FORM 'F T'
[See Rule 54 (3) ]
Intimation of arrival of Motor Vehicle in Maharashtra State.
[Form MMV - 26]
I, residing (temporarily)
at
(permanently) at.
hereby declare that I have brought the undermentioned motor vehicle into the state of Maharashtra on and that I intend to keep it in the state upto
for use solely* within the limits of the local authority viz, (here mention the name of local authority) which has levied a tax on the motor vehicle /* both [ (here mentioned the name of local authority) ] and outside these limits :-
1)
Class of Motor Vehicle
2)
Registration mark
3)
Maker's name
4)
Type of body
5)
Number of chassis
6)
Number of engine
7)
Unladen weight
8)
Whether used for carriage of persons or goods
_____________________________________________
9)
If used for carriage of persons:
a)Whether plying for hire
______________________________________________
b)Carrying capacity
c)Seated (including driver)
d)Standees
Total
* Strike out which is not applicable [P.T.O]
10)
If used for carriage of goods
___________________________________________
(a) Gross vehicle
(b)Carrying capacity i.e. the difference between the gross weight and the the unladen weight.
11)
(a) Date on which the motor vehicle was last brought into the state of Maharashtra
And
(b) Date on which it was last removed from the State of Maharashtra
12)
The fuel used in the vehicle
13)
Name of Insurer
14)
Insurance Certificate No
15)
Date of validity of Insurance Certificate
From to
I tender herewith Rs_______________________________ by cash/ cheque/ Demand Draft/
Money Order/ Treasury Chalan being the tax due in respect of the vehicle described above .
(*Strike out which is not applicable)
The said vehicle is exempted from payment of tax by Government Notification, Home
Department No._____________________ dated the_______________
For the period ending__________________________________________________
By virtue of having paid the tax for the said period in the State of___________
_________________________________________________
Dated the
Signature of the Declarant