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To all houacholda<br />

~ 2’<br />

79 (Apart from the vehicles already mentioned) At any time<br />

during the last 12 months, that is since .... . ........ .......... have<br />

(any of) you owned or had the continuous use of a car,<br />

van, motor cycle, moped or other motor vehicle?<br />

‘:==%.)<br />

~e~q Olq<br />

Nom<br />

u<br />

1<br />

2<br />

(a) Was it a<br />

~&coRD 75 Use acparatc column for each vehicle<br />

Ring Column No.<br />

Car -<br />

R Ulsning<br />

Van .-<br />

prompt Motor cycle .-<br />

(b)<br />

(c)<br />

(d)<br />

(c)<br />

MoPe~<br />

Other motor<br />

vehicle spcci.fy?-<br />

Per No. ........... ............ OCPE Rsq ( 2\3 Q 07 ql<br />

........... ........... ....... ......*....-.”””””””””” ““”””’”’””’<br />

1<br />

I<br />

I I I I<br />

1 1 1 1<br />

2 2 2 2<br />

3 3 3 3<br />

Aak (a) -(d<br />

Ask 80<br />

Ask (b)<br />

4 4 4 4<br />

}<br />

5<br />

OCRmw=<br />

5<br />

m Q“7~ ~<br />

5 5<br />

Specify bCIOw<br />

and ask (b)<br />

I....................... 4.......................+<br />

....................... + .......................I<br />

........................ ........................ ........................ ........................<br />

I M<br />

How much have you paid in Road<br />

Fund Tax during the last 12 months<br />

for the .................................... ? _<br />

(type of vehicle)<br />

Nil —<br />

lipispl~pl~ PI<br />

4<br />

If ni~ Code<br />

OLAR TaY (2 ~q) ~ol qs’ below and go<br />

............. ........ .............. ....1... ............. ........ ............. ........<br />

~<br />

9<br />

How long did I I 1- 1 I<br />

this cover? Enter<br />

Period code—<br />

kRL 21q (220] Q? 7 ‘+C If dc 9,<br />

SPCCifYPeriod<br />

r.......................z...........<br />

............ ...................... ............. ..........<br />

When did you last renew<br />

the Road Fund Tax?<br />

Month<br />

.<br />

........................ ........................ ........................ ........................<br />

‘1<br />

I I<br />

Ask (d)<br />

I<br />

I<br />

OCTfi xonl (22 1) Q 07 q?)<br />

........... ......................, ..,..~...,. ........... ........... ........... ...........<br />

r<br />

Ask (C)<br />

Year. 19 h<br />

,}<br />

........... ........... ........... ........... ...................... .........,. ..........<br />

1 I I I e<br />

How much have you paid in vehicle 1<br />

insurance during the last 12 months<br />

Ifticdc<br />

for the ... ... ............................. ‘?<br />

0C6U INS (222] Q 0$ 4EI<br />

-<br />

below ●nd go<br />

(typ, of Vticle)<br />

Nil —<br />

.............. ........ .............. ......... .............. ......... ..............~,.......<br />

,to (g)<br />

/ I<br />

I I 1 I I<br />

(f) How long did<br />

this cover? Enter<br />

Period code—<br />

If de<br />

tic222 (223) @07 qf<br />

apccify<br />

)<br />

9,<br />

period<br />

....................... ........................ ........................ ........................<br />

(g) Did You own the ..... ...................... or<br />

-<br />

........................ ........................ ........................ ........................<br />

~k W<br />

(tyv of vehicle) ,<br />

t I 1 I<br />

did you have continuous use of it? , [ I t I<br />

Own 4<br />

Continuous use .-,<br />

●<br />

1<br />

2<br />

occ$JT<br />

22+1 Q07 9G<br />

0<br />

1<br />

2<br />

‘ 1‘s=8026<br />

6<br />

1

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