Form C 104a - Importation Of A Private Motor Vehicle Into The United Kingdom On Transfer Of Residence From Outside The European Community Page 2

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Particulars of importation
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
Declaration by Agent
I declare that the vehicle detailed
overleaf is being imported at the request of .......................................................................................................
(importer's name)
Signature of agent ..........................................................................................
Date .....................................
.................................................................
on behalf of
.................................................................
Name and address of agent
.................................................................
For official use
Ship/Aircraft
rotation number
Date of report ..........................................................................
Any other details:
ü
Tick appropriate boxes
Station date stamp
Importer states UK
Held
Not Held
PI notice and
certificate of insurance
SVA leaflet issued
Vehicle released to approved
C&E 388 No. ............................. issued
with a restriction
garage or depository
date of ..................................................
Vehicle released to unapproved
Vehicle released
premises pending entitled
importer's arrival
Officer ................................................................
Time ..............................................................
(use 24 hour clock)
Data Protection Act 1998
HM Customs and Excise collects information in order to administer the taxes for which it is responsible (such as VAT, insurance
premium tax, excise duties, air passenger duty, landfill tax, climate change levy), and for detecting and preventing crime.
Where the law permits we may also get information about you from third parties, or give information to them, for example in order
to check its accuracy, prevent or detect crime or protect public funds in other ways. These third parties may include the police,
other government departments and agencies.
C 104A Reverse
PT1R(May 2004)

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