Form 171 Immigrants Declaration and Undertakingof Motor Vehicles
Form 171 Immigrants Declaration and Undertakingof Motor Vehicles
Form 171 Immigrants Declaration and Undertakingof Motor Vehicles
I undertake -(a) not to sell, offer or display for sale, lease, hire, pledge or in any manner whatsoever, whether gratuitously or otherwise, dispose of toany other person any vehicles or other goods in respect of
which a rebate of duty and remission of VAT have been granted, within twenty-four months of the date of their entry without the prior permission of the Commissioner and the payment of the
full duty and VAT due.
(b) that, if I emigrate from Zimbabwe within a period of twenty-four months from the date on which the vehicles or other goods were entered under rebate, I shall remove such vehicles or other goods
from Zimbabwe on my departure unless I have obtained the prior permission of the Commissioner to leave them inside Zimbabwe and have paid the full duty and VAT due. (c) to notify the
commissioner within 14 days of any changes to my residential address.
Signed ……r masawi ……………………………………………………………………..….. Date ………14/03/2021…………………… ……………………. Date of importation of goods
…………………………………………………… Date of arrival of immigrant …18/01/2021……………………………………………………………… Passport No./Nationality ………CN393684…………………………………………Tel or
Cell Number…00263719856249/00263779889352……………..……………………………………………. Residence permit number ………RC 9728010………………………………………………………………… Period of absence if
returning resident …2002………………………………Country of Export……United Kingdom……………………………………………….….…
___________________________________________________________________________________________________________________________________________________________________________________
Registration
Value for Customs Amount of Amount
of Amount of
Details of vehicle Country of manufacture Engine Number Chassis Number number
Value duty
tariff customs surtax VAT Total rebated
_____________________________________________________________________________________________________________________________________________________________________
Details of fitted radio/tape Make and model number Serial number Value player
_________________________________________________________________________________________________
Radio
____________________________sony__________________________________________________________________________________________________________________________________________________________
Tape player
______________________________________________________________________________________________________________________________________________________________________________________
TOTAL . . . . .
______________________________________________________________________________________________
FOR OFFICIAL PURPOSES ONLY
“Immigrant” means any person who enters Zimbabwe - Carrier;s advice/manifest/Preceeding Document Reference ZIMRA date stamp and entry number
(a) to take up employment or permanent residence, or …………………………………………………….
(b) as a visitor but remains to take up employment or permanent residence, or Equipment number…………………………………
(c) as a returning permanent resident after having resided outside Zimbabwe for not less C.C.C. number………………………………………….
than two years or such shorter period as the Minister may in his discretion, approve;
and includes such person’s spouse and any dependant child under the age of eighteen years. .…………………………………………..………………. ………………………………………
Revenue Officer (Name & Signature) Name & Signature of Supervisor