USE BLACK INK

Please note that the parts of the form that must be filled in are:

Page 1

If applying for an Age-related registration

2. Tax Class-Historic or Agricultural

3.Period of Tax Applied for-Enter 12 Months
4. Registration fee £55 (small box) Tax Payable Insert 0.00.

5. Manufacturer-eg International Harvester

6. Make-eg International Harvester

7. Model- eg B275
8. Agricultural Tractor
9. 2-Axle Rigid

10. Colour(s)- eg Red

17. No of seats- 1
25. Year of Manufacture- Leave blank
30. The 1st of the month you make the application
31. Heavy Oil (Not Diesel)
32. (obtain from Black and Silver plate)
33. If known-not compulsory but provides more linking info. Photo as well please.

If applying to retain an existing Registration mark:
Complete all the above and in addition write the registration number in 1

Page 2

70,71 

Plus, your telephone number and email address

Make sure you SIGN and DATE the declaration.

Most of the form is left blank and this is what causes confusion

JC/Mar 2026