Company car statement - MOJKA Finance

1. Company Details

Date of completion of the declaration *

Your company name *

KvK number *

Name and surname *

Car registration number *

Email address * You will receive a confirmation at this address.

Phone number

2. Car Usage

I would like to inform you that the car with the above registration numbers that I have purchased will be:

Choose the type of usage *

a. Used only for business purposes

b. Used for corporate and private purposes (bijtelling)

c. Drove a mileage allowance

The car is used only for business purposes (recommended) - enter all costs related to the car, e.g.:

Fuel
Insurance
Road tax
Depreciation 20% per annum
Invoice for the purchase of the car - including deduction of VAT/BTW
Others, e.g. washer

Please send the following attachments:

Purchase invoice or contract
Insurance policy
MRB (Road Tax Bill)
Copies of the ID card from the WFD
A leasing agreement (if applicable)

Attention! We will make postings according to the selected option (without bijtelling). According to the guidelines of the Tax Office - Belastingdienst, in this case you must additionally:

Register the company car electronically to Belastingdienst using the DigiD code
Run a detailed mileage record on your own – with the odometer reading, or
Install a box for automatic registration of business trips using commercial offers at your own expense

Please choose one of the following options *

1. I will personally submit an application electronically to Belastingdienst using the DigiD code according to the instructions (attachment)

2. I will install a box for automatic registration of business trips using commercial offers

3. I will keep a detailed mileage report according to the guidelines – with the odometer reading

A proposal from one of the companies that installs boxes for automatic travel registration: routevision.com

The car is used for corporate and private purposes - enter all costs related to the car, e.g.:

Fuel
Insurance
Road tax
Depreciation 20% per annum
Invoice for the purchase of the car - including deduction of VAT/BTW
Others, e.g. washer

We add bijtelling and deduct BTW in accordance with the applicable regulations.

Please send the following attachments:

Purchase invoice or contract
Insurance policy
MRB (Road Tax Bill)
Copies of the ID card from the WFD
A leasing agreement (if applicable)

Mileage allowance: 0.23 euros for 1 km traveled for business purposes.

Sample template (Excel) for keeping a mileage record will be provided separately.

3. Documents & Confirmation

Additional comments (optional)

Upload attachments *

(maximum 10 files at once)

Required attachments: purchase invoice or contract, insurance policy, MRB, copy of ID card from WFD, leasing agreement (if applicable) Only PDF and JPG files are accepted (max. 2 MB).

I do not have documents to upload

I declare that all information in this form is correct and up to date. Mojka Finance is not responsible for incorrect data.

Signature (name and surname) *