tax authorities

Objection
Motor vehicle tax

Why this form?

With this form you can object to a supplementary assessment and / or a Fill in and send
motor vehicle tax decision or a motor vehicle tax decision that you have Send the form to: Tax and Customs Administration / Central

received from us. Administrative Processes PO Box 9054 7300 GS Apeldoorn

What can you not use this form for?

You cannot use this form if:
- you disagree with the amount of the bill and you have not You must send your objection on time. This can be done up to 6 weeks after the date stated

paid it on the additional assessment and / or fine or decision. Do you have any supporting

- you want to report a change of address. The basic personal registration documents that may be of interest? Then send it along right away. You will receive a

(BRP) automatically passes this on to us. confirmation of receipt from us.

- you want to change your account number. Use the form 'Declaration of
account number for private individuals' which you can download from Privacy

belastingdienst.nl. We handle the data of citizens and companies with care and your privacy. How we
- you want to change your account number if you are an entrepreneur, do this can be found on belastingdienst.nl/privacy.
a self-employed person or a sole trader. See
belastingdienst.nl/betalenenontvangen how to pass on your account More information

number to us. Do you have any questions? Look at belastingdienst.nl/mrb.

- you do not agree with the prosecution costs (reminder or writ of

execution). Send a letter to: Landelijk Incassocentrum, PO Box
100, 6400 AC Heerlen

Personal information

Name

Street and house number

ZIP code and address

BSN / RSIN

phone number

E-mail address

Data objection motor vehicle tax

License Plate

What do you object to? Decision, number Additional

Tick ​as appropriate. assessment / fine decision,
number

Automatic collection Transitional arrangement for old-timers

27 101 20 01

Trading stock Suspension

Foreign registration Fine dust surcharge

MB 101 - 1Z * 20FOL

Different

* 271012001 *
271012001
Enter your BSN / RSIN here 02 from 02

Data objection motor vehicle tax ( continuation)

Have you been in contact with the Yes, by date - -

Tax Phone Auto? No

Description of objection.

Please describe why you object.

Do you need more space? Then

add an attachment. Put at the top

of the attachment: name, address

and BSN / RSIN.

Signature

Name

Date of signature - -

Signature
Write within the box.
27 101 20 02

Attachments (number)

* 271012002 *
271012002