Application

Date

SKAT
Stamp, date and file no.

Act on Registration Tax on Motor Vehicles

Permission to pay quarterly a proportion of the normal registration tax

Applicant

Nationality

Applicant (full name and address)

Telephone number

Danish civil registration number (CPR)

Purpose of stay in Denmark

Nature and
duration of
stay in
Denmark
Name and address of possible employer/educational institution

Telephone number

Applicants date of arrival

Final date of departure

Type of residence permit

Type of residence (e.g. owner-occupied home, rented home, hotel)

Type of
residence in
Denmark

Spouse/cohabitants residence

Another address:

Same address as applicant

Supplementary
information

Declaration
by applicant

I hereby declare that the information given in this form is correct and that any change as to the nature or duration of the stay,
the ownership or use of the vehicle will be immediately reported to SKAT.

2013.05

I am aware that the rest of the tax will fall due for payment
when the permission expires or if the conditions for permission
to pay quarterly a proportion of the normal registration tax are
no longer fulfilled, unless the number plates are handed in to
SKAT.
Enclosure(s)/
attachment(s)

21.033 EN Quarterly tax

Documentation of stay (employment contact etc.)

Applicants signature (owner and user of the vehicle)