DECEASED ESTATE - VICROADS

 
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Information update
March 2019

Deceased Estate

VicRoads recognises                         What needs to happen when
                                            a person is deceased?
that the death of a
relative or friend is a                      Step 1 – Notify VicRoads
difficult time. This pack                    that the person is deceased

has been prepared to
help you resolve driver                      Step 2 – Establish the authorised
and marine licensing                         representative of the Estate

and vehicle and vessel
registration matters as                      Step 3 – Decide what you            Cancel a driver licence, learner
simply as possible.                          need to do                          permit or marine licence

We will endeavour to deal with your                                              Transfer a vehicle or
needs in a sensitive manner which                                                vessel registration
respects your privacy. We trust that you
will understand that certain requirements
must be met to protect the Estate and                                            Cancel a vehicle or
ensure the legitimacy of transactions.                                           vessel registration

                                                                                 Register an unregistered
                                                                                 vehicle or vessel

                                                                                 Transfer/retain custom
                                                                                 number plates

vicroads.vic.gov.au
Step 1 – Notify VicRoads that                   2.2) Establish that the person has              Cancel a driver licence, learner permit
the person is deceased                          authority to represent the Estate               or marine licence
While VicRoads is notified periodically of      This will require VicRoads to sight             A driver licence, learner permit or
deaths recorded by Births, Deaths and           an original or certified copy of:               marine licence may be cancelled
Marriages Victoria, it is in the interests of                                                   by the authorised representative
                                                i. the relevant section of the Will; or
the Estate to notify VicRoads as soon as                                                        of the Estate. This can be done by
possible that the person is deceased.           ii. a Grant of Probate issued by a              completing the Cancellation and
This can be done:                                   Supreme Court of an Australian              refund request form, which is included
                                                    State or Territory; or                      in this pack.
      •• in writing (include a certified
         copy of the death certificate)         iii. Letters of Administration; or              VicRoads will deduct an administration
         to VicRoads, GPO Box 1644,                                                             fee from the refund amount. Where
                                                iv. where none of the above exist and
         Melbourne, Victoria, 3001; or                                                          the refund amount is less than the
                                                    the estate is worth less than $10,000,
                                                                                                administration fee, no refund will be
      •• in person (bring the original or           a Statutory Declaration for the
                                                                                                issued, and the authorised representative
         a certified copy of the death              Administration of a Deceased Estate
                                                                                                will be advised of this in writing.
         certificate) at a VicRoads                 form from a person, typically a spouse
                                                                                                All refunds will be made payable by
         Customer Service Centre.                   or domestic partner, parent, child or
                                                                                                cheque to the Estate and posted to
An original or certified copy of the death          sibling (who is at least 18 years of age)
                                                                                                the authorised representative.
certificate must be sighted by VicRoads.            stating that there is no Will or grant of
                                                    representation and declaring that they      No refund is payable for a learner permit.
If a person has died overseas, an                   are entitled to represent the estate.
overseas death certificate will be                                                              At the time of cancellation, if a request
accepted, providing it is in English            VicRoads will not copy or retain the            is made for a licence or permit to be
or accompanied by an English                    Will, Grant of Probate or Letters of            returned to the Estate after cancellation,
translation from an interpreter who             Administration. Documents created               it will be invalidated.
is accredited or recognised by the              for the purpose of submission to
                                                VicRoads such as a statutory declaration        Transfer a vehicle or vessel registration
National Accreditation Authority for
Translators and Interpreters (NAATI).           will be retained for VicRoads record.           When VicRoads has been notified that
                                                                                                a person is deceased, it will write to the
Original documents must not be mailed           If there is more than one executor
                                                                                                deceased person’s Estate (if necessary),
to VicRoads as they will not be able to         or administrator, a letter, signed
                                                                                                requesting that the registration of any
be returned. A death certificate presented      by all executors or administrators
                                                                                                vehicles or vessels be cancelled or
in person at a VicRoads Customer Service        must be provided nominating
                                                                                                transferred to the name of the authorised
Centre will not be copied or retained           which person will represent the
                                                                                                representative of the Estate on a
and will be returned to you.                    Estate. The nominated person
                                                                                                temporary basis, pending settlement of
                                                may expressly authorise in writing
                                                                                                the Estate, or another person where the
Step 2 – Establish the authorised               a third party (agent) to undertake
                                                                                                entitlement has been resolved.
representative of the Estate                    transactions on behalf of the Estate.
This may be done when you first notify                                                          VicRoads records the registered
                                                Please refer to vicroads.vic.gov.au
VicRoads of the death, but if this is not                                                       operator of a vehicle or vessel. This is
                                                for advice on evidence of identity
possible, it must be done as soon as                                                            not necessarily the owner. Transfer of
                                                and authority to act requirements
possible, after that date. It is important                                                      registration does not transfer ownership
                                                for agents.
to note that VicRoads will not be able                                                          of a vehicle or a vessel.
to process any transactions until Step 1        Step 3 – Decide what you need to do             The requirements to transfer the
and Step 2 have been completed.                 Step 3 is for the authorised representative     registration of a vehicle to a new operator
There are two parts to this step                of the Estate to identify the transactions      are set out in the table below. The
and they must be completed by                   that need to be undertaken. This Step can       requirements vary as certain exemptions
the authorised representative                   be undertaken at the same time as Step 2.       are provided in legislation.
of the Estate attending a VicRoads              If a transaction is to be undertaken            Vehicles registered in the name of a
Customer Service Centre:                        at another time, the authorised                 company or other incorporated body are
                                                representative will need to provide             subject to normal transfer requirements.
2.1) Establish the identity of the person       evidence of identity at a VicRoads
who is to represent the Estate                                                                  No exemptions apply to vessel transfers.
                                                Customer Service Centre as per Step 2.1.
The representative of the Estate                                                                Normal transfer requirements apply,
must provide their current (or                                                                  complete the Application for transfer
expired by no more than two                                                                     of vessel registration from deceased
years) photo Australian driver                                                                  estate form. This form is available at
licence/learner permit or satisfy                                                               vicroads.vic.gov.au or visit a VicRoads
VicRoads normal evidence of                                                                     Customer Service Centre.
identity requirements – please visit                                                            If there are multiple vehicles or vessels,
vicroads.vic.gov.au.                                                                            you need to complete one form for
                                                                                                each registration to be transferred.
Vehicle transfer requirements

 Transfer to                                                                               Requirements
                                         Completed Application for transfer of      Payment of vehicle          Current Certificate       Payment of motor
                                         registration from deceased estate form     registration transfer fee   of Roadworthiness         vehicle duty
                                         signed by the authorised representative                                (not more than 30
                                         of the Estate                                                          days from issue)
 Authorised representative of the        ✓                                          ✓
 Estate - temporary transfer only,
                                         The authorised representative of the
 pending settlement of the Estate
                                         Estate needs to sign both the disposer
                                         and acquirer sections of the form
 Surviving spouse or domestic            ✓
 partner who has acquired the
                                         If the spouse or domestic partner has
 vehicle through an entitlement
                                         the same surname as the deceased
 to the whole or part of the
                                         person or a different surname but the
 Estate of the deceased spouse
                                         same address as the deceased person,
 or domestic partner
                                         written proof of the relationship is
                                         not required. If the surnames and/
                                         or addresses are different, a written
                                         statement must be provided
 Person with a Beneficial                ✓                                          ✓                           ✓
 Entitlement (includes companies
                                         VicRoads will act on written advice
 and incorporated associations)
                                         from the executor or administrator
                                         of the Estate that a beneficial
                                         entitlement exists
 Any other person (includes              ✓                                          ✓                           ✓                         ✓
 companies and incorporated
 associations)
 If there is a court order specifying to whom the vehicle or vessel is to be transferred, an original or certified copy must be sighted by VicRoads in addition
 to the transfer requirements.

