Statutory Declaration For Motor Vehicles
Please fill in details print out, sign and fax back to Australia on ( 61+7 ) 3290 2481 or fill in details and Submit
This document remains the property of Celestial Industries Pty ltd for its own personal & business use.

I, (insert name)

Of (insert address)

Do solemnly and sincerely declare the information I have provided to be true

Type of Car

Make 

Model

Year 

Vehicle Chassis Number: (Vin) 

Date Purchased 

Current Value for Customs Purposes

Reason for importing  

I declare that the above vehicle being imported does not contain R12 or CFC Gas compound
which has been checked by a qualified person.

Dated: 

Signed Signature:
Print Name 

Email:
You will need to fill in Print Name and Email address for this feedback form to work

Please fill in details print out, sign it and fax back to Australia Trade on ( 61+7 ) 3290 2481