Fillable Printable Sample Motor Tax Renewal Form
Fillable Printable Sample Motor Tax Renewal Form
Sample Motor Tax Renewal Form
6. CARD PAYMENT OPTION (See Note C6)
Vehicle Registration No. Card type: Master Card Visa Credit Visa Debit Laser
Card Account No. Card Expiry Date
Cardholder’s Name
Cardholders Address
Cardholder Signature Contact phone number
Address at which vehicle ordinarily
kept (Enter “as across” if vehicle is
kept at Address across)
DO NOT USE THIS FORM TO REGISTER CHANGES OF OWNERSHIP (See Note B)
1. REGISTRATION NUMBER Make/Model
Colour(s) Chassis No.
APPLICANT
Mr, Ms, etc. First Name (s)
Surname OR
Company Name
Address
Town/City
County Phone NO.
Has your name/address changed (e.g. on marriage) since the vehicle was last taxed? YES NO
RF100A
MOTOR TAX RENEWAL FORM
OFFICE USE ONLY
CASH € PO € €
CHQ € MO € TOTAL €
CR CARD €
Date Rec’d
VLC
INS
RBK
Disc Letter
Date Issued
Day Month Year
5. DECLARATION (See Note C5)
I declare that the particulars given on this form are correct.
Signature
Date
YOU MUST SIGN FORM
3. INSURANCE DETAILS (See Note C3)
Insurance Company Name (NOT Broker)
Insurance Policy no.
Day Month Year
Expiry date of Insurance Certicate under Road Trafc Act 1961 , as amended
All months between expiry of the last Motor Tax Disc
and start of new disc must be covered by a Past Owner,
Non-Use or Arrears Period.
READ NOTE C4 BEFORE COMPLETING
4. MOTOR TAX RENEWAL DETAILS
4.1 Expiry date of Last Motor Tax Disc
4.2 Past Owner Period (if applicable)
4.3 Non-Use Period (if applicable)
4.4 Arrears Period 1 (if applicable)
4.5 Arrears Period 2 (if applicable)
4.6 TAX DISC NOW REQUIRED:
2. TAX CLASS (See Note C2) Private
P
Goods
G
Agricultural Tractor
A
Motor Cycle
C
Other - please specify
FROM FIRST DAY OF
Month Year
To LAST DAY OF
Month Year
To
To
To
To
To
€
€
€
Assessment
Arrears 15/4
Checked
If the ownership of the vehicle has changed since it was last taxed, you are NOT liable for the arrears period from the expiry of the last tax
disc to the end of the month immediately preceding the date of sale. If you are a new owner since the vehicle was last taxed and the renewal is in
respect of a goods vehicle you must produce a Weight Docket and if the renewal is in respect of (i) a goods vehicle whose unladen weight does
not exceed 3,500kg (DGVW) or (ii) a recovery vehicle, it is necessary to complete form (i) RF111A or (ii) RF111B available from the Motor Tax Office.
You MUST complete Section 1. Section 1 CANNOT be used to register a change of ownership of any kind - see Note B above. Enter the name
and address of the person in whose name the vehicle is to be licensed. If the vehicle is not being licensed in the name of a person but rather a trader /
registered company special attention is required to ensure that the company name and not the trading name is used. The company name must be the
same as that stated on the company’s Certification of Incorporation and will in most cases have “Limited” in the name. If the trader is not an
Incorporated company, the form must be completed and signed in the name of a person.
or New owner details on the Vehicle Registration Certificate and
send to Vehicle Registration Unit, Department of the Environment, Heritage and Local Government, Shannon Town Centre, Co. Clare.
/ Registration
Certificate to the Motor Dealer.
County Council / City Council and crossed “Motor Tax Account”. DO NOT SEND CASH THROUGH THE POST. Contact your local Motor Tax
Office for clarification of the appropriate Motor Tax rates or other payment methods. Payments can also be made by credit / debit card. (Motor
Tax Rates are available on Aertel Page 454 (RTE 2) or at www.motortax.ie, and select Motor Tax Rates.)
, and a Weight Docket if ownership has changed since it was last taxed.
