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(Page i.)
[Name of Country.]
INTERNATIONAL FISCAL PERMIT
No.
International Convention signed at Geneva on
March 30th, 1931.
The present permit is issued with a view to the exemption from taxes
or charges on the circulation or possession of motor vehicles granted for
one or more periods of stay representing a total period of not more than
ninety days spent in each of the countries to which the said Convention
applies. The permit is only valid for one year from the date of issue.
The present fiscal permit is issued to *
living at **
for the motor vehicle with the following description:
Type of vehicle (1)
Make of chassis (2)
Number of chassis (3)
Number of engine (4)
Registration number on the plates of the country issuing the
permit (5)
Place and date of issue (6)
* * *
Stamp of
authority.
****
* Christian names and surname of the owner or possessor.
** Town, street, number.
*** Signature of authority or of the organisation designated for the purpose.
**** visa of authority.

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