Contract Number:

Salesperson:
VEHICLE DETAILS VEHICLE PRICING
Stock No. - $
Make: 35.00 $
Model: 35.00 $
Year of Man: - $
Comp Date: 35.00 $
Colour: 22.80 $
Trim Colour: - $
Trans: - $
Descript: 3.70 $
Reg No. - $
Reg Exp. - $
VIN No. 61.50 $
Eng No. - $
Odometer:
Odo in words: 61.50 $
Del Date:
Engine Size: - $
Body Type: 61.50 $
RECORD BOOK
Acquired From:
CRN:
Acquisition Date:
Km's - IN
Disposed to:
CRN:
Disposed Date:
CAR DEALER MANAGEMENT SYSTEM - V2.1
Km's - OUT
Date of Sale:
Time of Sale:
VEHICLE PRICING PURCHASED BY:
Vehicle Price Name:
PPSR Admin Fee Address: Street:
SUB TOTAL Suburb:
Other Allowances State:
SUB TOTAL (INC. GST) Postcode:
Stamp Duty CRN: Lic # 1:
Registration Lic # 2:
Transfer Fee Occupation: Employer:
PPSR Certificate
WOVR Certificate DEALER DETAILS:
CTP Insurance (Inc GST) Dealer Name:
SUB TOTAL (INC. GST) Address: Street:
Other Inclusions Suburb:
State:
TOTAL PURCHASE PRICE Postcode:
Licence No.
Deposit Received Lic. Exp.
Balance Owing Email:
Motor Dealer Banking Details
Bank:
Account Name:
BSB:
Account No.
CAR DEALER MANAGEMENT SYSTEM - V2.1
Business Name
Phone: Work:
Mobile:
Home:
Fax:
D.O.B. (1)
D.O.B. (2)
Email:
Phone: Office:
Mobile:
Fax:
A.B.N.
CRN:

CAR DEALER MANAGEMENT SYSTEM - V2.1
Business Name
Notice of cooling-off period and Statutory Warranty
Property Agents and Motor Dealers Act 2000
This form is effective from 1 July 2009
1. Licensed Motor Dealer Details Contract order number: Stock Number:
Motor Dealer Name:
ABN: Hours of Business:
Address:
Suburb: State: 0 Postcode: 0
Phone: Fax:
Licence No.: Expiry Date:
2. Buyer Details
Buyer Name:
Address:
Suburb: State: 0 Postcode: 0
Phone: Fax:
3. Motor Vehicle Details
Make: Model:
VIN No.: Year of Manufacture:
Description:
Registration Number: Odometer Reading:
0 0
This form must be completed BEFORE a contract is finalised if the vehicle does have a statutory warranty.
For a vehicle to be sold without a Statutory Warranty, pleaae complete PAMD Form 61 - Notice of Cooling-Off Period and Notice of No Statutory Warranty.
Restorable vehicles (Vehicles at least 20 years old sold for restoration) must have a statutory warranty unless waived by the buyer.
Cooling-off Period
By choosing to purchase this vehicle from a licensed motor dealer, you are automatically granted a cooling-off period, unless you take immediate possession of the
vehicle or it is exempt under the legislation.
Instructions
Please complete in BLOCK letters. Attach extra pages if needed. All references to dates should be shown in DD/MM/YYYY.
If you need more information or help completing this form, please contact the office of Fair Trading on 13 13 04.
In accordance with Section 283A of the Property Dealers and Motor Dealers Act
2000: I disclose that I am a licensed motor dealer.
0
PAMD Form 60
Department of Employment, Economic Development and
Innovation (DEEDI)
ABN: 97 406 359 732
0 0
0
0
0
0 0
0
0
0
0
0 0
0 0
0
0 0
Property Agents and Motor Dealers Act 2000 - Section 300 and Section 317 - Form 60 - V3 - July 2009 Page 1 of 4
4. Cooling-Off Period
Applies Doesn't Apply (as per PAMD)
a)
b)
The cooling-off period:
Starts at .. (time) on / / (date)
D D M M Y Y Y Y
ends at 5.00pm on / / (date)
5. Statutory Warranty
A Statutory Warranty does apply to this vehicle.
Name of Warrantor (if not motor dealer named in Part 1.1)
Class of Warranty (dealers tick which applies):
(i)
(ii) at the time the vehicle travels 5000 km after it is sold; whichever happens first.
(i)
(ii) at the time the vehicle travels 1000 km after it is sold; whichever happens first.
The warranty period may be extended while a defect in a warranted vehicle is being repaired.
6. The Statutory Warranty covers
The warrantor o the vehicle warrants that:
1) the vehicle is free from defects* (other than the defects listed on page 3 not covered by the statutory warranty)
at the time of sale and for the warranty period; and
2) the defects in the vehicle reported in writing during the warranty period will be repaired by the warrantor free of charge.
at 5.00pm on the first day, other than a Sunday or public holiday, one month after the day the vehicle is sold when the warrantor's
place of business is open for business; or
(* A Warranted vehicle has a defect if a part of a vehicle does not perform its intended function OR has deteriorated to an extent where it can not
reasonably be relied upon to perform its intended function.)
at 5.00pm on the first day, other than a Sunday or public holiday, three months after the day the vehicle is sold when the warrantor's
place of business is open for business; or
A one day cooling-off period applies to this vehicle, providing it is not a new car, was not sold by auction and you (the buyer) do not take physical
possession of the vehicle for a purpose other than a vehicle inspection or a test drive.
To exercise your right to cancel this contract you must provide the dealer with written notification (Appendix A) prior to the cooling-off period ending.
Cancelling the contract within the cooling-off period may result in you forfeiting up to $100.00. All other monies paid must be refunded.
.' Class B '
The warranty period for a 'Class B' warranted vehicle (a vehicle that at day of its sale has an odometer reading of 160,000km or more; OR
was manufactured at least 10 years before the date of sale) ENDS:
The cooling-off period ends 5.00pm the next business day (excludes Sunday and Public Holidays). If the motor dealer closes prior to 5.00pm, then the
cooling-off period is extended to the first day of the following where the dealer closes on or after 5.00pm. (Excludes Sunday and Public Holidays).
The cooling-off period ends when the buyer takes permanent possession of the vehicle (not for an inspection/test drive).
You must provide the dealer with written advice prior to the cooling-off period finishing if you do not want to go ahead with this purchase (Apeendix A).
.' Class A '
The warranty period for a 'Class A' warranted vehicle (a vehicle that at day of its sale has an odometer reading of less than 160,000km AND
was manufactured less than 10 years before the date of sale) ENDS:
Property Agnets and Motor Dealers Act 2000 - Section 300 and Section 317 - Form 60 - V3 - July 2009 Page 2 of 4
7. The Statutory Warranty DOES NOT cover
Under the Act, the following defects are NOT covered by the statutory warranty:
Any defect in tyres, batteries, lights and radiator hoses.