Vehicle registration requirements
This table only applies to vehicles that were previously registered in the name of the deceased, either in Victoria or interstate.

 Registration to                                                                           Requirements
                                         Completed a Vehicle registration form      Payment of vehicle          Current Certificate of    Payment of motor
                                                                                    registration, TAC fees      Roadworthiness (not       vehicle duty
                                                                                    and number plate fees       more than 30 days
                                                                                                                from issue)
 Authorised representative of the        ✓                                          ✓                           ✓
 Estate – temporary registration only,
 pending settlement of the estate
 Surviving spouse or domestic            ✓                                          ✓                           If the vehicle is
 partner who has acquired the                                                                                   currently registered
 vehicle through an entitlement to                                                                              interstate in the name
 the whole or part of the estate of                                                                             of the deceased
 the deceased spouse or domestic                                                                                at the time of
 partner                                                                                                        re-registration in
                                                                                                                Victoria, a Certificate
                                                                                                                of Roadworthiness
                                                                                                                is not required
 Person with a beneficial                ✓                                          ✓                           ✓                         ✓
 entitlement (includes companies
 and incorporated associations)
 Any other person (includes              ✓                                          ✓                           ✓                         ✓
 companies and incorporated
 associations)
Cancel a vehicle or vessel registration       Register an unregistered vehicle                When custom number plates are not
If a vehicle or vessel is still in the name   or vessel                                       assigned to a vehicle but the rights
of the deceased person, or is in the          If a vehicle or vessel has become               to display the plates were held by the
name of the Estate or its authorised          unregistered, normal re-registration            deceased, and are now to be transferred,
representative, the authorise                 requirements apply (please refer to             the authorised representative of the
representative of the Estate may request      vicroads.vic.gov.au for details).               Estate and the buyer must complete
that the registration be cancelled.                                                           a Transfer of registration number rights
                                              Vehicles being registered temporarily in        agreement for deceased estate.
Vehicle requirements:                         the name of the authorised representative
                                              pending settlement of the Estate are            Enclosed in this pack
∞∞ Return the number plates to VicRoads
                                              exempt from motor vehicle duty.                 The following forms are enclosed in
  and complete a Cancellation and
  refund request form; or                     Vehicles being registered in the name           this pack:
                                              of a spouse or domestic partner are             ∞∞ Application for transfer of registration
∞∞ If the number plates have been lost,
                                              also exempt from motor vehicle duty.               from deceased estate
  damaged or destroyed, complete a
  Cancellation and refund request form,       For more information please refer to            ∞∞ Statutory declaration for the
  including the section about non-return      Table 2.                                           administration of a deceased estate
  of number plates; or
                                              Transfer/retain custom number plates            ∞∞ Cancellation and refund request for
∞∞ If custom plates are to be retained,                                                          deceased estate.
                                              The display rights to custom number
  advise VicRoads that the number
                                              plates, assigned to a vehicle, are              Other forms you may need are:
  plates will be held in ‘self-retention’
                                              transferred with the transfer of the
  (please refer to the Transfer/retain                                                        ∞∞ Application for transfer of vessel
                                              vehicle’s registration.
  custom number plates section) and                                                              registration from deceased estate
  complete a Cancellation and refund          If the display rights to custom number
  request form to claim a refund of           plates are not to be transferred with a         ∞∞ Transfer of registration number rights
  the unexpired portion of the                registration, the plates must be removed           agreement for deceased estate.
  registration and Transport Accident         before the registration is transferred.         If you need these other forms, or
  Commission charges.                         New number plates will be required to           additional copies of any forms in this
                                              be assigned to the vehicle unless its           pack, please visit vicroads.vic.gov.au
Administration fees will be deducted
                                              registration is to be cancelled.                or a VicRoads Customer Service Centre.
from the refund amount. Where
the refund amount is less than the            Custom number plates which are to be
                                                                                              Contact us
administration fee, no refund will be         retained by the Estate which are not to
issued, and the authorised representative     be assigned to a vehicle should be held         For further information please visit
will be advised of this in writing.           in ‘self-retention’.                            vicroads.vic.gov.au or call 13 11 71.
All refunds will be made payable                                                              TTY users call 13 36 77
                                              To request that custom number plates
to the Estate.                                                                                Speak and Listen users call 1300 555 727
                                              be recorded as being in ‘self-retention’
Vessel requirement:                           the authorised representative of the            Information provided is correct at the
                                              Estate will need to:                            time of printing and may be subject to
∞∞ Complete a Cancellation and refund
  request form, providing the vessel          ∞∞ complete all sections of a Transfer          change.
  registration number and if possible,           of registration number rights                                                              DEDJTR11119/25 VRPN02871 03.19 Authorised and published by VicRoads, 60 Denmark Street, Kew, Victoria, 3101.

  hull identification number.                    agreement for deceased estate form
                                                 (available at vicroads.vic.gov.au or visit
Please note there is no provision for
                                                 a VicRoads Customer Service Centre)
refund of vessel registration fees under
                                                 on behalf of the Estate
the Marine Safety Act 2010 or Marine
Safety Regulations 2012.                      ∞∞ keep the plates safely in their
                                                 possession
                                              ∞∞ not fit the plates to any other
                                                 registered vehicle prior to VicRoads
                                                 assigning the number to the
                                                 vehicle at the request of the
                                                 registered operator.
                                              It is important that custom number
                                              plates which are not assigned to a
                                              registered vehicle are placed in
                                              ‘self-retention’ as the rights to display
                                              the plates may otherwise lapse.
Transfer of registration from a deceased estate
VicRoads recommends that all estate settlement activities are completed during a single visit to a VicRoads Customer Service Centre.

       Depending on your circumstances you may be required to provide additional documents. Required documents and evidence are denoted by a paperclip.

Pre-transfer checklist
                                                                                                                      Disposer(3)                         Acquirer(5)
                                                                                                                    Authorised        Authorised     Spouse/        Person with     Other
                                                                                                                  representative    representative domestic          Beneficial   person or
                                                                                                                   of the estate     of the estate partner of the   Entitlement   company
                                                                                                                                      (temporary    deceased
                                                                                                                                        transfer)

       Ensure that VicRoads has been notified that the person is deceased by providing an approved
       evidence document. Refer to vicroads.vic.gov.au/deceased-estate for detailed information.
       Do not mail original copy of any documents to VicRoads.

       Ensure that the authorised representative of the estate has been established with VicRoads by
       providing an approved evidence document and proof of identity.
       Refer to vicroads.vic.gov.au/deceased-estate for detailed information.

       If a third party (agent) is nominated to undertake transactions on behalf of the estate, express
       authorisation must be provided in writing by the authorised representative of the estate.

       If there is a court order specifying to whom the vehicle or vessel is to be transferred, an original
       or certified copy must be sighted by VicRoads.

Confirm that there is no money owing on the vehicle, it’s not reported stolen or recorded as written-off.
Refer to ppsr.gov.au or call 1300 007 777.

Confirm the Victorian registration is current (not suspended or cancelled) and not subject to any
sanctions that will prevent the registration transfer.
Check the registration online at vicroads.vic.gov.au/registration-check

Confirm the acquirer has a Victorian licence/customer number. If the acquirer has an interstate licence,
refer to vicroads.vic.gov.au/interstate-transfer for information.

