Liconsing-11 MOTOR VEHICLE No. NOTIFICATION OF CHANGE OF OWNERSHIP UNDER THE MOTOR VEHICLES AND ROAD TRAFFIC ACT, Chap. 48: 50 SECTION 19(1)(b) @)() and (4) ‘Motor Vehicle Registered No. Chassis No. ‘Type of Vehicle Registered Owner ‘Gurname frst) “Type or Biock Letters Address " ‘Type or Block Letters ‘To THE LICENSING AUTHORITY, PORT-OF-SPAIN, Si, Theg to inform you that on (date) Isold/transfer the above Motor Vehicle to Delete New Owner sold or Address Type or: confirm the above sale/transfer. Delete Signature of New Owner. ‘leor Address. “Type or Block Letters Date ‘Herewith fee of $10. 00 in accordance with the First Schedule,Fees and Duties. para: (15) [ovER]Licensing In accordance with section 19(1) of the Motor Vehicles and Road Traffic Act, Chap. 48:50 I herewith forward Licence No. date issued. for amendment. Insurance ‘This Motor Vehicle Registered No. insured with Gnaurance Company) ‘Trinidad Agents . Cortificate No. Policy No. Expires on A. “The Insurance Policy has been transferred to the new Owner! Signature of New Owne: Address B, - The Insurance Policy has been transferred to Motor Vehicle No... which is owned by me and registered in my name. ©. The Insurance Policy has been cancelled. D. Any other condition affecting insurance. ‘Signature of Registered Owner Immediately previous to this notification 20 Date of signature N.B- Itis an offence under the Act to give any particulars which are not correct and you will be liable to prosecution if you do $0.