The following used vehicles are NOT covered under this statutory warranty:
a)
(i) Incapable of being registered in Queensland because of it's design; or
(ii) on the written off vehicle register; or
b) a motor vehicle sold on consignment, unless the owner of the vehicle is a motor dealer or auctioneer; or
c) a caravan; or
d) a motorcycle; or
e) a commercial vehicle.
8. Buyer's obligation regarding warranty
If a repair is required under statutory warranty, the buyer must give written notice (includes facsimiles) to the warrantor prior to repair.
9. Motor Dealer's Declaration
I,
1)
2)
3)
4)
5) I have given the buyer PAMD Form 60 and Appendix A at (time) on / / (date)
D D M M Y Y Y Y
Motor Dealer's Signature
date signed: / / (date)
D D M M Y Y Y Y
10. Acknowledgement by the buyer
I,
acknowledge that I have received this PAMD Form 60 and Appendix A.
Buyer'sSignature
date signed: / / (date)
D D M M Y Y Y Y
(the buyer)
A commercial vehicle is a vehicle built mainly for carrying or hauling goods or designed to carry more than nine persons. However, a utility with a
nominal load carrying capacity on one tonne or less is not a commercial vehicle and has a statutory warranty.
Delivery of motor vehicle when making claim on statutory warranty - the buyer is advised that it is their obligation to deliver the motor vehicle that is to
be repaired under the statutory warranty to the warrantor if the motor vehicle is within 200kms of the warrantors place of business at the time the buyer
notifies the warrantor of the defect.
If the motor vehicle is located more than 200kms from the warrantors place of business at the time the buyer notifies the warrantor of the defect, the
buyer must deliver the motor vehicle to the qualified repairer closest to the vehicles location. If the warrantor elects to send the motor vehicle to another
location it is at the warrantor's expense.
0 (print name) declare:
(the motor dealer)
There is no prior contract with another buyer to purchase this vehicle.
I have not attempted to pursuade the buyer to forfeit the buyer's cooling-off rights.
This motor vehicle has a statutory warranty.
I have not attempted to pursuade the buyer to forfeit their statutory warranty.
0:00
0 (print name)
A defect in the vehicles fitted airbag.
A defect in the vehicles installed radio, tape recorder or CD Player.
A vehicle accessory prescribed under a regulation.
For Class B warranted vehicle, a defect in the vehicles air conditioning system.
Any defect in the vehicles paintwork or upholstery that should have been apparent on any reasonable inspection of the vehicle before the buyer took
delivery.
Any defect after the buyer takes delivery arising from or incidental to any accidental damage to the vehicle or arising from the buyer's misuse or
negligence.
Any defect in an accessory to the vehicles not fitted to the vehicle when sold to the buyer.
an unregistered motor vehicle that is:
Property Agents and Motor Dealers Act 2000 - Section 300 and Section 317 - Form 60 - V3 - July 2009 Page 3 of 4
PAMD Form 60
Notice of cooling-off period and Statutory Warranty
Property Agents and Motor Dealers Act 2000
This form is effective from 1 July 2009
I, (print name)
of
(buyer's address)
Exercise my cooling-off rights during the cooling-off period and withdraw my intention to purchase the vehicle.
I exercise my rights by signing this notice and giving it to you, the dealer.
Buyer's Signature
date signed: / / (date)
D D M M Y Y Y Y
Note to Buyer:
ABN: 97 406 359 732
Department of Employment, Economic
Development and Innovation (DEEDI)
Cancellation of agreement during cooling-off period
To be completed by prospective buyer, If they want to cancel the contract to buy the vehicle within the one-business day cooling-off period.
Contract Order No:
0
It is recommended that the buyer uses this appendix when advising the motor dealer that they wish to exercise their right to cancel the contract for the vehicle
mentioned in this form.
The Office of Fair Trading recommends you keep a copy and can prove it has been delivered to the dealer.
Complete this form, photocopy and deliver to the delaer personally or by receipted courier or fax before the cooling-off period ends.
(the buyer)
Property Agents and Motor Dealers Act 2000 - Section 300 and Section 317 - Form 60 - V3 - July 2009 Page 4 of 4
PART A
DEALER LIC.
Customer (Buyer): A.C.N.
Address: A.B.N.
P/CODE Ref No
Phone: (work) (mobile) (Home) (Fax)
Occupation Employer Licence (1) D.O.B
Email: Licence (2) D.O.B
Make Model Body Type Trans Rego
Compliance Plate Date VIN # Due Date:
Year Of Manufacture Odometer Odometer (words)
Body Colour Trim Del. Date Eng. No. Eng. size
Trade In Allowance
Less Payout to:
Branch:
AC No.:
Chq No.
Less Refund to Client
Net Trade Equity:
Finance being arranged by
Dealer Customer
Finance Provider
Branch .
Contact ..
Phone No. ..
Buyers Signature
(Finance Only)
Balance of Payment Rec No
Cash
Bank Cheque
Rec No.:
TOTAL SETTLEMENT $
$
AMOUNT FINANCED
$
$
$
$
35.00 $
- $
35.00 $
22.80 $
- $
Compulsory Third Party Insurance (Inc. GST)
SUB TOTAL
Other Conditions/Supplies
- $
61.50 $
TOTAL PURCHASE PRICE (INC.GST)
PAYMENT
Price Including GST
Stamp Duty
Registration/Concessional
Transfer Fee
PPRS Certificate
WOVR Certificate
61.50 $
PURCHASER DETAILS
Cash Price (Inclusive of GST)
Optional Accessories
PPRS Administration Fee
SUB TOTAL
Less other allowances
- $
AMOUNT
- $
3.70 $
- $
35.00 $
2 2 VEHICLE PRICING SETTLEMENT DETAILS
$ $ AMOUNT
$
$
Deposit
Deposit Rec No.:
$
0
1/0/1900
0
0
0 0 0
1/0/1900
0
0
0 0
0 0

