obrazets-mezhdunarodnoy-nalogovoy-knizhki-dlya-avtomashiny
Annex
to the Convention
on the taxation of foreign
motor vehicles
MODEL OF INTERNATIONAL FISCAL PERMIT
This permit is drawn up in the official language or languages of the country of issue. The cover, pale blue in colour, shall bear a translation into each of the languages of the High Contracting Parties, of the words: "International Fiscal Permit".
Entries in writing on the permit shall be written in Latin characters or in English cursive hand, but may, in addition, be written in other characters.
This permit contains 48 numbered pages.
The format is that of the model attached hereto
5 9
(approximately 5 -- x 8 -- inches).
16 16
(Cover.)
[Name of Country]
INTERNATIONAL FISCAL PERMIT
No. _________
International Convention
signed at Geneva on March 30th, 1931.
(Page 1.)
[Name of Country.]
International Fiscal Permit
No. _________
International Convention
signed at Geneva on March 30th, 1931.
The present permit is issued with a view to the exemption from
taxes or charges on the circulation or possession of motor
vehicles granted for one or more periods of stay representing a
total period of not more than ninety days spent in each of the
countries to which the said Convention applies. The permit is only
valid for one year from the date of issue.
The present fiscal permit is issued to ___________________ <1>
living at ____________________________________________________ <2>
for the motor vehicle with the following description:
Type of vehicle __________________________________________ (1)
Make of chassis __________________________________________ (2)
Number of chassis ________________________________________ (3)
Number of engine _________________________________________ (4)
Registration number on the plates of the country issuing the
permit _______________________________________________________ (5)
Place and date of issue __________________________________ (6)
┌─────────┐
│Stump of │ __________________________________________________ <3>
│authority│ __________________________________________________ <4>
└─────────┘
--------------------------------
<1> Christian names and surname of the owner or possessor.
<2> Town, street, number.
<3> Signature of authority or of the organisation designated
for the purpose.
<4> Visa of authority.
(Page 2.)
The present permit is valid in all the countries mentioned
below for one year from the date of its issue. Before the
expiration of this period, no new certificate or duplicate copy
can be issued for the same vehicle.
List of countries
│
│
│
│
│
│
│
(Page 3.)
Change of owner or possessor
M. _______________________________________________________ (1)
living at ________________________________________________ (2)
is entered as the owner or possessor of the vehicle for which
the present permit has been issued.
┌──────────┐
│Stamp of │ (At) ___________________ (date) _________________ (3)
│authority.│ _________________________________________________ (4)
└──────────┘
__________________________________________________________________
M. _______________________________________________________ (1)
living at ________________________________________________ (2)
is entered as the owner or possessor of the vehicle for which
the present permit has been issued.
┌──────────┐
│Stamp of │ (At) ___________________ (date) _________________ (3)
│authority.│ _________________________________________________ (4)
└──────────┘
__________________________________________________________________
M. _______________________________________________________ (1)
living at ________________________________________________ (2)
is entered as the owner or possessor of the vehicle for which
the present permit has been issued.
┌──────────┐
│Stamp of │ (At) ___________________ (date) _________________ (3)
│authority.│ _________________________________________________ (4)
└──────────┘
__________________________________________________________________
M. _______________________________________________________ (1)
living at ________________________________________________ (2)
is entered as the owner or possessor of the vehicle for which
the present permit has been issued.
┌──────────┐
│Stamp of │ (At) ___________________ (date) _________________ (3)
│authority.│ _________________________________________________ (4)
└──────────┘
__________________________________________________________________
(1) Christian names and surname of the owner or possessor.
(2) Town, street, number.
(3) Place and date.
(4) Signature of authority or of the organisation designated
for the purpose.
(Page 4.)
Change of registration number
The vehicle in respect of which this permit is issued has
received the following new registration number: __________________
┌──────────┐
│Stamp of │ (At) _________________ (date) ___________________ (1)
│authority.│ _________________________________________________ (2)
└──────────┘
__________________________________________________________________
The vehicle in respect of which this permit is issued has
received the following new registration number: __________________
┌──────────┐
│Stamp of │ (At) _________________ (date) ___________________ (1)
│authority.│ _________________________________________________ (2)
└──────────┘
__________________________________________________________________
The vehicle in respect of which this permit is issued has
received the following new registration number: __________________
┌──────────┐
│Stamp of │ (At) _________________ (date) ___________________ (1)
│authority.│ _________________________________________________ (2)
└──────────┘
__________________________________________________________________
The vehicle in respect of which this permit is issued has
received the following new registration number: __________________
┌──────────┐
│Stamp of │ (At) _________________ (date) ___________________ (1)
│authority.│ _________________________________________________ (2)
└──────────┘
__________________________________________________________________
(1) Place and date.
