Appendix. DECLARATION IN RESPECT OF GOODS IMPORTED ON THE OCCASION OF A MARRIAGE I ……………………………………………………………………. (Name of Importer) Do hereby declare that (1) *1 intend to be married on or about the to reside permanently in Ireland; *1 was married on the day of reside permanently in Ireland; day of 20 , and I intend thereafter 20 , and I am now residing or intend to (2) prior to the date of this declaration or of my marriage (whichever is the earlier) my normal residence outside Ireland was at …………………………………………………………………………………………………. (State Address) ………………………………………………………………………………………………… from …………………………………………………………………………… (Precise dates to be shown) (3) the trousseaux and household effects in attached list were acquired by me prior to the change of residence; (4) the trousseaux and household effects now being imported and which are subject to value-added-tax at importation have borne either in the country of origin or in the country from which I am departing, any customs or fiscal charges to which they are normally liable and do not qualify for any refund or exemption from the charges involved on the grounds of exportation from that country; (5) importation of such property is taking place within a period beginning two months before and ending four months after the actual marriage date; (6) all such articles are being imported for my own use, or for the use of my household living with me in Ireland, and are not intended for other persons Appendix. I make the above declaration knowing them to be true Dated this ………………….day of ………………………….20 ………… ………………………………………………………….Signature of Importer (owner) …………………………………………………….} Address in …………………………………………………….} Ireland *Delete whichever paragraph is inappropriate. (1) This declaration does not apply to goods covered by paragraph 3 of this Notice LIST OF ARTICLES TO BE IMPORTED DESCRIPTION Total Number of items listed ………………………………... UNDER THE LAW ANY PERSON MAKING OR SUBSCRIBING OR CAUSING TO BE MADE OR SUBSCRIBED ANY FALSE DECLARATION IN ANY MATTER RELATING TO THE CUSTOMS IS LIABLE ON CONVICTION TO HEAVY PENALTIES