2
Please supply the following vehicle ("hereater called the vehicle') to the customers as described above, upon
the terms and conditions stated on the face and on the back of this contract.
0
0 0

0 1/0/1900
0
0
0
Salesperson.
0
LICENSED MOTOR DEALER
0
1 CONTRACT / ORDER FORM TO BUY A USED MOTOR VEHICLE
0
Contract Order No.
Stock No.
0
0 0 0
0
SETTLEMENT DETAILS
AMOUNT
1/0/1900
0
0

Please supply the following vehicle ("hereater called the vehicle') to the customers as described above, upon
the terms and conditions stated on the face and on the back of this contract.
0

1/0/1900
0
CONTRACT / ORDER FORM TO BUY A USED MOTOR VEHICLE
0
Contract Order No.
Stock No.
PART B
I/We have this day sold the vehicle described above to the Motor Dealer shown together with all accessories (as listed), tyres, radio, tools etc for
the sum of $ .. (inclusive of GST)
Accessories: ..
(a) The engine HAS/HAS NOT been replaced by/on behalf of the vendor. If replaced, the approximate date of replacement was / / (dd/mm/yyyy)
(b) The Odometer HAS/HAS NOT been replaced by/on behalf of the vendor, and I confirm to the best of my knowledge that the odometer reading is correct.
(c ) The Concessional Registration HAS/HAS NOT been claimed in respect of this vehicle by the vendor.
(d) if fitted with airbags have the air bags been activated YES/NO
(e)
(g)
The said encumberance IS/IS NOT to be paid out by the Motor Dealer.
I am not bankrupt and have not committed any act of bankruptcy.
The vehicle HAS/HAS NOT been used as a taxi or hire car.
That no defect notice has been issued against this vehicle.
The vehicle IS/IS NOT to be sold at auction. The reserve price for the vehicle at auction is $.................................................(delete as applicable)
Goods and Services Tax Statement
I am registered or required to be registered for GST - YES/NO
The supply of the abovementioned vehicle by me represents a taxable supply by me in the course of an enterprise which I carry on - YES/NO
The supply of the abovementioned vehicle is not a GST-free supply, by me.
If this supply does represent a taxable supply by me, I will provide the Dealer with a valid tax invoice at the time of the Dealer signing this contract.
Declared at this day of . 20
. (Witness)
The licensed Motor Dealer or a person duly authorised by the Motor Dealer as described in Part A, declares and guarantees that
This Dealer's Statement; and
Part A of this Contract Date
Received attached copy of PAMD Form 60 (with warranty) Accepted for and on behalf of the Licensed Motor Dealer
PAMD Form 61 (without warranty)
__________________
Dealer .... Date 1/0/1900
Buyer .. Date
Witness.. Date 1/0/1900
1/0/1900
This vehicle HAS/HAS NOT previous been recorded on the written off vehicle register.
Body Colour
Compliance Plate Date
Year Of Manufacture
Make Model
VIN #
Odometer
Trim Pers Plates
Odometer (words)
Eng. No. Eng. size
Body Type Trans Rego
Stock No.
5 VENDOR'S STATEMENT TO DEALER
Property Agents and Motor Dealers Act 2000 Section 331
(f)
That any conversion or modification from the manufacturers specifications HAS/HAS NOT been approved by the Queensland Transport Department and a
letter of approval is held and modification plates are fixed to the vehicle.
This vehicle IS/IS NOT currently on the written off vehicle register
STATEMENT
1
Due Date:
DESCRIPTION OF USED MOTOR VEHICLE (OR THE TRADE IN)
2 (a)
(b)
The vehicle is the vendors sole and absolutely unemcumbered property and free from any consumer mortgage, Bill of Sale, Hire Purchase Agreement, Lien,
charge or an adverse interest whatsoever, and no person or corporation has any rights, title or interest therein and the vendor has good right and title to sell
same; or
There is an encumberance, charge, lien, or the other adverse interest whatsoever by the way of Bill of Sale/Hire Purchase Agreement/other over the said
vehicle is to . For $ (inclusive of GST)
(c )
3
4
5
6
7
In the interpretation of this document, the singular shall include the plural and any statement or warranty by or obligation upon more than one person shall bind
them jointly and severally.
8
(i)
(ii)
(iii)
(iv)
9 I understand that under section 576 of the Property Agents and Motor Dealers Act 2000, I am liable to penalty if I wilfully represent anything that is false or
misleading about the total distance travelled by the abovementioned motor vehicle.
I/We certify that the above information supplied is true and correct
(a) This contract is not binding on the Dealer or Buyer until it is accepted by the
Motor Dealer
....(vendor/seller)
Property Agents and Motor Dealers Act 2000 Sections 255, 295 (4) & 332
DEALER'S STATEMENT
1 The details of the vehicles required to be stated for the purpose of sections 332 or 255 of the Property Agents and Motor Dealers Act 2000, and regulation 25 of the
Property Agents and Motor Dealers Regulation 2001 are as detailed in
Signtaure of Dealer 1/0/1900
(e)
This may become A LEGALLY BINDING CONTRACT on acceptance by the Dealer. The
buyer should carefully read all pages to this contract before signing. I acknowledge
that and consent to the personal information I have been provided in this document
being used and disclosed for marketing purposes relating to the sale of motor
vehicles (delete if required)
(b) The prices, allowances and amounts shown in this contract may be adjusted in
accordance with clause 2 on the back hereof.
(c ) The buyer is not under the age of 18 years, not a bankrupt and has not
committed an act of bankruptcy.
(d) Prior to the buyer signing this contract, all material particulars have been
inserted in this contract and the buyer has read and understands such