If the ownership of the vehicle has changed since it was last taxed, you are NOT liable for the arrears period from the expiry of the last tax
disc to the end of the month immediately preceding the date of sale. If you are a new owner since the vehicle was last taxed and the renewal is in
respect of a goods vehicle you must produce a Weight Docket and if the renewal is in respect of (i) a goods vehicle whose unladen weight does
not exceed 3,500kg (DGVW) or (ii) a recovery vehicle, it is necessary to complete form (i) RF111A or (ii) RF111B available from the Motor Tax Office.
You MUST complete Section 1. Section 1 CANNOT be used to register a change of ownership of any kind - see Note B above. Enter the name
and address of the person in whose name the vehicle is to be licensed. If the vehicle is not being licensed in the name of a person but rather a trader /
registered company special attention is required to ensure that the company name and not the trading name is used. The company name must be the
same as that stated on the company’s Certification of Incorporation and will in most cases have “Limited” in the name. If the trader is not an
Incorporated company, the form must be completed and signed in the name of a person.
or New owner details on the Vehicle Registration Certificate and
send to Vehicle Registration Unit, Department of the Environment, Heritage and Local Government, Shannon Town Centre, Co. Clare.
/ Registration
Certificate to the Motor Dealer.
County Council / City Council and crossed “Motor Tax Account”. DO NOT SEND CASH THROUGH THE POST. Contact your local Motor Tax
Office for clarification of the appropriate Motor Tax rates or other payment methods. Payments can also be made by credit / debit card. (Motor
Tax Rates are available on Aertel Page 454 (RTE 2) or at www.motortax.ie, and select Motor Tax Rates.)
, and a Weight Docket if ownership has changed since it was last taxed.
If the ownership of the vehicle has changed since it was last taxed, you are NOT liable for the arrears period from the expiry of the last tax
disc to the end of the month immediately preceding the date of sale. If you are a new owner since the vehicle was last taxed and the renewal is in
respect of a goods vehicle you must produce a Weight Docket and if the renewal is in respect of (i) a goods vehicle whose unladen weight does
not exceed 3,500kg (DGVW) or (ii) a recovery vehicle, it is necessary to complete form (i) RF111A or (ii) RF111B available from the Motor Tax Office.
You MUST complete Section 1. Section 1 CANNOT be used to register a change of ownership of any kind - see Note B above. Enter the name
and address of the person in whose name the vehicle is to be licensed. If the vehicle is not being licensed in the name of a person but rather a trader /
registered company special attention is required to ensure that the company name and not the trading name is used. The company name must be the
same as that stated on the company’s Certification of Incorporation and will in most cases have “Limited” in the name. If the trader is not an
Incorporated company, the form must be completed and signed in the name of a person.
or New owner details on the Vehicle Registration Certificate and
send to Vehicle Registration Unit, Department of the Environment, Heritage and Local Government, Shannon Town Centre, Co. Clare.
/ Registration
Certificate to the Motor Dealer.
County Council / City Council and crossed “Motor Tax Account”. DO NOT SEND CASH THROUGH THE POST. Contact your local Motor Tax
Office for clarification of the appropriate Motor Tax rates or other payment methods. Payments can also be made by credit / debit card. (Motor
Tax Rates are available on Aertel Page 454 (RTE 2) or at www.motortax.ie, and select Motor Tax Rates.)
, and a Weight Docket if ownership has changed since it was last taxed.
C3 Section 3
C4 Section 4
4.1 to 4.6
4.4
4.2, 4.3
4.1
4.4, 4.5 If there are elapsed months since the expiry of the last Motor Tax disc or off the road declaration, which was not covered by a Past Owner Period,
arrears are due. Enter a continuous period of arrears in the boxes provided at 4.4 on the form. If the arrears period is broken, enter the details using the
boxes 4.4 and 4.5 on the form. Enter relevant amount of arrears.
4.6 Enter the renewal period you require and the relevant fee in the boxes provided. Renewal options of 3 months, 6 months or one year are available
unless the annual fee is less than €119 in which case, only a renewal period of one year is available.
C5 Section 5- The signature on the application must be that of the owner of the vehicle (dened in Section 130 of the Finance Act, 1992 as the Keeper of
the vehicle). In the case of companies registered under the Companies Act 1963, the signature must be that of the Managing Director or Secretary. Where a
private rm is concerned, one of the partners’ signatures must be inserted.
