Fillable Printable Personalised Number Plate/s Transfer Application - Queensland
Fillable Printable Personalised Number Plate/s Transfer Application - Queensland
Personalised Number Plate/s Transfer Application - Queensland
Personalised Number Plate/s TransferApplication
(Ordinary, Prestige or Traditional)
Transport Operations (Road Use Management) Act 1995
Page 1 of 2 Corporate Forms Area Form F2963 CFD V01 Oct 2013
Company or Organisation's details
6.
Note
This application is for the transfer of registration of
personalised number plates only. If registration of a vehicle
is being transferred with the plate/s, a Transfer of Vehicle
Registration Application must also be completed.
Transfer Fee
The acquirer/s of the number plate/s is/are liable for the
transfer fee which is to be lodged with this application.
2.
Transfer Fee Exemption Categories
Transfer to a member of the immediate family of the
disposer and the transfer is wholly by way of a gift.
Immediate family is specified as being the spouse or parent
or child of the person in whose name the personalised
plates are currently recorded, or the spouse or parent or
child jointly with that person(the word spouse may refer to
either a married or de facto relationship).
1.
To be completed by Acquirer/s
Transfer to a beneficiary, administrator or executor of a
deceased estate.
now go to9
Are the plate/s to be registered to private
customers?
No
Yes
go to 7
5.
First Registered Operator
Provide
Joint Registered Operator
(if plate is to be registered in two names)
Family name
Given name/s
Residential address
Postcode
CRN
Personalised plate/s number
Disposer's details
Have the personalised number plates been
removed from a vehicle?
No
Yes
Registration number
1.
2.
3.
To be completed by Disposer/s
Disposer's signature/s
I/We declare that the information provided is true and correct
in every detail.
Declaration
/ /
Date
4.
Family name
Given name/s
Residential address
Postcode
Qld Driver Licence number or departmental Customer
Reference Number (CRN)
Female
Male
Make and body shape
VIN/Chassis engine number
Evidence of identity
Personal identification, for example original Qld Driver
Licence or Business/Company/Organisation identification
will be required with this application. For identification
requirements refer to the separate Evidence of Identity
Information Sheet (F4362) or www.tmr.qld.gov.au.
Note: if the
vehicle is to be recorded in two names both must provide suitable
identification.
(if you do not have a CRN
complete form F3503)
(if you do not have a CRN
complete form F3503)
The CRN is your Qld
driver number or adult
proof of age card number
(if you do not have a CRN
complete form F3503)
Personalised number plates recorded as being attached to a
vehicle currently under a Number Plate Confiscation Notice
issued by the Queensland Police Service, cannot be transferred
during the confiscation period.
Note: If the plate/s are recorded as being attached to a vehicle that
is currently under a Number Plate Confiscation Notice issued by
Queensland Police Service, ownership of the plate/s cannot be
transferred during the confiscation period.
Family name
Given name/s
Residential address
Postcode
CRN
Company/organisation name
Postcode
CRN
Street address
continued over page ...
Office Use Only
Operator number
Amount paid
$
Paid at (location)
Receipt number
Operator's signature
/ /
Date
Identification type/s supplied and reference number/s
Are the personalised number plates to be attached
to your vehicle?
No
Yes
Please also complete a Remove and/or Attach
Personalised Plate/s Application
10.
9.
Address
Postcode
Are the plate/s to be registered in a Registered
Business Name?
No
go to 9
Yes
Provide either
(A) Responsible company/dealership
or
(B) Responsible person
Name
Family name
Given name/s
Residential address
Postcode
7.
Personalised Number Plate/s Transfer Application continued ... page 2 of 2
What is your postal address?
Postcode
8.
Acquirer's signature/s
I/We declare that the information provided is true and correct
in every detail.
Declaration
/ /
Date
Privacy Statement:The department is collecting the information on this form for
the purposes of maintaining the department's vehicle registration register, as
required under the Transport Operations (Road Use Management) Act. Where
required, the department or its agents/contractors may give some or all of this
information to vehicle insurers, statutory entities, insolvency entities, lawyers,
persons involved in vehicle incidents/accidents, vehicle manufacturers, third parties
who are involved in or intend to commence various legal proceedings, tolling
entities, law enforcement agencies and to or through interstate registering authorities.
Your personal information will not be disclosed to any other third party without your
consent, unless authorised or required to do so by law.
Government Authorities (Duty Exemptions)
Trusteeship not registered with ASIC (Suitable
documents must be provided)
Exempt charitable organisation registered with OFT
or organisation/association registered under
appropriate legislation
Company registered with the Australian
Securities Investment Commission (ASIC)
Australian Company Number (ACN)
Approved sporting and charitable organisation
registered with OFT
Incorporated Association Number
Business name registered with ASIC or the Office of
Fair Trading (OFT)
Registered Business number
State
C
B
A
G
T
E
now go to 7
Licensed motor dealer registered with OFT
CRN
D
CRN
(if you do not have a CRN complete
form F3503)
CRN
ACN
The CRN is your Qld
driver number or adult
proof of age card number
(if you do not have a CRN
complete form F3503)
Page 2 of 2 Corporate Forms Area Form F2963 CFD V01 Oct 2013
Note: If the plate/s are recorded as being attached to a vehicle that
is currently under a Number Plate Confiscation Notice issued by
Queensland Police Service, ownership of the plate/s cannot be
transferred during the confiscation period.