particulars and terms and conditions set out on all pages to this contract,
including the conditions on the back of this page.
(i)
(ii)
The Buyer acknowledges that:
Stock No.
STATEMENT
DESCRIPTION OF USED MOTOR VEHICLE (OR THE TRADE IN)
Property Agents and Motor Dealers Act 2000 Sections 255, 295 (4) & 332
This may become A LEGALLY BINDING CONTRACT on acceptance by the Dealer. The
buyer should carefully read all pages to this contract before signing. I acknowledge
that and consent to the personal information I have been provided in this document
being used and disclosed for marketing purposes relating to the sale of motor
vehicles (delete if required)
Statutory Warranty Period and Guarantee of title to buyer
Property Agents and Motor Dealers Act 2000
This form is effective from 1 July 2009
1. Licensed Motor Dealer Details Contract order number: Stock Number:
Motor Dealer Name:
ABN: Hours of Business:
Address:
Suburb: State: 0 Postcode: 0
Phone: Fax:
Licence No.: Expiry Date:
2. Buyer Details
Buyer Name:
Address:
Suburb: State: 0 Postcode: 0
Phone: Fax:
3. Motor Vehicle Details
Make: Model:
VIN No.: Year of Manufacture:
Description:
Registration Number: Odometer Reading:
0
0
0
0
0 0
0 0
0
0 0
0
0
0
0 1/0/1900
In accordance with Section 283A of the Property Dealers and Motor Dealers Act
2000: I disclose that I am a licensed motor dealer.
0 0
0
0 0
If you need more information or help completing this form, please contact the office of Fair Trading on 13 13 04.
If the motor dealer owns the motor vehicle or is appointed to sell the vehicle on consignment for someone other than another motor dealer or
auctioneer, then the motor dealer is also the responsible licensee.
PAMD Form 62
ABN: 97 406 359 732
Department of Employment, Economic Development and
Innovation (DEEDI)
This form must be completed upon delivery of a vehicle
This form is to be used if a used motor vehicle, including a motor vehicle to be sold on consignment, is to be sold by or for a motor dealer (not by
auction) to someone else ("the buyer"). The responsible licensee must ensure that the buyer gains clear title to the motor vehicle at the time that
property in the motor vehicle passes to the buyer.
The Motor Dealer who sells the motor vehicle to the buyer must give this form to the buyer of the motor vehicle IMMEDIATELY AFTER property in the
vehicle passes to the buyer.
If no statutory warranty applies, please use PAMD Form 63 - Guarentee of title to buyer (by a motor dealer).
If the motor delaer is selling the motor vehicle for another motor dealer or auctioneer, the other motor dealer or auctioneer for whom the vehicle is
being sold on behalf of is the responsible licensee.
Instructions
Please complete in BLOCK letters. Attach extra pages if needed. All references to dates should be shown in DD/MM/YYYY.
Property Agents and Motor Dealers Act 2000 - Section 295 and Section 314 - Form 62 - V3 - July 2009 Page 1 of 2
4. Responsible Licensee (The person who is responsible for guaranteeing title of the vehicle)
If the responsible licensee is the same as in section 1 of the form, please tick box and proceed to section 5.
Name:
Address:
Suburb: . State: Postcode
Phone: . Fax: .
Mobile: . Email: .
License number: . Expiry date:
5. Statutory Warranty Period
The motor dealer to fill out this section immediately prior to the buyer taking delivery of vehicle.
The warranty period STARTS on / /
The warranty period ENDS on / /
This statutory warranty covers a motor vehicle which is 'Class A' or 'Class B'.
6. Responsible Licensee's declaration.
I, (the responsible licensee)
Signature Date Signed:
6. Declaration, the buyer's statement about delivery and acknowledgement of the title guarentee..
I on
(Date) and that I have received:
a)
b)
Buyers Signature Date Signed:
0
D D M M Y Y Y Y
declare that I guarentee that the buyer gains clear tital to the motor vehicle at the time that the property in the motor vehicle passess to
the buyer.
/ /
D M Y Y
ABN:
/
D D
/
M M Y Y Y Y
If the motor dealer owns the motor vehicle or is appointed to sell a vehicle on consignment for someone, other than another motor dealer or
auctioneer, then the motor dealer is the responsible licensee.
If the motor dealer is selling the motor vehicle for another motor dealer or auctioneer, then the motor dealer or auctioneer for whom the vehicle is
being sold on behalf of is the responsible licensee.
D D M M Y Y Y Y
(Start date)
(The warranty period for a 'Class A' and a 'Class B' vehicle starts at the time/date that the buyer takes physical possession of the vehicle. A warranty
cannot expire on a Sunday, public holiday, or a day when the dealers business is not open until 5.00pm. When the expected expiry date is due to fall
on one of these options, then it will be extended to 5.00pm on the first day following that is not a Sunday, public holiday and the Dealer's business is
open.)
(END date)
D D M M Y Y Y Y
(The warranty period will be extended if a defect in a warranted vehicle is being repaired. It is the buyer's duty to notify the warrantor in writing of
defects before the end of the warranty period.)
Y D M Y
(the buyer)
/ /
0 (print name), state that I took delivery of the vehicle at 0:00
(time)
D D M M Y Y Y Y
A copy of this form, PAMD Form 62, signed by the responsible Licensee; AND
A Security interest certificate for the motor vehicle.
/ /
Property Agents and Motor Dealers Act 2000 - Section 295 and Section 314 - Form 62 - V3 - July 2009 Page 2 of 2
Phone:
Email:
ABN
INVOICE NO.
INVOICE TO:
STOCK No. Year of Manufacture: Compliance Date:
DESCRIPTION:
COLOUR: TRIM: TRANSMISSION: BODY TYPE:
REGISTRATION NUMBER:

