Motor Vehicle Claim Form

Your Name
Email
example@example.com
Tax Year
Vehicle Model & Year
Registration Number
Date Purchased

Day Month Year
Date
Purchase Price ($)
Is it Financed?
Type of Finance
Monthly Repayments
Odometer readings
As at 1 July 2019
As at 30 June 2020
% of work-related travel
Expenses
Insurance cost ($)
Registration cost ($)
Maintenance costs ($)
Fuel costs ($)
Any additional information or comments
Should be Empty:

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