Land Transport NZ,

PO Box 2840,

Wellington.

To : Whom It May Concern

Re : Overdue Road User Charges

Vehicle Make :

Vehicle Model :

Registration No :

Chassis No :

Owners Name :

Owners Contact details :

Subject to this application I wish to purchase the above vehicle that I am informed has outstanding RUC.

I operate in business as a Vehicle Recycler.

I wish to purchase the subject vehicle to  (Complete this line possibly using example reason shown below)

a) Dismantle  or   b) Restore for road use   or   c) Other use  (Details of c Other use)

As the outstanding RUCs were incurred by a previous owner I hereby apply to have those charges recorded as a debt against the previous owner and to take title of the vehicle free of any RUC debt.

Signed