REGISTRATION EXPIRES:
VIN: ENG No.
PLEASE EMAIL ALL REMITTANCE ADVICES TO:
0
0
0 0
Business name Dealer Licence: 0
TAX INVOICE
0
0
0
DATE: Friday, September 19, 2014 0
0
0
0
0
0
VEHICLE DESCRIPTION:
0 0 Jan-00
0
0 0 0 0
0 0 ODOMETER: 0
0 0
PRICE EXCLUDING GST GST TOTAL INC GST PRICING
NET VEHICLE PRICE
STAMP DUTY
$0.00
$0.00
$20.73
$0.00
REGISTRATION $0.00
$2.07
$0.00
$0.00
$22.80
$3.18
$0.00 $0.00
BANK TRANSFER
WOVR CERTIFICATE
$0.00
$31.82
$3.36
$0.00
$0.00
OTHER ALLOWANCES
TOTAL VEHICLE COST
OTHER INCLUSIONS
$0.00
$0.00
$0.00
BALANCE PAYABLE: $0.00
ACCOUNT No.: 0
BANK: 0
0
$0.00
$0.00 $0.00
PAYMENT RECEIVED $0.00
ACCOUNT NAME: 0
BSB: 0
OTHER
$61.50 $5.59 $55.91
DEPOSIT
$0.00
$0.00 $0.00
PAYMENT IN FULL
$0.34
$0.00
$0.00
$35.00
$3.70
$0.00
$0.00
PAYMENT OF
BALANCE OWING
$0.00 $0.00
$0.00 $0.00
$0.00
COMPULSORY THIRD PARTY INSURANCE
PPRS ADMINISTRATION FEE
PPRS CERTIFICATE
$0.00
Vehicle Registration Transfer Application
Transport Operations (Road Use Management) Act 1995
1 4 continued
Has the Disposer provided a Registration Certificate? The registered operator above is (tick one box)
> Private Individual/s > Go to 5 Registered Company
Is the vehicle's registration current? Business/Trust Other/Legal entities
>
Company/Business Details
Does the vehicle have personalised plates attached? Australian Company Number (CAN)/Business Number (BN)
>
You must nominate one proprietor/trustee of the business or trust
as the second registered operator.
5 Is the vehicle to be transferred into two names?
2 No > Go to 7 Yes
6 Second registered operator's details

