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MOTOR TAX RENEWAL FORM
RF100A
DO NOT USE THIS FORM TO REGISTER CHANGES OF OWNERSHIP (See Note B)
1. REGISTRATION NUMBER Colour(s) APPLICANT
Mr, Ms, etc.
Make/Model
Chassis No.
First Name (s)
Address at which vehicle ordinarily
kept (Enter “as across” if vehicle is
kept at Address across)
Surname OR
Company Name
Address
Town/City
CountyPhone NO.
Has your name/address changed (e.g. on marriage) since the vehicle was last taxed?
2. TAX CLASS (See Note C2)
Private
P
Goods
G
YES
NO
A
Agricultural Tractor
C
Motor Cycle
Other - please specify
3. INSURANCE DETAILS (See Note C3)
Insurance Company Name (NOT Broker)
Insurance Policy no.
Day
Expiry date of Insurance Certificate under Road Traffic Act 1961 , as amended
4.
Year
READ NOTE C4 BEFORE COMPLETING
MOTOR TAX RENEWAL DETAILS
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.
Month
FROM FIRST DAY OF
Month
Year
Assessment
To LAST DAY OF
Month
Year
4.1 Expiry date of Last Motor Tax Disc
Arrears 15/4
4.2 Past Owner Period (if applicable)
To
4.3 Non-Use Period (if applicable)
To
4.4 Arrears Period 1 (if applicable)
To
€
4.5 Arrears Period 2 (if applicable)
To
€
4.6 TAX DISC NOW REQUIRED:
To
€
5. DECLARATION (See Note C5)
I declare that the particulars given on this form are correct.
Checked
OFFICE USE ONLY
CASH
€
PO
€
€
CHQ
€
MO
€
€
CR CARD €
Signature
TOTAL
VLC
Date Rec’d
RBK
INS
Date Issued
Date
YOU MUST SIGN FORM
6.
Disc Letter
Day
Month
Year
CARD PAYMENT OPTION (See Note C6)
Vehicle Registration No.
Card type: Master Card
Visa Credit
Visa Debit
Card Account No. Card Expiry Date
Cardholder’s Name
Cardholders Address
Cardholder Signature
Contact phone number
Laser
orNew
Newowner
ownerdetails
detailson
onthe
theVehicle
VehicleRegistration
RegistrationCertificate
Certificateand
and
or
send
to
Vehicle
Registration
Unit,
Department
of
the
Environment,
Heritage
and
Local
Government,
Shannon
Town
Centre,
Co.
Clare.
send to Vehicle Registration Unit, Department of the Environment, Heritage and Local Government, Shannon Town Centre, Co. Clare.
Registration
//Registration
Certificateto
tothe
theMotor
MotorDealer.
Dealer.
Certificate
YouMUST
MUSTcomplete
completeSection
Section1.
1.Section
Section11CANNOT
CANNOTbe
beused
usedto
toregister
registeraachange
changeof
ofownership
ownershipof
ofany
anykind
kind--see
seeNote
NoteBBabove.
above.Enter
Enterthe
thename
name
You
or
New
owner
details
the
Vehicle
Registration
Certificate
and
If sold
PRIVATELY,
complete
Part
B vehicle
of the Vehicle
Licensing
Certificate
or
Owner
Details
on
the
Vehicle
Registration
Certificate
and send
orNew
New
owner
details on
on
the
Vehicle
Registration
Certificate
and
and
address
of
the
person
in
whose
name
the
is
to
be
licensed.
If
the
vehicle
is
not
being
licensed
in
the
name
of
a
person
but
rather
a
trader
and address
of
the
person
in whose
name
the
vehicle
is toofbe
licensed.
If the
vehicle
is and
not
being
licensed
inShannon
theShannon
name
of Town
a Centre,
person
but rather
a trader //
send
to
Registration
Unit,
Department
the
Environment,
Heritage
Local
Government,
Centre,
Co.
Clare.
to
Driver
and
Vehicle
Computer
Services
Division,
Department
of Transport,
Tourism
and
Sport,
Town
Co.
Clare.
send
to Vehicle
Vehicle
Registration
Unit,
Department
ofthat
the
Environment,
Heritage
and
Local
Government,
Shannon
Town
Centre,
Co.must
Clare.
registered
company
special
attention
is
required
to
ensure
the
company
name
and
not
the
trading
name
is
used.