Confirm the number plates are being transferred with the vehicle, and that they match the VIN. If the estate
intends to keep the rights to custom number plates, refer to vicroads.vic.gov.au/deceased-estate for
self-retention instructions, and attach new number plates before the registration transfer.

       If receiving the vehicle as part of a deceased estate, provide written proof of the relationship if
       you have a different surname and/or address to the deceased person.

       Organise a Victorian Certificate of Roadworthiness (RWC) for the vehicle is issued no more than
       30 days before the date of sale, unless exempt. Refer to vicroads.vic.gov.au/transfer-exemptions

Write a receipt as proof of transfer and keep a copy (photo). Include the following information
(at minimum) on the receipt:
• The vehicle registration number and VIN or chassis number
• Disposer and acquirer names and signatures
• Date and time of the transfer.
                                                                                                                                                                                                VRPIN02887 07.19 99846 Authorised and published by VicRoads, 60 Denmark Street, Kew, Victoria, 3101.
Pay the transfer fee upon lodgement, unless exempt. Refer to vicroads.vic.gov.au/transfer-exemptions

Calculate and pay the motor vehicle duty upon lodgement, unless exempt.
Refer to vicroads.vic.gov.au/transfer-exemptions

Update any toll provider, roadside assistance and insurance accounts.

Lodging this form
Lodge this completed form with applicable estate documents, RWC, completed Primary producer concession application form and fees (if applicable) to
VicRoads within 14 days of transfer by:
• Visiting a VicRoads Customer Service Centre, refer to vicroads.vic.gov.au/office-locations or call (03) 8677 7855 for locations.
• Mail (including a cheque, money order or a completed Credit or debit card authorisation form if paying fees by credit or debit card. The form is available at
   vicroads.vic.gov.au/card-authorisation) to:
   GPO Box 1644
   Melbourne VIC 3001

 WARNING: Original documents must not be mailed to VicRoads as they will not be able to be returned. Estate documents, such as the original death
 certificate or Grant of Probate, presented in person at a VicRoads Customer Service Centre will not be copied or retained and will be returned to you. Documents
 created for the purpose of submission to VicRoads, such as a statutory declaration, will be retained for VicRoads record.

Post: VicRoads, GPO Box 1644 Melbourne Victoria 3001   Call: 13 11 71 (TTY 13 36 77, Speak and Listen 1300 555 727)     Web: vicroads.vic.gov.au                                  Page 1 of 3
Definitions
(1)                                                                                         (12) Market value – also known as dutiable value, is the price at which the vehicle
     Registered operator – an individual or corporation who owns or manages a
     vehicle and has the right to register it. To register a vehicle the individual must        might reasonably be sold, free from encumbrances, on the open market, or
     be at least 17 years for a light vehicle, 17 years and 9 months for a                      the purchase price – whichever is greater.
     motorcycle, and 18 years for a heavy vehicle. There can only be one
                                                                                                 For example, if you paid $4000 but it would normally be worth $5000, the
     registered operator per vehicle.
                                                                                                 market value is $5000. However, if you pay greater than the normal market
(2) Current registration – registration expires at midnight of the registration expiry
                                                                                                 value due to a vehicle’s condition, the dutiable value is the amount paid.
     date. VicRoads will cancel the registration if it is not renewed within 3 months
                                                                                            (13) Motor vehicle duty – the duty payable on a transfer of registration of a motor
     after expiry. If the vehicle does not meet this definition, do not use this form and
     refer to vicroads.vic.gov.au/transfers for unregistered transfer information.              vehicle. The rate of duty is charged per $200, or part, of the dutiable value of
(3) Disposer – the person who is authorised as a representative of the estate to                the vehicle based on the vehicle classification below.
     sell or give away the vehicle.                                                              Use the online calculator at vicroads.vic.gov.au/transfer-fees to calculate
(4) Authorised representative of the estate – the individual authorised to                       the applicable motor vehicle duty or refer to the table and calculation below.
     transfer the registration of a vehicle from the name of the deceased to an
     acquirer, thereby disposing of the vehicle from the estate. Refer to the                   Vehicle classification                                                     Rate for calculation
     deceased estate pack available at vicroads.vic.gov.au/deceased-estate for                  Regardless of the market value:
     information on establishing the authorised representative of the estate.                   • The vehicle is a Low Emission Vehicle
(5) Acquirer – the person who is acquiring or receiving the vehicle.
                                                                                                • The buyer is a primary producer, or
(6) Vehicle Identification Number (VIN) – a unique 17 digit identifier made up of               • The vehicle is a non-passenger vehicle
     numbers and letters on a vehicle. Only for vehicles manufactured prior to 1989,              (motorbike, van, bus, truck, heavy trailer, equipment)                            0.042
     provide a chassis number.                                                                  Market value of the vehicle is up to $67,525                                        0.042
(7) Date of transfer – refers to the date of transfer, sale or delivery, when the
                                                                                                Market value of the vehicle is over $67,525 up to $100,000                          0.052
     acquirer receives the vehicle from the authorised representative of the estate.
(8) Certificate of Roadworthiness (RWC) – also known as a Roadworthy                            Market value of the vehicle is over $100,000 up to $150,000                         0.07
     Certificate, issued by a Victorian Licensed Vehicle Tester to certify if a vehicle         Market value of the vehicle is more than $150,000                                   0.09
     is in roadworthy condition. It is valid for 30 days from the date of issue, unless
     a defect notice is issued within the period of validity.                                    How to calculate motor vehicle duty
(9) Victorian licence/customer number – a customer number is a unique 9 digit                    Rate for        Round up Market value A
     number issued by VicRoads to corporations and individuals without a                         calculation*    to the closest $200                           Motor vehicle duty
     Victorian licence or learner permit. The customer number is the same as a                     0.0______ x $                                           = $                               B
     Victorian licence number if an individual has been issued with a learner permit
     or driver licence.                                                                         * Use the rate applicable to market value as per the Vehicle classification in the above table.
(10) Australian Company Number (ACN) – a unique 9 digit number issued to a                  (14) Transfer fee – the fee payable by the proposed registered operator when

     company by Australian Securities and Investments Commission (ASIC).                        transferring operation of a registered vehicle. Transfer fees are subject to change.
(11) Garage address – where the vehicle will normally be kept (e.g. home, office or              The current transfer fee is available at vicroads.vic.gov.au/transfer-fees
     heavy vehicle depot). VicRoads will only register vehicles garaged in Victoria.
                                                                                            (15) Low  Emission Vehicle – tailpipe CO2 emissions of 120g/km or less.
                                                                                                 Check your vehicle’s emission levels at greenvehicleguide.gov.au
                                                                                            (16) Primary producer – an individual or company engaged solely or substantially in

                                                                                                 agricultural, horticultural, viticultural, dairying, pastoral or other like activities, or
                                                                                                 who is the holder of a licence under the Fisheries Act 1995 to take fish for sale.

                                                                                             WARNING: Both the disposer and acquirer need to provide complete and
                                                                                             accurate information so the registration can be transferred successfully.
                                                                                             VicRoads’ vehicle register is not a register of title (vehicle ownership).

                                                                                                                                                                                                   VRPIN02887 07.19 98426 Authorised and published by VicRoads, 60 Denmark Street, Kew, Victoria, 3101.

                                                                                                                                                                                     Page 2 of 3
Transfer of registration from a deceased estate
This form is to be used to change the registered operator(1) of a currently registered(2) vehicle with Victorian number plates attached. This form must be completed and
signed by both the disposer(3) (authorised representative of the estate(4)) and the acquirer(5) and returned to VicRoads within 14 days of vehicle transfer.
All fields are mandatory and should be completed clearly in ink using BLOCK letters. For more information, including a checklist and definitions, refer to pages 1 and 2.