No >
Yes >
3 Full name (please print)
7 Where will the vehicle be garaged?
(must be in Queensland)
8 Date of disposal
Disposer's CRN
9 Will the vehicle be registered to an individual/s and used
exclusively for personal and domestic activities?
Yes
4 No > Please indicate purpose of use below (please tick one
box only)
10 Vehicle Registration Duty
No
$
Yes
It is an offence to give false of misleading information under the Transport Operations (Road Use Management) Act 1995
X
Part A. Transfer Application: Acquirer to complete and submit to the Department of Transport and Main Roads
Maximum penalty may exceed $6000.
Registration Details
Yes No This application may not be processed
X Yes No
unless a Registration Certificate is attached.
Any outstanding fees must be paid with
X
label)
0
Check digit
X No Yes
Vehicle Details - please print
The disposer must submit a Remove and/or
Attach Personalised Number Plates Application
Note: If registered in joint names all disposers details must be
completed below.
The CRN is your Qld Driver Licence number, Adult Proof of Age Card
number or your refernce number issued by TMR.
First Disposer's details
Disposers Customer Reference Number (CRN)
Make, Model and Body Shape (e.g. Ford Falcon Station Wagon)
Vehicle Identification Number (VIN) or Chassis Number
The vehicle is to be transferred from:-
Disposer's name (please print)
Second Disposer's details (if applicable)
No
First Registered operator's details
Full name and residential/business address (please PRINT)
Postal address (if same as above write 'AS ABOVE')
Disposer's name (please print)
The vehicle is to be transferred to:-
Note: The vehicle may be transferred into one or two names
Evidence of Identity (EOI) is required for all acquirers
as above
0
0 0 0
this application.
(F2964) or a Personalised Number Plate/s
Transfer Application (F2963) with this application.
(note: the check digit is the single number that appears following the
registration number on the Registration Certificate or windscreen
continued
0

business Name
0
0
Registration/plate number
0
0
Yes
> Complete a New Customer Application (Form F3503)
X >
CRN

