importer …………………………………………………………..
Witnesses: 1. ………………………………………………..
Date ……………………………………………………………….
2. ………………………………………………..
FOR OFFICIAL USE ONLY
Immigration
Date
Date of arrival
Permit No.
(in passport)
Remarks:
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