SAD 500 - CUSTOMS DECLARATION FORM 1. DECLARATION A. OFFICE OF ...

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SAD 500 - CUSTOMS DECLARATION FORM

1. DECLARATION

A. OFFICE OF DESTINATION OR DEPARTURE

2

2. EXPORTER/CONSIGNOR

3

TIN

OFF. CODE

MANIFEST NUMBER

4

5

BSIC

6

3. FORMS 4.

REGISTRATION NO. ASSESSMENT NO AND DATE

7

8

9

8. IMPORTER/CONSIGNEE TIN

5. ITEMS 6. TOT PACK 7. DECLARANT Reference NO. RECEIPT NO. & DATE

BSIC

9. 10. 11. 12. VALUE DETAILS 13.

13A. INVOICE NO. AND DATE

14. DECLARANT/AGENT TIN

15. 16. COO COE

17. COD 17A. OWNER CODE 17B. REBATE USER Code

20. DELIVERY TERMS

18. IDENTIFICATION, DATE AND NATIONALITY OF TRANSPORT AT ARRIVAL

19. CONT22. CURRENCY AND TOTAL VALUE -AINER

23. RATE OF EXCHANGE

21. IDENTIFICATION, DATE AND NATIONALITY OF TRANSPORT AT FRONTIER

28. FINANCIAL DATA

24. OTHER COSTS DETAILS

Currency

Amount

25. TMF

26. TMI

27. PLACE OF DISCHARGE

29.

30. LOCATION OF GOODS

OOE

31.

PACKAGES

MARKS AND

AND

NUMBERS

DESCRIPTION

OF GOODS

NUMBER & TYPE OF PACKAGES

CONTAINER NUMBERS

DESCRIPTION

FREIGHT INSURANCE OTHER COST 32. ITEM 33. COMMODITY CODE

34. COC

35. GROSS MASS36. PREF(KGS) ERENCE

37. CPC

38. NET MASS 39. QUOTA (KGS)

40. SUMMARY DECLARATION / PREVIOUS DOC

44.

LICENCE NUMBER

ADDITIONAL

INFORMATION/

DEDUCTED VALUE

DEDUCTED QUANTITY

41. SUPP. UNITS 42. CUSTOMS VALU43.V.M ( FCY )

EX WAREHOUSE CODE

45. OTHER QUANTITIES

PRODUCED DOCUMENTS REMOVAL IN BOND (R.I.B.) NO, DATE & OFFICE

REBATE CODE

46. STATISTICAL VALUE

47.

TYPE DUTY/TAX BASE

CALCULATION

OF DUTIES

RATE

AND TAXES

TOTAL

AMOUNT MP 48. ACCOUNT CODE

49. IDENTIFICATION OF WAREHOUSE/TIME LIMIT

SUMMARY OF TOTAL DUTIES AND TAXES

TOTAL DUTIES & TAXES AMOUNT OVERPAID AMOUNT UNDERPAID OTHER TOTAL PAYABLE

GUARANTEE

Code

Amount

DECLARATION

I, ________________________________

the undersigned of _________________________

FOR OFFICIAL USE

being the ____________________ (agent) hereby declare that the particulars herein are true and correct and comply with the provisions of the Customs and Excise Act.

Signature

I.D number

Date

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