Vehicle Registration Transfer Application - Queensland State
Is the vehicle fitted with gas fuel systems or
other gas systems?
Identification sighted?
Authorising persons name
Date
/ /
15
The original Qld Safety/Inspection Certificate
must be attached to this application
(see Information Sheet of this form)
Qld Safety or Qld Inspection Certificate
Is there an exemption from providing a Qld Safety or Qld
Inspection Certificate?
Exemption item
Go to 16
Compulsory Third Party (CTP) Insurance
Only GST registered businesses may be able to claim an Input
Tax Credit (ITC). Is anyone entitled to claim the GST
component of the CTP insurance premium for the vehicle as
an ITC? If unsure contact your tax advisor.
Do you wish to nominate a new CTP insurer?
(as listed on
Information Sheet)
You must present the relevant Gas Certificate,
Form PGR101/102 (fuel system) or Form PGA734
(cooking facilities), with this application unless
exempt. For used vehicles the issue date of the
certificate must not be more than three months
before the lodgement date of this application.
Are you applying for a registration concession?17
What type of concession will you be applying for?
An Application for Concession (F3937) must be
completed and proof of entitlement may need to be
supplied with this application.
Is someone lodging this application on your
behalf?
(Your representative will need to bring proof of
their identification as well as proof of your identity, e.g.
Original Qld Driver Licence).
18
Representatives details - Name (In full)
Representatives signature
Agency use only
Authorising persons signature
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 1995. 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.
Is the vehicle's GVM or ATM over 4.5 tonne?
Registration period options
6 months 12 months
Registration period options
3 months 6 months 12 months
Are you paying the renewal at the time of transfer?
You may choose a new CTP insurer for the next registration
period. For a list of licensed insurers visit www.maic.qld.gov.au.
Registration periods12
Declaration
All Acquirer/s must sign, however, future transactions will
require only one signature. I/We declare that the information
provided is correct and that the true Dutiable Value has been
declared. I/We consent to the department verifying my
evidence of identity documents or information with the issuing
authority or their agencies.
19
Acquirer/s signature/s
/ /
Disposer/s signature/s - if currently in joint names the signature of
only one Disposer is required
Now complete Part B Proof of Transfer/Notice of Disposal
Date
/ /
Date
Yes
Current Odometer (Speedo) reading (if applicable)11
Is a whole or part interest in a vehicle being transferred
by way of a gift to a relative of the registered operator/s?
Other exemption type (refer to duty section on the
Information Sheet of this form)
Relationship to the registered operator/s
(please tick one)
Yes
No
Partner by marriage
Partner in a de facto relationship (provided the
couple are living together at the date of the transaction
and have lived together for at least two years)
Partner in a registered relationship precribed
under the Relationships Act 2011
Parent, grandparent or their spouse
Spouses parent, grandparent or their spouse
Child, stepchild, grandchild or their spouse
Spouses child, stepchild, grandchild or their spouse
Yes No Go to 13
No
Yes
13
YesNo
YesNo
If yes, name of CTP insurer
14
No
Ye s
No
Ye s
No
Yes
Go to 18
No
Yes
Go to 19
It is an offence to give false or misleading information under the
Transport Operations (Road Use Management) Act 1995.
Maximum penalty may exceed $6000.
Is the current registration under concession?
(The Registration Certificate and the Vehicle Registration
Notice shows whether a vehicle has a concession applied to
the registration)
Yes
16
You, the Acquirer, may have to pay a pro-
rata fee with this application.
No
Are you exempt from paying Duty?
Note: To access a complete list of vehicle registration duty
exemptions go to the Office of State Revenues website at
www.osr.qld.gov.au
Go to 11
Yes
No
10 continued...
continued...
15 continued...
(exemptions listed in Gas Certificate Exemptions)
Issue date
Gas fuel systems
Certificate/ Compliance Plate no.
/ /
Issue date
Other gas systems
Certificate/Compliance Plate no.
/ /
Part A Page 4 of 5 TRB Forms Area Form F3520 V01 Jul 2014
Page 4/5
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