C6 Section 6 - Complete this section if payment is being made by Credit Card or Debit Card. Card type: Please note Laser cards are not acceptable for
postal applications. Cardholder’s name – enter as it appears on the card.
D. What should accompany this form
You MUST include the following with application:
• Fee - You must include a cheque or postal order for the correct fee (including arrears where appropriate), made payable to the appropriate County
Council/Borough Councils and crossed “Motor Tax Account”. DO NOT SEND CASH THROUGH THE POST. Contact your local Motor Tax Ofce for
clarication of the appropriate Motor Tax rates or other payment methods.
• Goods or Recovery Declaration, if applicable (see Note 4.2) and a Weight Docket if ownership has changed since it was last taxed.
• PSV (plate) Licence - Public Service Vehicles only.
• Article 60 Licence - School Buses only.
ADDITIONAL REQUIREMENTS
A Certicate of Roadworthiness (CRW) must be in force in order to tax Goods Vehicles, Trailers, Buses and Ambulances over one year old.
DISCLOSURE OF DATA
Computer data based on this document may be subject to disclosure under Section 60 of the Finance Act, 1993 (No. 13 of 1993) as amended by Section
86 of the Finance Act, 1994 (No. 13 of 1994) and regulations made thereunder. List of disclosees is registered with the Data Protection Commissioner -
REF 721/A
WARNING - FALSE DECLARATIONS
Any person making a false declaration, or who subsequently fails to notify any changes in the licensing particulars now furnished, including disposal of the
vehicle is liable to heavy penalties. A licensing authority may require appropriate evidence as to the accuracy of particulars declared.
NOTE: AN IRISH VERSION OF THIS FORM IS ALSO AVAILABLE AT MOTOR TAX OFFICES AND GARDA STATIONS.
4.1 September 2013, enter
this as
0 9 2 0 1 3
4.2
4.3 If the vehicle is currently declared off the road enter the period of non-use in the boxes provided.
If the ownership of the vehicle has changed since it was last taxed, you are NOT liable for the arrears period from the expiry of the last tax
disc to the end of the month immediately preceding the date of sale. If you are a new owner since the vehicle was last taxed and the renewal is in
respect of a goods vehicle you must produce a Weight Docket and if the renewal is in respect of (i) a goods vehicle whose unladen weight does
not exceed 3,500kg (DGVW) or (ii) a recovery vehicle, it is necessary to complete form (i) RF111A or (ii) RF111B available from the Motor Tax Office.
You MUST complete Section 1. Section 1 CANNOT be used to register a change of ownership of any kind - see Note B above. Enter the name
and address of the person in whose name the vehicle is to be licensed. If the vehicle is not being licensed in the name of a person but rather a trader /
registered company special attention is required to ensure that the company name and not the trading name is used. The company name must be the
same as that stated on the company’s Certification of Incorporation and will in most cases have “Limited” in the name. If the trader is not an
Incorporated company, the form must be completed and signed in the name of a person.
or New owner details on the Vehicle Registration Certificate and
send to Vehicle Registration Unit, Department of the Environment, Heritage and Local Government, Shannon Town Centre, Co. Clare.
/ Registration
Certificate to the Motor Dealer.
County Council / City Council and crossed “Motor Tax Account”. DO NOT SEND CASH THROUGH THE POST. Contact your local Motor Tax
Office for clarification of the appropriate Motor Tax rates or other payment methods. Payments can also be made by credit / debit card. (Motor
Tax Rates are available on Aertel Page 454 (RTE 2) or at www.motortax.ie, and select Motor Tax Rates.)
, and a Weight Docket if ownership has changed since it was last taxed.
If sold PRIVATELY, complete Part B of the Vehicle Licensing Certicate or New Owner Details on the Vehicle Registration Certicate and send
to Driver and Vehicle Computer Services Division, Department of Transport, Tourism and Sport, Shannon Town Centre, Co. Clare.
If sold to a MOTOR DEALER, complete Form RF105 (form is available from Motor Dealer) and send to Driver and Vehicle Computer Services
Division, Department of Transport, Tourism and Sport, Shannon Town Centre, Co. Clare and give the Vehicle Licensing Certicate to the
Motor Dealer.
