Application for authority to assign a taxi-cab licence - Victorian Taxi ...

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Victorian Taxi Directorate Agreement to Assign a Taxi-cab Licence – Assignor and Assignee Transport (Compliance and Miscellaneous) Act 1983 (VIC) (Schedule 7) Covenants included in this Deed of Assignment The following document must be completed by both the Assignor and Assignee The assignee hereby covenants with the assignor to submit the licensed vehicle for inspection when required by the licensing authority within the meaning of Division 5 of Part VI of the Act or an officer of the licensing authority. The assignor hereby covenants with the assignee- (a) that all times during the currency of this agreement he/ she shall make all necessary applications to the licensing authority for renewal of the licence under which are assigned by this agreement and shall pay the fees for such renewal and any amount payable by way of seating tax; (b) to return to the licensing authority for safe keeping the licence and allow the endorsement required to be made thereon by or under the Act; and (c) to apply to the licensing authority as required by or under this Act for authority to assign the rights under the licence. Assignor/s signature and Company Seal (if applicable) Date DOT6105_F176_10/12 / / / / / / If making this application, on behalf of a company, I declare that this form is signed in accordance with the company’s Memorandum & Articles of Association. Assignee/s signature and Company Seal (if applicable) Date / / / / / / If making this application, on behalf of a company, I declare that this form is signed in accordance with the company’s Memorandum & Articles of Association. 6 Period of Assignment (Note maximum period cannot exceed three (3) years) Start date Expiry date Assignment fee (per month) $ / / Ex GST + any other fees such as management fees Note: The vehicle must be registered in the name of the approved assignee. Assignment will only commence upon approval of application and when all requirements are met. Department of Transport Victorian Taxi Directorate, Level 23, 80 Collins Street, Melbourne VIC 3000 GPO Box 2797, Melbourne VIC 3001 Phone: 1800 638 802 (toll-free) www.taxi.vic.gov.au Authorised by the Victorian Government, 80 Collins Street Melbourne 3000. October 2012
Victorian Taxi Directorate Application for Authority to Assign a Taxi-cab Licence FOR VTD OFFICE USE ONLY Date received: / / Comments Fee paid: $ Allocated to: Date allocated: / / Assignment approved? Yes No Date approved: / / I hereby authorise this assignment as a delegate of the Secretary to the Department of Transport Signed: Date: Name (printed): Department of Transport Victorian Taxi Directorate, Level 23, 80 Collins Street, Melbourne VIC 3000 GPO Box 2797, Melbourne VIC 3001 Phone: 1800 638 802 (toll-free) www.taxi.vic.gov.au Authorised by the Victorian Government, 80 Collins Street Melbourne 3000. October 2012 DOT6105_F176_10/12 7 / /
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Application for authority to assign a taxi-cab licence - Victorian Taxi ...

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