 Vehicle details                                                                                         Acquirer details
Registration number                       Make                            Model                          Surname OR
                                                                                                         Company name
                                                                                                         Given name(s)
Year                                      Body type                                                      OR ACN(10)

                                                                                                         Victorian licence/customer number(9)
VIN (or chassis number if no VIN)(6)
                                                                                                                If the acquirer does not have a Victorian licence/customer number, full
                                                                                                                evidence of identity documentation (for themselves or their company)
                                                                                                                must be provided in person at a VicRoads Customer Service Centre.
Date of transfer(7) (dd/mm/yyyy)                                                                                Refer to vicroads.vic.gov.au/identity for requirements.
                                         To avoid liability for traffic offences and penalties,
            /         /                  provide the exact date the vehicle was transferred/sold.        Home address OR Company address

Is this vehicle recorded on the Victorian or interstate written-off vehicles register?
No          Yes        The disposer must inform the acquirer in writing if the vehicle is                                                                                    Postcode
                             recorded on the Victorian or an interstate written-off vehicles register.
                             Refer to ppsr.gov.au for information.                                       Postal address (if different to Home address OR Company address)
Certificate of Roadworthiness             (RWC)(8)
An original Victorian RWC issued not more than 30 days
before the date of transfer must be attached, unless exempt.                                                                                                                 Postcode
Refer to vicroads.vic.gov.au/deceased-estate                       Exempt                                Garage address(11) (if different to Home address OR Company address)
RWC serial number                      RWC issue date (dd/mm/yyyy)
                                                          /         /
                                                                                                                                                                             Postcode
RWC tester’s licence number
                                                                                                         Phone number (mobile preferred)

           The original RWC must be attached when this form is lodged.                                   Email address

                                                                                                         Market value(12) or sale price of the vehicle
 Deceased person details                                                                                 $
                                                                                                                                            Declare the greater of the market value or the sale price.
                                                                                                                                      A To avoid penalties do not under declare the market value.

Surname                                                                                                  Payment details
                                                                                                          Use the online calculator at vicroads.vic.gov.au/transfer-fees to determine
Given name(s)
                                                                                                          the applicable motor vehicle duty(13) and transfer fee(14).
                                                                                                         For fee and duty exemptions, refer to vicroads.vic.gov.au/transfer-exemptions
Victorian licence/customer number(9)
                                                                                                         Motor vehicle duty                              $                            B        Exempt
Home address
                                                                                                         Transfer fee                                    $                            C        Exempt
                                                                        Postcode
                                                                                                         Total fee payable        B     +      C    = $
 Disposer (Authorised representative of the estate)                                                                                                                                                             VRPIN02887 07.19 99846 Authorised and published by VicRoads, 60 Denmark Street, Kew, Victoria, 3101.
                                                                                                         Tick if applicable: Low Emissions Vehicle(15)               Buyer is a primary producer(16)
I,                                                                                                              To apply for a primary producer concession, complete a Primary producer
as the authorised representative of the estate, request that the registration                                   concession application form available at vicroads.vic.gov.au/transfer-forms
specified on this form be transferred from the name of the deceased to the
acquirer who is:                                                                                         Declaration
                                          Me as the authorised representative
                                                                                                         WARNING: Providing false and/or misleading information or documents is a serious
                                     The spouse or domestic partner of the deceased                      offence under the Road Safety Act 1986 and/or Marine Safety Act 2010 and can result
                                                  A person with a Beneficial Entitlement                 in you being fined or imprisoned. Any authority or approval, given as a result of you
                                                                                                         providing such information/documents, may be reversed and have no effect.
                                                               Another person or company                 By signing this form, I declare that the information in this form and related supporting
                                                                                                         documents is true, correct and complete, and I understand the privacy statement.
     Privacy statement – Personal information VicRoads collects from you may be used by                  Authorised representative signature
     VicRoads, as permitted by the Road Safety Act 1986 and the Marine Safety Act 2010.
     VicRoads may disclose personal information it collects from you to various organisations and                                                                       Date (dd/mm/yyyy)
     persons as permitted by law, particularly by the Road Safety Act 1986. This includes disclosing
     the information to contractors and agents of VicRoads, law enforcement agencies, other road                                                                                 /         /
     and traffic authorities, Austroads, the Transport Accident Commission, vehicle manufacturers
     (for safety recalls), road safety researchers, courts and other organisations or people             Acquirer signature
     authorised to use the personal information. You are required to provide this personal                                                                              Date (dd/mm/yyyy)
     information. Failure to provide the information may result in this form not being processed, or
     records not being properly maintained. For further information about our use of your personal                                                                               /         /
     information and your right of access to it, see VicRoads brochure Protecting your privacy or
     contact VicRoads on 13 11 71.                                                                       OFFICE      RWC                            MVD                          Transfer
                                                                                                         USE ONLY    exemption code                 exemption code               exemption code

         COPIES OF THIS COMPLETED FORM MUST BE RETAINED BY BOTH THE DISPOSER AND ACQUIRER AS PROOF OF TRANSFER.                                                                                  Page 3 of 3
Statutory declaration for the
                           ABN 61 760 960 480                                                 Administration of a Deceased Estate
Please complete the details below and sign in the presence of an
                                                                                    Vic driver licence / learner permit / client no.
authorised witness (see list overleaf). Print clearly in ink using BLOCK letters.

  I,        Name in full
of          Home address

            Occupation                                                                                                                            Postcode

do solemnly and sincerely declare that:
                                                                                                                                                             (name of deceased)

                                                                                                                                                          (address of deceased)

     passed away on                                                                                                                                                      (date)

     I declare that the deceased died without leaving a will and to my knowledge, having made enquiries, no one else will be administering the estate.

     My relationship to the deceased is                                                               (e.g. spouse or domestic partner, child, sibling, parent or other).

     I declare that I am 18 years of age or older.

     I declare that the total value of the estate does not exceed $10,000.

     I have attached an original death certificate or certified copy of an original death certificate.

     I wish to be recorded as the authorised representative of the abovementioned estate for the purpose of undertaking transactions with VicRoads
     associated with the administration of the estate.

     I acknowledge that if the distribution of assets for the abovementioned estate is legally challenged, VicRoads may refuse to undertake, or reverse,
     transactions associated with the administration of the estate as a result of this declaration.

     I indemnify VicRoads against claims or actions arising from any transactions undertaken as a result of this declaration.

     I acknowledge that the VicRoads’ Vehicle Register is not a Register of Title.

     I acknowledge that this declaration is true and correct, and I make it with the understanding and belief that a person who makes
     a false declaration is liable to the penalties of perjury.

                                                                                                                                                                                  DJPR 11119/26 VRPIN02936 07.17 Authorised and published by VicRoads, 60 Denmark Street, Kew, Victoria, 3101.

