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Get Revenue Dd4 Form

Telephone No.: Vehicle Registration No.: 1. Is this your first claim on fuel used in the above-mentioned vehicle: (please tick appropriate box) 2. The 12 month period for which you are claiming ends: Yes D D M No M Y Y Y Y 3. Please enter the number of litres used in the vehicle during this period: 4. Type of fuel used: (please tick appropriate box) Unleaded Super-Unleaded Diesel LPG 5. Please enter the mileage reading on the vehicle as at the end of your claim.

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