Does the above individual or organisation have a CRN?
The CRN is your Qld Driver Licence number, Adult Proof of Age Card
number or your refernce number issued by TMR.
Commercial COML
Details must be those of an individual or the proprietor/trustee of
the business/trust.
0/01/1900
TRAI
Driver Training or
Tuition
Taxi TAXI
Used for Non
Profit
NONP
Priv > Go to 10
X
Adult Proof of Age Card number or your reference number
Do you have a CRN? The CRN is your Qld Driver Licence number,
issued by TMR.
PPSE
Limousine LIMO
LSPL
Special Purpose
Limousine
0
X
0 0 0
Complete a New Customer Application (Form F3503)
CRN
Farming FARM
Licensed Tow
Truck
LTOW
Duty (if applicable) on tractor-based mobile machinery is
charged at a flat rate of $25.00
$0.00
Dutiable Value
(Market Value)
> Exemption code/number (as listed in the vehicle
Registration Duty Exemptions section
Is there an exemption from paying duty?
X >
Dutiable Value' is defined in the duty and Dutiable Value
section. For vehicles other than tractor-based mobile
machinery, what is the dutiable value at the date of
disposal?
Emergency EMER
School Activities
Only (Transporting
children,teachers)
Rental
(Self Driver Rental)
RENT
SCHA
Public Passenger
Service
11 Current Odometer (Speedo) reading (if applicable)
18 continued
Representatives signature
12 Registration periods 19 Certification
Are you paying the renewal at the time of transfer?
Is the vehicle's GVM or ATM over 4.5 tonne?
Acquirer/s signature Date
12 months
13
Now complete Part B Proof of Transfer/Notice of Disposal
Yes Transferring registration
Yes
14 Buyer's checklist
Check that:

the vehicle has a Qld Safety Certificate or Qld COI

the Qld safety certificate is attached to a conspicuous part of the vehicle

the Qld safety certificate identifies the issuing AIS
the Qld safety certificate or Qld COI is current
15 the vehicle has been inspected by an independent mechanic

> Go to 16
>
16
Yes

17 Identificatioon sighted? Yes No
> Go to 18 Is there a change of POU? Yes No
Is there a change of CTP? Yes No
Yes
>
is there a change of ITCE? Yes No
Vehicle Inspection? Yes No
Authorising person's name
18
Authorising person's signature Date
> Go to 19
Yes
>
Concession Codes
Veterans Affairs Pension:-
PVA1 - Granted prior 1/7/94;
PVA2 - granted ono or after 1/7/94
EXSV - exservice persons
Soc. Sec. Pension Conc. :-
PSS1 - granted prior 1/7/94
PSS2 - granted on or after 1/7/94
Dept. of Communities :-
SENR - Seniors Card
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.
No x
6 months
>
if yes, name of CTP insurer
Compulsory Third Party (CTP) Insurance
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 3 months before the lodgement
date of this application.
Gas fuel systems certificate/Compliance
Plate no.
Do you wish to nominate a new CTP insurer?
You may choose a new CTP insurer for the next registration period.
For a list of licensed insurers visit www.maic.qld.gov.au.
No x
You, the acquirer, may have to pay a prorata fee with
this application.
Is the current registration under concession?
(The registration Certificate shows whether a vehicle has a concession
applied to the registration)
No x >
(Your representative will need to bring proof of their identification as well
as proof of your identity, e.g. Original Driver Licence). Refer to the separate
Evidence of Identity Information sheet (F4362) or www.tmr.qld.gov.au for
requirements.
$
X
What type of concession will you be applying for?
An Application for Concession and proof of entitlement
may need to be supplied with this application.
Is someone lodging this application on your behalf?
Are you applying for a registration concession?
No x
x
Representative's details - Name (in full)
If you are buying a second-hand vehicle, motorbike, caravan or trailer, it is advisable to
check through the Personal Property Securities Register (PPSR) whether the vehicle has
a security interest registered against it prior to finalising the purchase. The PPSR is a
national register where details of security interests in personal property can be
registered and searched. You can access PPSR at www.ppsr.gov.au or by phone on 1300
007 777.
if the vehicle runs on gas or is fitted with gas appliances, fittings or systems the
vehicle has a Gas Certificate. The certificate must not be more than three months
old and be from an authorised installer.
continued
Fee Calculation
Renewal
Transfer
Surcharge
you lodge a completed Transfer of Registration Application (form F3520) and
certificate of registration at a TMR Customer Service Centre within 14 days of
purchase. This form must be signed by both the person selling the vehicle and the
person buying the vehicle. See instructions (tear-off Information Sheet) for other
transfer requirements.
Privacy Statement - The Department of Transport and Main Roads (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 it's 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.
Office use only
Duty
Pre-Rata
Admin
Total
No
All acquirers must sign, however, future transactions will only require one signature.
!/We declare that the information provided is correct and that the true Dutiable
Value has been declared. I/We consent to TMR verifying my evidence of identity
documents or information with the issuing authority or their agencies.
0/01/00
Disposer's signature/s - if currently in joint names the signature of only
one disposer is required Date
0/01/00
0
Yes No
>
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3 months
No x >
Registration period options
6 months 12 months
Yes
>
Registration period options
Issue Date
(exemptions listed in Gas Certificate Exemptions)
Other Gas systems Certificate/Compliance
Plate no. Issue Date
Qld Safety or Qld Inspection Certificate
Is there an exemption from providing a Qld Safety or Qld
Inspection Certificate?
No
x
>
The original Qld Safety/Inspection Certificate must
be attached to this application (see instructions-
tear-off sheet)
Yes
>
Exemption Category
(as listed in
instructions)
Is this vehicle fitted with gas fuel systems or other gas
systems?
No
Yes
x
Vehicle Registration Transfer Application
Transport Operations (Road Use Management) Act 1995
1 5 continued