Declared at
     Address

     this                                                       day of                                                      year

Signature of person making declaration                                                     Signature of authorised witness
 Signature                                                                                  Signature

                                                                                            Name in full

                                                                                            Position/Title

The authorised witness must print or stamp his or her name, address and title under section 107A of the Evidence (Miscellaneous Provisions) Act 1958 (as of 1
January 2010), (previously Evidence Act 1958). For a full list of authorised witnesses, please see over the page.
Post: VicRoads, GPO Box 1644, Melbourne, Victoria, 3001 Call: 13 11 71 (TTY 13 36 77, Speak and Listen 1300 555 727) Web: vicroads.vic.gov.au
Authorised witnesses
In accordance with the Evidence (Miscellaneous Provisions) Act 1958,                • a councillor of a municipality
any of the following persons may witness the signing of a statutory
                                                                                    • a senior officer of a council as defined in the Local Government Act 1989
declaration within Victoria:
                                                                                    • a person registered under the Health Practitioner Regulation National Law to
• a Justice of the Peace or Bail Justice
                                                                                      practise in the medical profession (other than as a student)
• a Public Notary
                                                                                    • a person registered under the Health Practitioner Regulation National Law:
• an Australian lawyer (within the meaning of the Legal Profession Act 2004)
                                                                                       (i) to practise in the dental profession as a dentist (other than as a student); and
• a clerk to an Australian lawyer
                                                                                       (ii) in the dentists division of that profession
• the Prothonotary or a Deputy Prothonotary of the Supreme Court
                                                                                    • a veterinary practitioner
• the Registrar or a Deputy Registrar of the County Court
                                                                                    • a person registered under the Health Practitioner Regulation National Law to
• the Principal Registrar, Registrar or a Deputy Registrar of the                     practise in the pharmacy profession (other than as a student)
  Magistrates’ Court
                                                                                    • a principal in the teaching service
• the Registrar of Probates or an Assistant Registrar of Probates
                                                                                    • the manager of an authorised deposit-taking institution
• the associate to a Judge of the Supreme Court or of the County Court
                                                                                    • a member of the Institute of Chartered Accountants in Australia or the Australian
• the associate of an Associate Judge of the Supreme Court or of an Associate         Society of Accountants or the National Institute of Accountants
  Judge of the County Court
                                                                                    • the secretary of a building society
• a person registered as a patent attorney under Chapter 20 of the Patents
                                                                                    • a minister of religion authorised to celebrate marriages
  Act 1990 of the Commonwealth
                                                                                    • a person employed under Part 3 of the Public Administration Act 2004 with a
• a member of the police force
                                                                                      classification that is prescribed as a classification to which this section applies
• the Sheriff or a Deputy Sheriff                                                     or holds office in a statutory authority with such a classification

• a member or former member of either House of the Parliament of Victoria           • a fellow of the Institute of Legal Executives (Victoria).

• a member or former member of either House of the Parliament of the Commonwealth   Where a statutory declaration is supplied to VicRoads, a VicRoads
                                                                                    staff member is not permitted to witness the declaration.
Application for transfer of
                                                                                                                                                        vessel registration from
                            ABN 61 760 960 480                                                                                                                  deceased estate
This form must be completed and signed by both the authorised representative and acquirer and returned to
VicRoads within 14 days. Please print clearly in ink using BLOCK letters. Do not use this form if the registration                                    Registration number
is expired or has been cancelled. Transport Safety Victoria on behalf of the Director, Transport Safety is
                                                                                                                                                      Serial number
responsible for the administration of the Marine Safety Act 2010 (Vic). VicRoads is an agent for Transport Safety
Victoria and is responsible for the registration of vessels and the collection of fees. The vessel register records the
                                                                                                                                                      Date of transfer             D       D       M    M       Y         Y      Y     Y
identification details of each vessel and the name and address of the person responsible for it. It is not a register
of vessel ownership (title).                                                                                                                         Copies: Original – Submit to VicRoads
Please return the completed form and fees to a VicRoads Customer Service Centre.                                                                             Pink – Authorised representative keeps    Yellow – Acquirer keeps

I,                                				                                                                          as the authorised representative of the estate, request that the registration specified on this form
be transferred from the name of the deceased to the acquirer who is:
     Me as the authorised representative          The spouse or domestic partner of the deceased		                                              A person with a Beneficial Entitlement		                       Another person
Deceased person’s (disposer) details                                                                                     Acquirer details
     Surname                                                                                                              Surname or company name

     Given name(s)                                                                                                        Given name(s) or ACN

     Licence/Client number                                                                                                Licence/Client number

     Date of birth                                         D       D       M     M      Y       Y        Y         Y      Date of birth                                            D      D        M   M       Y          Y      Y     Y

     Last known home address                                                                                              Home or company address

                                                                       Postcode                                                                                                                Postcode

     Last known postal address (if different from above)                                                                  Postal address (if different from above)

                                                                       Postcode                                                                                                                Postcode

                                                                                                                          Contact phone number (mobile preferred)
Note: If the vessel is registered in the name of an individual, that person must be at
least fourteen years of age.                                                                                              Email address (optional)

Vessel description                                 Year manufactured                Y       Y       Y       Y      Make of vessel                                                 Model

                                                   HIN (Hull Identification Number)

Does the vessel have an Australian Build Plate (ABP)?                          Yes              No                    If any, please provide manufacturing date                    Y       Y       Y    Y

Type of vessel (please cross one circle in group)                                                       Type of construction
         CABCRU – Cabin Cruiser                     HOUSEB – House Boat                                          M–     Metal                 Overall length (m)                        Number of engines
         HALCAB – Half Cabin                        AIRCUS – Air Cushion Vehicle                                 W–     Wood
                                                                                                                                              Breadth (m)                               Colour
         OPECAB – Open Cabin                        PWC – Personal Water Craft                                   F –    Fibreglass
         TRASAI – Trailer Sailer                    Canoe                                                        C –    Composite             No. of hulls                    1                  2                  3                4
         YACHT – Yacht                                                                                           O–     Other
                                                                                                                                           Type of engine
Engine number(s)                                                       Engine make(s)                                                                                 Horsepower                 Type of fuel

                                                                                                                                                                                                                                           DJPR 11119/39 VRPIN02888 11.17 99853 Authorised and published by VicRoads, 60 Denmark Street, Kew, Victoria, 3101.
                                                                                                                                        (inboard/outboard)
                                                                                                                                                                                                                        P – Petrol
1                                                                      1                                                            1                                1                         1                        D – Diesel
                                                                                                                                                                                                                        E – Electric
2                                                                      2                                                            2                                2                         2                        S – Steam
                                                                                                                                                                                                                        G – Gas*
3                                                                      3                                                            3                                3                         3
                                                                                                                                                                                                                        M – Multiple
4                                                                      4                                                            4                                4                         4                        O – Other
                                                                                                                                                                                                                        		*(eg: LPG)

Transfer fees payable – Proposed registered operator (Acquirer)
The fee payable by the proposed registered operator (Acquirer) when transferring operation of a registered vessel is subject to change. The current transfer
fee is available on VicRoads website, visit vicroads.vic.gov.au, or by contacting VicRoads on 13 11 71. Alternatively, please contact Transport Safety Victoria            Total payable $
on 1800 223 022 and select option 1 for Maritime.
Transport Safety Victoria (TSV) and VicRoads collect and hold the personal information provided in this application to assist the Director, Transport Safety (Safety Director) to administer the Marine Safety
Act 2010 (Vic) and Marine Safety Regulations 2012 (Vic). VicRoads and TSV are committed to protecting personal information in accordance with their obligations under the Marine Safety Act 2010 (Vic).
The personal information provided in this application may be disclosed to other government agencies in accordance with section 306 of the Marine Safety Act 2010 (Vic) and section 177 of the Transport
Integration Act 2010 (Vic). The individuals whose personal information is collected on this application have a right to seek access to this personal information and to seek correction of any error in the
personal information held. All individuals whose personal information is included with this application should be informed of this fact. For more information on privacy please refer to the VicRoads brochure
‘Protecting your Privacy’, TSV’s privacy statement at transportsafety.vic.gov.au/privacy, or contact VicRoads on 13 11 71. It is an offence under the Marine Safety Act 2010 (Vic) to give information that
is false or misleading in relation to an application for registration of a vessel. Failure to provide the information may result in your application not being processed or records not being properly
maintained. By signing this form, I declare that all information and/or documents provided by me is true and correct.

