FORM VII ( Rule 19 ) The Goa, Daman and Diu Motor Vehicles Tax Rules,1974 Application for Refund of Tax I ,---------------------------------------------------------residing at --------------------------------owner of motor vehicle registered No.--------------having paid the tax on the said vehicle for the period ----------------------to -----------------hereby claim a refund of the tax on the following ground : 1. That my motor vehicle No. --------------------------has been exempted from payment of tax on account of "non-use". 2. That the registration of motor vehicle No. ----------------was refused on ----------------- 3. That motor vehicle No. ---------------is subject to lower rate of tax. 4. That I have paid more tax than is due from me. Satisfactory proof of my claim is attached herewith. Applicant Date ------------------- Note :-Strike out any clause which is not applicable. Please pay the cost of this form at the concerned RTO Rs 10.00 Printed from www.goatransport.com.