2 Full Name (Please print)
Disposer's Customer Reference Number (CRN) 6
Qld Safety OR Qld Inspection Certificate details (if applicable)
Qld Safety/Qld Inspection Certificate number Issue Date
7 Is this vehicle fitted with an odometer (speedo)?
3 8
Acquirer/s Signature/s
Date
Date
No > Complete a New Customer Application (form F3503)
>

No > Complete a New Customer Application (form F3503)

>
It is an offence to give false of misleading information under the Transport Operations (Road Use Management) Act 1995
Maximum penalty may exceed $6000.
Part B. Proof of Transfer/Notice of Disposal: Seller to keep.
As the disposer of this vehicle, you must positively identify the person
who will now be responsible for the vehicle.
Private individual/s X
Note: If registered in joint names all disposers details must be completed
below.
First Disposer's details
The CRN is your Qld Driver Licence number, Adult Proof of Age Card
number or your reference number issued by TMR.
Organisation
No
0
I/We declare that the information provided is correct and that the true
Dutiable value has been declared.
Acquirer's identification details
Disposer's name (please print)
x
Yes
>
What is the reading on day of disposal?
Certification - All Acquirer/s must sign, however, future
transactions will require only one signature.
Details must be those of an individual or the proprietor/trustee of the
business/trust.
0 0 0
0
GMB Auto Wholesalers
Second Disposer's details (if applicable)
Disposer's Customer Reference Number (CRN)
Disposer's name (please print)
You keep part B (seller's copy) of the transfer Application and the yellow copy of the Qld Safety Certificate
as proof of transfer until the vehicle is transferred from your name.
Private Individual/s
0
The registered operator above is (tick one)
Yes
CRN
The vehicle is to be transferred to:-
Note: The vehicle may be transferred into one or two names.
0/01/00
First Registered Operator's details
Full name and residential/business address (please PRINT)
0
0
AS ABOVE
CRN
Does the above individual or organisation have a CRN?
Yes X
Postal address (if same as above write 'AS ABOVE')
Do you have a CRN? The CRN is your Qld Driver Licence number, Adult
Proof of Age Card number or your reference number issued by TMR.
0/01/00
Part A & B of this form should be separated and completed in full and signed by
both parties. The Disposer must keep the 'Sellers Copy' and a copy of the Qld
Safety or Qld Inspection Certificate until the vehicle is transferred from their
name. You need to do this for your own protection as you could innocently
become accountable for offences committed by the acquirer/s. If you
reasonable believe the Acquirer has not applied for transfer of the vehicles
registration within 14 days, you may lodge the 'Sellers Copy' and a copy of the
Qld Safety or Qld Inspection Certificate with the department.
Seller's checklist
Make sure:
the current Qld Safety Certificate is attached to a conspicuous part of the vehicle when offered for sale
if the vehicle runs on gas or is fitted with gas appliances, fittings or systems the vehicle has a gas certificate.
The certificate must not be more than 3 months old and be from an authorised gas installer.
A transfer of vehicle registration Application (Form F3520) is completed and signed by both the person/s
selling the vehicle and person/s buying the vehicle.
Business/Trust Other/Legal entities
Company/Business details
Is the vehicle to be transferred into two names?
No
ACN/ABN
You must nominate one proprietor/trustee of the business or trust as the
second registered operator.
X >
Go to 6 Yes
Seller's Copy
Vehicle Details
Registration/plate number Check digit
0
Expiry Date
1/0/1900
The vehicle is to be transferred from:-
Important: It is an offence for a disposer to fail to produce a Qld Safety or
Qld Inspection Certificate on transfer of registration.

1/0/1900
Date of Disposal Dutiable Value
$ $ -
continued
> Go to 4 Registered Company X
>
Second registered operators details
The CRN is your Qld Driver Licence number, Adult Proof of Age Card
number or your reference number issued by TMR.
Disposer/s Signature/s - if currently in joint names the signature of only
one disposer is required.
Read the following:
you have obtained a Qld Safety Certificate or COI
The Qld Sfaety Certificate identifies the issuing AIS.
Go to 5