By signing this form, I declare that all information and/or documents provided by me is true and correct and I             By signing this form, I declare that all information and/or documents provided by me is true and correct
understand the Privacy statement. I acknowledge that a copy of this form may be provided by VicRoads to the                and I understand the Privacy statement. I acknowledge that a copy of this form may be provided by
acquirer upon request. I declare that this vessel is registered at the date of transfer and acknowledge that any           VicRoads to the authorised representative of the Estate upon request. I have checked the vessel details
remaining period of registration of this vessel is transferred to the acquirer.                                            provided by the disposer match the vessel.
Signature                                                                                                                  Signature
     Signature of authorised representative/authorised agent                                                                 Signature of acquirer/agent

     Date                                                 D      D         M    M       Y       Y       Y         Y          Date                                                  D      D        M   M       Y         Y       Y     Y

Post: VicRoads, GPO Box 1644, Melbourne, Victoria, 3001                    Call: 13 11 71 (TTY 13 36 77, Speak and Listen 1300 555 727)                           Web: vicroads.vic.gov.au
                                                                               THIS ORIGINAL MUST BE SUBMITTED TO VICROADS
Application for transfer of
                                                                                                                                                        vessel registration from
                            ABN 61 760 960 480                                                                                                                  deceased estate
This form must be completed and signed by both the authorised representative and acquirer and returned to
VicRoads within 14 days. Please print clearly in ink using BLOCK letters. Do not use this form if the registration                                    Registration number
is expired or has been cancelled. Transport Safety Victoria on behalf of the Director, Transport Safety is
                                                                                                                                                      Serial number
responsible for the administration of the Marine Safety Act 2010 (Vic). VicRoads is an agent for Transport Safety
Victoria and is responsible for the registration of vessels and the collection of fees. The vessel register records the
                                                                                                                                                      Date of transfer             D       D       M    M       Y         Y      Y     Y
identification details of each vessel and the name and address of the person responsible for it. It is not a register
of vessel ownership (title).                                                                                                                         Copies: Original – Submit to VicRoads
Please return the completed form and fees to a VicRoads Customer Service Centre.                                                                             Pink – Authorised representative keeps    Yellow – Acquirer keeps

I,                                				                                                                          as the authorised representative of the estate, request that the registration specified on this form
be transferred from the name of the deceased to the acquirer who is:
     Me as the authorised representative          The spouse or domestic partner of the deceased		                                              A person with a Beneficial Entitlement		                       Another person
Deceased person’s (disposer) details                                                                                     Acquirer details
     Surname                                                                                                              Surname or company name

     Given name(s)                                                                                                        Given name(s) or ACN

     Licence/Client number                                                                                                Licence/Client number

     Date of birth                                         D       D       M     M      Y       Y        Y         Y      Date of birth                                            D      D        M   M       Y          Y      Y     Y

     Last known home address                                                                                              Home or company address

                                                                       Postcode                                                                                                                Postcode

     Last known postal address (if different from above)                                                                  Postal address (if different from above)

                                                                       Postcode                                                                                                                Postcode

                                                                                                                          Contact phone number (mobile preferred)
Note: If the vessel is registered in the name of an individual, that person must be at
least fourteen years of age.                                                                                              Email address (optional)

Vessel description                                 Year manufactured                Y       Y       Y       Y      Make of vessel                                                 Model

                                                   HIN (Hull Identification Number)

Does the vessel have an Australian Build Plate (ABP)?                          Yes              No                    If any, please provide manufacturing date                    Y       Y       Y    Y

Type of vessel (please cross one circle in group)                                                       Type of construction
         CABCRU – Cabin Cruiser                     HOUSEB – House Boat                                          M–     Metal                 Overall length (m)                        Number of engines
         HALCAB – Half Cabin                        AIRCUS – Air Cushion Vehicle                                 W–     Wood
                                                                                                                                              Breadth (m)                               Colour
         OPECAB – Open Cabin                        PWC – Personal Water Craft                                   F –    Fibreglass
         TRASAI – Trailer Sailer                    Canoe                                                        C –    Composite             No. of hulls                    1                  2                  3                4
         YACHT – Yacht                                                                                           O–     Other
                                                                                                                                           Type of engine
Engine number(s)                                                       Engine make(s)                                                                                 Horsepower                 Type of fuel

                                                                                                                                                                                                                                           DJPR 11119/39 VRPIN02888 11.17 99853 Authorised and published by VicRoads, 60 Denmark Street, Kew, Victoria, 3101.
                                                                                                                                        (inboard/outboard)
                                                                                                                                                                                                                        P – Petrol
1                                                                      1                                                            1                                1                         1                        D – Diesel
                                                                                                                                                                                                                        E – Electric
2                                                                      2                                                            2                                2                         2                        S – Steam
                                                                       3                                                                                                                                                G – Gas*
3                                                                                                                                   3                                3                         3
                                                                                                                                                                                                                        M – Multiple
4                                                                      4                                                            4                                4                         4                        O – Other
                                                                                                                                                                                                                        		*(eg: LPG)

Transfer fees payable – Proposed registered operator (Acquirer)
The fee payable by the proposed registered operator (Acquirer) when transferring operation of a registered vessel is subject to change. The current transfer
fee is available on VicRoads website, visit vicroads.vic.gov.au, or by contacting VicRoads on 13 11 71. Alternatively, please contact Transport Safety Victoria            Total payable $
on 1800 223 022 and select option 1 for Maritime.
Transport Safety Victoria (TSV) and VicRoads collect and hold the personal information provided in this application to assist the Director, Transport Safety (Safety Director) to administer the Marine Safety
Act 2010 (Vic) and Marine Safety Regulations 2012 (Vic). VicRoads and TSV are committed to protecting personal information in accordance with their obligations under the Marine Safety Act 2010 (Vic).
The personal information provided in this application may be disclosed to other government agencies in accordance with section 306 of the Marine Safety Act 2010 (Vic) and section 177 of the Transport
Integration Act 2010 (Vic). The individuals whose personal information is collected on this application have a right to seek access to this personal information and to seek correction of any error in the
personal information held. All individuals whose personal information is included with this application should be informed of this fact. For more information on privacy please refer to the VicRoads brochure
‘Protecting your Privacy’, TSV’s privacy statement at transportsafety.vic.gov.au/privacy, or contact VicRoads on 13 11 71. It is an offence under the Marine Safety Act 2010 (Vic) to give information that
is false or misleading in relation to an application for registration of a vessel. Failure to provide the information may result in your application not being processed or records not being properly
maintained. By signing this form, I declare that all information and/or documents provided by me is true and correct.