The
company
name
bethe
the
registered company
attention
is required
to ensure
that the
company
namefrom
and not
theDealer)
trading and
name is used.
The and
company
name
must be
If sold
to aspecial
MOTOR
DEALER,
complete
Form
RF105
(form
is will
available
Motor
to Driver
Vehicle
Computer
Services
sameas
asthat
that
stated
on
thecompany’s
company’s
Certification
ofIncorporation
Incorporation
and
inmost
mostcases
cases
have
“Limited”ininsend
thename.
name.
Ifthe
thetrader
trader
isnot
not
an
same
stated
on
the
Certification
of
and
will
in
have
“Limited”
the
If
is
an
Division,
Department
Transport,
Tourismand
andsigned
Sport,inShannon
Centre, Co. Clare and give the Vehicle Licensing Certificate// Registration
to
the
Registration
Incorporated
company,
theform
formof
must
becompleted
completed
thename
nameTown
ofaaperson.
person.
Incorporated
company,
must
be
and signed
in the
of
Certificate
to
the
Dealer.
Motor
Dealer.
Certificate
tothe
the Motor
Motor
Dealer.
You
You MUST
MUST complete
complete Section
Section 1.
1. Section
Section 11 CANNOT
CANNOT be
be used
used to
to register
register aa change
change of
of ownership
ownership of
of any
any kind
kind -- see
see Note
Note B
B above.
above. Enter
Enter the
the name
name
and
and address
address of
of the
the person
person in
in whose
whose name
name the
the vehicle
vehicle is
is to
to be
be licensed.
licensed. IfIf the
the vehicle
vehicle is
is not
not being
being licensed
licensed in
in the
the name
name of
of aa person
person but
but rather
rather aa trader
trader //
registered
registered company
company special
special attention
attention is
is required
required to
to ensure
ensure that
that the
the company
company name
name and
and not
not the
the trading
trading name
name is
is used.
used.The
The company
company name
name must
must be
be the
the
same
same as
as that
that stated
stated on
on the
the company’s
company’s Certification
Certification of
of Incorporation
Incorporation and
and will
will in
in most
most cases
cases have
have “Limited”
“Limited” in
in the
the name.
name. IfIf the
the trader
trader is
is not
not an
an
Incorporated
Incorporated company,
company, the
the form
form must
must be
be completed
completed and
and signed
signed in
in the
the name
name of
of aa person.
person.
C3 Section 3
C4 Section 4
4.1
this as
4.2, 4.3
4.1 to 4.6
4.4
4.1
September 2013, enter
0 9 2 0 1 3
If
the
ownership
of
the
vehicle
has
changed
sinceititwas
waslast
lasttaxed,
taxed,you
youare
areNOT
NOTliable
liablefor
forthe
thearrears
arrearsperiod
periodfrom
fromthe
theexpiry
expiryof
ofthe
thelast
lasttax
tax
4.2 If the ownership of the vehicle has changed since
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
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 isisinin
respectof
ofaagoods
goodsvehicle
vehicleyou
youmust
mustproduce
produceaaWeight
WeightDocket
Docketand
andififthe
therenewal
renewalisisininrespect
respectof
of(i)
(i)aagoods
goodsvehicle
vehiclewhose
whoseunladen
unladenweight
weightdoes
does
respect
notexceed
exceed3,500kg
3,500kg(DGVW)
(DGVW)or
or(ii)
(ii)aarecovery
recoveryvehicle,
vehicle,ititisisnecessary
necessaryto
tocomplete
completeform
form(i)
(i)RF111A
RF111Aor
or(ii)
(ii)RF111B
RF111Bavailable
availablefrom
fromthe
theMotor
MotorTax
TaxOffice.
Office.
not
4.3 If the vehicle is currently declared off the road enter the period of non-use in the boxes provided.
4.4, If4.5
If there are elapsed
months since
the expiry ofit the
last Motor
Tax disc
or off the
road declaration,
which was
not covered
by a Past
Owner Period,
If the
the ownership
ownership of
of the
the vehicle
vehicle has
has changed
changed since
since it was
was last
last taxed,
taxed, you
you are
are NOT
NOT liable
liable for
for the
the arrears
arrears period
period from
from the
the expiry
expiry of
of the
the last
last tax
tax
arrearsthe
are due.
