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Conditional Vehicle Registration

Transfer Application

Transport Operations (Road Use Management) Act 1995

This form is in two parts, A and B. The acquirer and disposer must sign both parts.

Part A. Transfer Application must be completed in full and submitted to the Department of Transport and Main Roads by the acquirer.

Part B. Proof of Transfer/Notice of Disposal must be completed in full and signed by both the acquirer and disposer, and kept by the

disposer until the registration has been transferred.

The acquirer must submit Part A within 14 days of the vehicle’s acquisition together with:

• Evidence of Identity (EOI) is required at the time of making this application. Personal identification, for example, Queensland

Driver Licence or business/company/organisation identification. Refer to the separate Evidence of Identity Information Sheet

(F4362) or for requirements.

Note: If the vehicle is to be registered in joint names both parties must provide suitable personal

identification.

• Proof of Queensland garage address (to confirm that the address exists – Queensland Driver Licence, property rates notice, gas,

phone or electricity account). Non-permanent residents please enquire at the department.

• Gas Certificate – if applicable. For more information about Gas Certificates, please refer to the Gas Certificate Requirements and

Exemptions section of this form.

• A transfer fee will apply.

• Pro-rata registration fee may be payable if the Disposer claimed a concession on the vehicle’s registration.

• Duty (if applicable) is payable. For more information about Conditional Vehicle Registration Duty Exemptions and the duty

payable, please refer to the duty information section on this form.

• A person who uses a conditionally registered vehicle must comply with all applicable conditions established for the vehicle and

detailed on the Vehicle Registration Notice. Information about the condition codes can be found in the Guideline for Conditionally

Registered Vehicles in Queensland (Form Number 17) available online at /transport/.

Note: It is an offence if the acquirer does not lodge a completed Conditional Vehicle Registration Transfer Application within 14 days of acquiring the vehicle. Penalties

may apply if you do not comply.

The disposer must:

• if the vehicle is fitted with gas fuel systems or other gas systems, provide the relevant certificate from an authorised gas installer.

The issue date of the certificate must not be more than three months before the date of disposal of registration (exemptions refer

to Gas Certificate Exemptions on this form).

• complete in full and keep Part B until the registration is transferred from their name.

Part A. Transfer Application: acquirer to complete and submit to the department

1. Registration details

Postal address (if same as street address write ‘as above’)

Is the vehicle’s registration current?

Yes

Any outstanding fees must be paid with

Postcode

this application.

Email address

2. Vehicle details

Registration/Plate number

Does the above individual or organisation have a CRN?

Complete a New Customer Application (F3503).

Make, model and body shape (e.g. Case, Backhoe)

Yes

CRN

The registered operator above is: (tick one box)

VIN/Chassis/Engine number

private/

Go to 5

registered

Go to 7

individuals

company

3. The vehicle is to be transferred from:

business/

other/legal

Go to 6

Go to 7

Note: If registered in joint names, all disposers details must be completed

trust

entities

below.

5. Is the vehicle to be transferred into two names?

First disposer’s details

Go to 7

Yes

Go to 6

Disposer’s CRN

6. Second registered operator’s details

The CRN is your Queensland Driver Licence number, Adult

Note: If the vehicle is being transferred to the name of a business/trust, you

Proof of Age Card number or your reference number issued

must nominate one proprietor/trustee of the business or trust as the second

by the department.

registered operator.

Do you have a CRN?

Disposer’s name

Complete a New Customer Application (F3503).

Yes

CRN

Second disposer’s details

(if applicable)

Full name

Disposer’s CRN

Disposer’s name

Email address

4. The vehicle is to be transferred to:

EOI is required for all acquirers.

7. Where will the vehicle be garaged?

(must be in

First Registered operator’s details

Queensland)

Full name and residential/business address

Postcode

Page 1 of 4 TRB Forms Area Form F4101 CFD V01 Nov 2015

Form F4101 Cfd - Conditional Vehicle Registration Transfer Application

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