By signing this form, I declare that all information and/or documents provided by me is true and correct and I             By signing this form, I declare that all information and/or documents provided by me is true and correct
understand the Privacy statement. I acknowledge that a copy of this form may be provided by VicRoads to the                and I understand the Privacy statement. I acknowledge that a copy of this form may be provided by
acquirer upon request. I declare that this vessel is registered at the date of transfer and acknowledge that any           VicRoads to the authorised representative of the Estate upon request. I have checked the vessel details
remaining period of registration of this vessel is transferred to the acquirer.                                            provided by the disposer match the vessel.
Signature                                                                                                                  Signature
     Signature of authorised representative/authorised agent                                                                 Signature of acquirer/agent

     Date                                                 D      D         M    M       Y       Y       Y         Y          Date                                                  D      D        M   M       Y         Y       Y     Y

Post: VicRoads, GPO Box 1644, Melbourne, Victoria, 3001                    Call: 13 11 71 (TTY 13 36 77, Speak and Listen 1300 555 727)                           Web: vicroads.vic.gov.au
                                                                THIS COPY SHOULD BE KEPT BY THE AUTHORISED REPRESENTATIVE
Application for transfer of
                                                                                                                                                        vessel registration from
                            ABN 61 760 960 480                                                                                                                  deceased estate
This form must be completed and signed by both the authorised representative and acquirer and returned to
VicRoads within 14 days. Please print clearly in ink using BLOCK letters. Do not use this form if the registration                                    Registration number
is expired or has been cancelled. Transport Safety Victoria on behalf of the Director, Transport Safety is
                                                                                                                                                      Serial number
responsible for the administration of the Marine Safety Act 2010 (Vic). VicRoads is an agent for Transport Safety
Victoria and is responsible for the registration of vessels and the collection of fees. The vessel register records the
                                                                                                                                                      Date of transfer             D       D       M    M       Y         Y      Y     Y
identification details of each vessel and the name and address of the person responsible for it. It is not a register
of vessel ownership (title).                                                                                                                         Copies: Original – Submit to VicRoads
Please return the completed form and fees to a VicRoads Customer Service Centre.                                                                             Pink – Authorised representative keeps    Yellow – Acquirer keeps

I,                                				                                                                          as the authorised representative of the estate, request that the registration specified on this form
be transferred from the name of the deceased to the acquirer who is:
     Me as the authorised representative          The spouse or domestic partner of the deceased		                                              A person with a Beneficial Entitlement		                       Another person
Deceased person’s (disposer) details                                                                                     Acquirer details
     Surname                                                                                                              Surname or company name

     Given name(s)                                                                                                        Given name(s) or ACN

     Licence/Client number                                                                                                Licence/Client number

     Date of birth                                         D       D       M     M      Y       Y        Y         Y      Date of birth                                            D      D        M   M       Y          Y      Y     Y

     Last known home address                                                                                              Home or company address

                                                                       Postcode                                                                                                                Postcode

     Last known postal address (if different from above)                                                                  Postal address (if different from above)

                                                                       Postcode                                                                                                                Postcode

                                                                                                                          Contact phone number (mobile preferred)
Note: If the vessel is registered in the name of an individual, that person must be at
least fourteen years of age.                                                                                              Email address (optional)

Vessel description                                 Year manufactured                Y       Y       Y       Y      Make of vessel                                                 Model

                                                   HIN (Hull Identification Number)

Does the vessel have an Australian Build Plate (ABP)?                          Yes              No                    If any, please provide manufacturing date                    Y       Y       Y    Y

Type of vessel (please cross one circle in group)                                                       Type of construction
         CABCRU – Cabin Cruiser                     HOUSEB – House Boat                                          M–     Metal                 Overall length (m)                        Number of engines
         HALCAB – Half Cabin                        AIRCUS – Air Cushion Vehicle                                 W–     Wood
                                                                                                                                              Breadth (m)                               Colour
         OPECAB – Open Cabin                        PWC – Personal Water Craft                                   F –    Fibreglass
         TRASAI – Trailer Sailer                    Canoe                                                        C –    Composite             No. of hulls                    1                  2                  3                4
         YACHT – Yacht                                                                                           O–     Other
                                                                                                                                           Type of engine
Engine number(s)                                                       Engine make(s)                                                                                 Horsepower                 Type of fuel

                                                                                                                                                                                                                                           DJPR 11119/39 VRPIN02888 11.17 99853 Authorised and published by VicRoads, 60 Denmark Street, Kew, Victoria, 3101.
                                                                                                                                        (inboard/outboard)
                                                                                                                                                                                                                        P – Petrol
1                                                                      1                                                            1                                1                         1                        D – Diesel
                                                                                                                                                                                                                        E – Electric
2                                                                      2                                                            2                                2                         2                        S – Steam
                                                                       3                                                                                                                                                G – Gas*
3                                                                                                                                   3                                3                         3
                                                                                                                                                                                                                        M – Multiple
4                                                                      4                                                            4                                4                         4                        O – Other
                                                                                                                                                                                                                        		*(eg: LPG)

Transfer fees payable – Proposed registered operator (Acquirer)
The fee payable by the proposed registered operator (Acquirer) when transferring operation of a registered vessel is subject to change. The current transfer
fee is available on VicRoads website, visit vicroads.vic.gov.au, or by contacting VicRoads on 13 11 71. Alternatively, please contact Transport Safety Victoria            Total payable $
on 1800 223 022 and select option 1 for Maritime.
Transport Safety Victoria (TSV) and VicRoads collect and hold the personal information provided in this application to assist the Director, Transport Safety (Safety Director) to administer the Marine Safety
Act 2010 (Vic) and Marine Safety Regulations 2012 (Vic). VicRoads and TSV are committed to protecting personal information in accordance with their obligations under the Marine Safety Act 2010 (Vic).
The personal information provided in this application may be disclosed to other government agencies in accordance with section 306 of the Marine Safety Act 2010 (Vic) and section 177 of the Transport
Integration Act 2010 (Vic). The individuals whose personal information is collected on this application have a right to seek access to this personal information and to seek correction of any error in the
personal information held. All individuals whose personal information is included with this application should be informed of this fact. For more information on privacy please refer to the VicRoads brochure
‘Protecting your Privacy’, TSV’s privacy statement at transportsafety.vic.gov.au/privacy, or contact VicRoads on 13 11 71. It is an offence under the Marine Safety Act 2010 (Vic) to give information that
is false or misleading in relation to an application for registration of a vessel. Failure to provide the information may result in your application not being processed or records not being properly
maintained. By signing this form, I declare that all information and/or documents provided by me is true and correct.

By signing this form, I declare that all information and/or documents provided by me is true and correct and I             By signing this form, I declare that all information and/or documents provided by me is true and correct
understand the Privacy statement. I acknowledge that a copy of this form may be provided by VicRoads to the                and I understand the Privacy statement. I acknowledge that a copy of this form may be provided by
acquirer upon request. I declare that this vessel is registered at the date of transfer and acknowledge that any           VicRoads to the authorised representative of the Estate upon request. I have checked the vessel details
remaining period of registration of this vessel is transferred to the acquirer.                                            provided by the disposer match the vessel.
Signature                                                                                                                  Signature
     Signature of authorised representative/authorised agent                                                                 Signature of acquirer/agent

     Date                                                 D      D         M    M       Y       Y       Y         Y          Date                                                  D      D        M   M       Y         Y       Y     Y

Post: VicRoads, GPO Box 1644, Melbourne, Victoria, 3001                    Call: 13 11 71 (TTY 13 36 77, Speak and Listen 1300 555 727)                           Web: vicroads.vic.gov.au
                                                                                THIS COPY SHOULD BE KEPT BY THE ACQUIRER
Cancellation and refund request
                       ABN 61 760 960 480                                                                       for deceased estate
Please complete the relevant sections of this form and sign. Print clearly in ink using BLOCK letters.
What are you applying to cancel?                                                                                    OFFICE USE ONLY
     Driver licence                    Marine licence                    Learner permit
                                                                                                                      Date received              D     D     M     M      Y    Y    Y     Y
     Vehicle registration              Vessel registration
I am applying for any refunds due to the Estate                          Yes             No
Note: All refunds will be made payable by cheque to the Deceased Estate and posted to the authorised representative.
      No refund is payable for a learner permit or vessel registration.