Entermonth
a continuous period
of arrears indate
the boxes
providedare
at 4.4 on owner
the form. If the
arrears period
is broken,
enter the
details using
the
disc
disc to
to the end
end of
of the
the month immediately
immediately preceding
preceding the
the date of
of sale.
sale. IfIf you
you are aa new
new owner since
since the
the vehicle
vehicle was
was last
last taxed
taxed and
and the
the renewal
renewal is
is in
in
boxes 4.4
and
4.5 on
the form.
Enterproduce
relevantaamount
of
arrears.
respect
of
a
goods
vehicle
you
must
Weight
Docket
and
if
the
renewal
is
in
respect
of
(i)
a
goods
vehicle
whose
unladen
weight
does
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
3,500kg
(DGVW)
(ii)
aa recovery
itit is
to
form
(i)
or
available
from
Tax
Office.
4.6exceed
Enter the
renewal
periodor
you
and vehicle,
the
relevant
fee
in the boxes
provided.
Renewal
options
ofRF111B
3 months,
6 months
or the
oneMotor
year are
not
exceed
3,500kg
(DGVW)
or
(ii)require
recovery
vehicle,
is necessary
necessary
to complete
complete
form
(i) RF111A
RF111A
or (ii)
(ii)
RF111B
available
from
the
Motor
Taxavailable
Office.
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 (defined 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 firm 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
County
Council
CityCouncil
Council
andcrossed
crossed“Motor
“MotorTax
TaxAccount”.
Account”.DO
DONOT
NOTSEND
SENDCASH
CASHTHROUGH
THROUGHTHE
THEPOST.
POST.Contact
Contactyour
yourlocal
localMotor
MotorTax
Tax
You MUST
include
the following
with application:
County
Council
//City
and
Office
forclarification
clarification
ofthe
theappropriate
appropriate
Motor
Tax
rates
or
other
payment
methods.
Payments
can
also
be
made
by
credit
/
debit
card.
(Motor
• FeeOffice
- You for
must
include a of
cheque
or postal order
for
the
correct
fee
(including
arrears
where
appropriate),
made
payable
to
the
appropriate
County
Motor Tax rates or other payment methods. Payments can also be made by credit / debit card. (Motor
TaxRates
Ratesare
areCouncils
availableand
onAertel
AertelPage
Page
454Tax
(RTE
2)or
orat
atDO
www.motortax.ie,
andselect
select
MotorTHE
TaxRates.)
Rates.)
Account”.
NOT SEND CASH
THROUGH
POST. Contact your local Motor Tax Office for
Council/Borough
crossed
“Motor
Tax
available
on
454
(RTE
2)
www.motortax.ie,
and
Motor
Tax
clarification of the appropriate Motor Tax rates or other payment methods.
Weight
Docket
ownership
haschanged
changed
since
wastaxed.
lasttaxed.
taxed.
• Goods or Recovery Declaration, if applicable (see Note 4.2) and,,and
aand
Weight
Docket
if ownership
has changed
sincesince
it wasititlast
aaWeight
Docket
ififownership
has
was
last
• PSV (plate) Licence - Public Service Vehicles only.
• Article
60 Licence
Busesand
only.crossed
County
Council
County
Council- /School
/ City
City Council
Council
and
crossed “Motor
“Motor Tax
Tax Account”.
Account”. DO
DO NOT
NOT SEND
SEND CASH
CASH THROUGH
THROUGH THE
THE POST.
POST. Contact
Contact your
your local
local Motor
Motor Tax
Tax
Office
for
ADDITIONAL
OfficeREQUIREMENTS
for clarification
clarification of
of the
the appropriate
appropriate Motor
Motor Tax
Tax rates
rates or
or other
other payment
payment methods.
methods. Payments
Payments can
can also
also be
be made
made by
by credit
credit // debit
debit card.
card. (Motor
(Motor
Tax
are
Aertel
Page
454
(RTE 2)
or at
and
Motor
Rates.)
Tax Rates
Rates
are available
available on
on
Aertelmust
Pagebe
454
at www.motortax.ie,
www.motortax.ie,
and select
selectTrailers,
Motor Tax
Tax
Rates.)
A Certificate
of Roadworthiness
(CRW)
in(RTE
force2)inororder
to tax Goods Vehicles,
Buses
and Ambulances over one year old.
,, and
DISCLOSURE OF DATA
and aa Weight
Weight Docket
Docket ifif ownership
ownership has
has changed
changed since
since itit was
was last
last taxed.
taxed.
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.