Customs Diplomatic Privileges Regulations (C.R.C., c. 522)

PlaceDate

• 1 To: the Deputy Minister, National Revenue (Customs and Excise)

I, (full name), having been officially notified to the Department of External Affairs, Ottawa, as (official designation)(located at), I apply for importation at free rates of customs duties of the motor vehicle described below, in accordance with the Customs Diplomatic Privileges Regulations. I declare that I have purchased the following motor vehicle:

Description

• 3 Name of Sales Agency

  Address

• 4 The above described motor vehicle is being acquired for my personal, family and official use and not for sale, and I am aware that it may not be sold or otherwise disposed of in Canada within a period of two years after the date of its acquisition, except on payment of customs duties as applicable on the appraised value at the time of sale. If for any reason it becomes necessary to sell or dispose of this vehicle within two years after the date of acquisition, I undertake to give advance notification in writing to the Department of National Revenue, Customs and Excise, Planning and Administration Division, Excise Branch, Ottawa, K1A 0L5, and to pay the said customs duties as required.

  Signature of Applicant

  Official Designation

  Street Address

  Note: If the applicant is other than the Head of the Mission, this application should also be signed by the Head of Mission as indicating approval.

  Signature of Head of Mission

  Official Designation

Seal

Note: Three completed copies of this application with customer’s order or sales invoice attached shall be delivered to the local Customs and Excise Office for approval and processing.