Deceased person’s details
 Surname                                                                                        Given name(s)

 Last known postal address                                                                                                                            Postcode

 Date of birth                                    D      D   M     M     Y     Y     Y     Y    Date of death                                    D     D       M      M   Y    Y     Y    Y

 Licence/Learner permit no. (if known)                                                          Date of licence expiry (if known)                D     D       M      M   Y    Y     Y    Y

Registration
     Car               Motorcycle              Trailer              Tractor              Vessel
 Registration number                                                                                               Engine /Serial number

 Vehicle or Hull Identification Number/Chassis number

     Car               Motorcycle              Trailer              Tractor              Vessel
 Registration number                                                                                               Engine /Serial number

 Vehicle or Hull Identification Number/Chassis number

     Car               Motorcycle              Trailer              Tractor              Vessel
 Registration number                                                                                               Engine /Serial number

 Vehicle or Hull Identification Number/Chassis number

     Car               Motorcycle              Trailer              Tractor              Vessel
 Registration number                                                                                               Engine /Serial number

 Vehicle or Hull Identification Number/Chassis number

If there are more than four registrations, please use the Additional information section on the back of the form.
To be eligible for a refund of unused registration, all number plates must be returned to VicRoads.
If all number plates are not returned to VicRoads, the statement below must be completed.
The plate(s) that I have not returned relating to the above vehicle(s) have been:        Lost      Stolen         Destroyed

                                                                                                                                                                                                 DJPR 11119/40 VRPIN02889 11.17 99879 Authorised and published by VicRoads, 60 Denmark Street, Kew, Victoria, 3101.
Note: The refund will be calculated in accordance with the Transport Accident Act 1986 and as applicable, the Road Safety (Vehicles) Regulations 2009 or the Road Safety (Drivers) Regulations
      2009 or the Marine Safety Act 2010 or Marine Safety Regulations 2012. An administration fee will apply.

Authorised representative of the estate details
 Surname                                                                                                           Given name(s)

 Address                                                                                                                                                   Postcode

 Contact phone number (mobile preferred)

Your signature
Providing false and/or misleading information or documents is a serious offence under the Road Safety Act 1986 and/or Marine Safety Act 2010 and can result
in you being fined or imprisoned. Any authority or approval, given as a result of you providing such information/documents, may be reversed and have no effect.
By signing this form, I declare that all information and/or documents provided by me is true and correct.

 Signature of authorised representative/authorised agent

                                                                                                                                      Date       D     D     M     M      Y    Y    Y     Y

OFFICE USE ONLY
     Yes               No        The relevant records for the applicable refund have been checked.
 Signature of VicRoads officer                                                                                                        Date       D     D     M     M      Y    Y    Y     Y

                                                                                                                                      User ID

Post: VicRoads, GPO Box 1644, Melbourne, Victoria, 3001       Call: 13 11 71 (TTY 13 36 77, Speak and Listen 1300 555 727)          Web: vicroads.vic.gov.au
Cancellation and refund request
                                     for deceased estate
Additional information
Transfer of registration number rights
                           ABN 61 760 960 480                                                            agreement for deceased estate
The form must be completed, signed and returned to VicRoads within 14 days of the transfer date.
Copies: Original – Submit to VicRoads   Pink – Authorised representative keeps       Yellow – Acquirer keeps

 Plate number                                                                                                  Transfer date                                 D    D       M   M    Y    Y     Y       Y

Deceased person’s details (number plate rights holder)                                                         The plates are being transferred to
 Surname                                                                                                           Authorised representative of the Estate
                                                                                                                   (temporary basis pending settlement of the Estate)
 Given name(s)
                                                                                                                   Other party
 Licence number (if known)

 Last known address

                                                              Postcode

Authorised representative of the estate details                                                                Acquirer details
 Surname or company name                                                                                       Surname or company name

 Given name(s) or ACN                                                                                          Given name(s) or ACN

 Licence/Client number                                                                                         Licence/Client number

 Address                                                                                                       Address

                                                              Postcode                                                                                            Postcode

 Contact phone number (mobile preferred)                                                                       Contact phone number (mobile preferred)

 Signature of authorised representative/authorised agent                                                       Signature of person to whom plates are being transferred

 Date                                                   D      D       M         M   Y      Y       Y      Y   Date                                          D    D       M   M    Y    Y     Y       Y

Important information for persons who acquire the registration rights to                                        • VicRoads may cancel registration number rights if it considers that the
custom plates from the Estate of a deceased person                                                                registration number may be mistaken for another number, gives a misleading
                                                                                                                  impression that the vehicle is owned by a government agency, is offensive, is
Registration number rights are exclusive to the owner of those rights. They form
                                                                                                                  otherwise inappropriate for public display or was issued in error. Compensation
part of the property of the owner on his or her death and may be transferred to
                                                                                                                  may be available in these circumstances.
any other person like any other form of personal property.
                                                                                                                • VicRoads may also cancel registration number rights if it believes the rights
The owner of registration rights in respect of a custom plate has the right to:                                   were acquired unlawfully or dishonestly, if the display of the number is
• have that registration number assigned to a vehicle registered in his or her name;                              prohibited by law or certain other obligations have not been complied with.
• be issued with 2 number plates, or 1 in the case of a motorcycle (of a type that                                Compensation is not available in these circumstances.

                                                                                                                                                                                                          DJPR 11119/41 VRPIN02890 11.17 99861 Authorised and published by VicRoads, 60 Denmark Street, Kew, Victoria, 3101.
  VicRoads considers appropriate) bearing that registration number; and                                         • If a currently registered vehicle to which custom plates are attached is sold, it
• display those number plates on any vehicle to which that number is assigned                                     will be presumed that the person who acquires the vehicle also acquires the
  by VicRoads.                                                                                                    registration number rights to the number on the plates.
                                                                                                                • If the registration number rights are transferred, the vendor and purchaser must
If you have purchased a vehicle belonging to the Estate of a deceased person and
                                                                                                                  notify VicRoads of that transfer within 14 days.
the custom plates are attached to that vehicle, the registration rights in respect
of those plates will be transferred to you (in the absence of any evidence that the                             • The owner of the registration number rights does not own the plates on which
                                                                                                                  the registration number is displayed. All number plates remain the property of
transfer of the custom plate rights was not intended). There is no need for you to
                                                                                                                  the State.
take any action to transfer the registration number rights.
                                                                                                                • An authorised officer of VicRoads or a member of the police force may seize a
If you have purchased, wish to acquire or have otherwise acquired (for example,                                   number plate if he or she reasonably suspects that it is not being used, or was
through inheritance) the registration number rights held by the Estate of a                                       not issued, in accordance with the law, and may retain the seized plate until
deceased person and those plates are not attached to a vehicle that has been                                      satisfied that it can be used legally.
purchased by you, you must complete this Transfer of registration number rights                                 • VicRoads will not issue custom plates for display on vehicles that are required
agreement for deceased estate and lodge it with VicRoads.                                                         to be licensed or accredited (such as hire cars, taxis, buses, tow trucks or
Registration number rights are exclusive to the owner of the rights and may be                                    hire motorcycles). VicRoads will only issue one custom plate for display on
exercised at any time. Exercise of the rights, however, must be in accordance with the                            a motorcycle.
Road Safety Act 1986 and the Road Safety (Vehicles) Regulations 2009. In particular:                            The sale of registration number rights is subject to the terms and conditions.
• The sale and purchase of registration number rights is subject to the terms and                               Please read them carefully.
  conditions set out in this document;

Post: VicRoads, GPO Box 1644, Melbourne, Victoria, 3001                 Call: 13 11 71 (TTY 13 36 77, Speak and Listen 1300 555 727)            Web: vicroads.vic.gov.au

                                                                           THIS ORIGINAL MUST BE SUBMITTED TO VICROADS
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