(2) Signature of authority or of the organisation designated
for the purpose.
(Page 5.)
Entrance and exit visas
_______________________________________ (Name of country visited)
┌───────────┬─────────┬──────────┬──────────┬────────────────────┐
│ Entrance │ Date │Number of │ Total │ Signature of │
│ or exit │ │ days to │ number of│ competent official │
│ │ │be counted│ days to │ or stamp of office │
│ │ │ │be counted├──────────┬─────────┤
│ │ │ │ since │ Entrance │ Exit │
│ │ │ │ first │ │ │
│ │ │ │ entrance │ │ │
├───────────┼─────────┼──────────┼──────────┼──────────┼─────────┤
│Entrance │ │ │ │ │ │
├───────────┼─────────┤ │ │ │ │
│Exit │ │ │ │ │ │
├───────────┼─────────┼──────────┼──────────┼──────────┼─────────┤
│Entrance │ │ │ │ │ │
├───────────┼─────────┤ │ │ │ │
│Exit │ │ │ │ │ │
├───────────┼─────────┼──────────┼──────────┼──────────┼─────────┤
│Entrance │ │ │ │ │ │
├───────────┼─────────┤ │ │ │ │
│Exit │ │ │ │ │ │
├───────────┼─────────┼──────────┼──────────┼──────────┼─────────┤
│Entrance │ │ │ │ │ │
├───────────┼─────────┤ │ │ │ │
│Exit │ │ │ │ │ │
├───────────┼─────────┼──────────┼──────────┼──────────┼─────────┤
│Entrance │ │ │ │ │ │
├───────────┼─────────┤ │ │ │ │
│Exit │ │ │ │ │ │
└───────────┴─────────┴──────────┴──────────┴──────────┴─────────┘
For continuation, vide page No. _________________
Note: In calculating the period of exemption, each day shall
be reckoned from midnight to midnight, every fraction of a day
counting as a whole day. The day of exit shall, however, not be
counted when the day of entry and the day of exit are separated by
a period of more than one day.
(Page 6 and following.)
________________________________________ (Name of country visited)
┌───────────┬─────────┬──────────┬──────────┬────────────────────┐
│ Entrance │ Date │ Number of│ Total │ Signature of │
│ or exit │ │ days to │number of │ competent official │
│ │ │be counted│ days to │ or stamp of office │
│ │ │ │be counted├──────────┬─────────┤
│ │ │ │ since │ Entrance │ Exit │
│ │ │ │ first │ │ │
│ │ │ │entrance │ │ │
├───────────┼─────────┼──────────┼──────────┼──────────┼─────────┤
│Entrance │ │ │ │ │ │
├───────────┼─────────┤ │ │ │ │
│Exit │ │ │ │ │ │
├───────────┼─────────┼──────────┼──────────┼──────────┼─────────┤
│Entrance │ │ │ │ │ │
├───────────┼─────────┤ │ │ │ │
│Exit │ │ │ │ │ │
├───────────┼─────────┼──────────┼──────────┼──────────┼─────────┤
│Entrance │ │ │ │ │ │
├───────────┼─────────┤ │ │ │ │
│Exit │ │ │ │ │ │
├───────────┼─────────┼──────────┼──────────┼──────────┼─────────┤
│Entrance │ │ │ │ │ │
├───────────┼─────────┤ │ │ │ │
│Exit │ │ │ │ │ │
├───────────┼─────────┼──────────┼──────────┼──────────┼─────────┤
│Entrance │ │ │ │ │ │
├───────────┼─────────┤ │ │ │ │
│Exit │ │ │ │ │ │
├───────────┼─────────┼──────────┼──────────┼──────────┼─────────┤
│Entrance │ │ │ │ │ │
├───────────┼─────────┤ │ │ │ │
│Exit │ │ │ │ │ │
└───────────┴─────────┴──────────┴──────────┴──────────┴─────────┘
For continuation, vide page No. _________________