Cusdec Final SAD

BOC SINGLE ADMINISTRATIVE DOCUMENT
2 Exporter /Supplier Address
AB MAURI VIETNAM LTD

DONG NAI PROVINCE VIETNAM
3 Page
5 Items
6 Tot Pack
1
C
U
S
T
O
M
S
8 Importer/Consignee, Address
Office Code:
P07
Port of Cebu
Manifest No: WHL0047-15
Customs reference no.: C-31397
Date :
11/17/2015 13:28:54
1 DECLARATION
004271857000
Tin:
Registry No.
QUENN OF LUCK
10
11
XX
12 Tot. F/I/O
XX
15 C.E. Code
VIET NAM
17
VIET NAM
20 Terms Of Delivery
CFR
22 F. Cur.
Total Customs Value
USD
26
XX
30 Location Of Goods
P07-Port of Cebu
S06
31 Packages
and Desc.
Of Goods
32 Item No.
Marks & Nos :

AS ADDRESSED
No. Of Packages : 690
Number and Kind : CT-CARTON
01-Basic
Bank Ref No. :
Rate
21069091000
Item Net Weight
000
OTHInEV :
INSinFRT :
36 Pref
AFTA
39 Quota
13,800.00 Kg(s)
NNNNN
40b Previous Doc No.
40a AWB/BL
44 Add Infos
Doc / Produ.
Certif. & Aut.
0.00
14,145.00 Kg(s)
VN
DIAMOND BREAD IMPROVER
Tariff Spec
35 Item Gross Wgt.
37 Procedure
4000
010050011-3270780
33 HS Code
34 C.O. Code
Containers No(s) :
WHLU2758900
- - Other mixtures of chemicals with foodstuffs or other substances
with nutritive value
Bank Code :
Bank Name : PCHC

Branch :
NA
Marks and Numbers - Containers No(s) - Number and Kind
24 Thru Bank
46.993
998
16,428.30
Terms of Payment :
29 Port Of Destination
23 Exch Rate
28 Financial and Banking Data
27 Transhipment Port
17
VN
16 Country of Origin
21 Local Carrier (If Any) :
25
13 T. Rel.
318.37
15 Country of Export
19 Ct
WHL0047-15
1GTA1500181
690
9 CRF No.
AB MAURI PHILIPPINES INC

3RD FLOOR UNIT 32 LEGASPI SUITES BL
DG.,SALCEDO ST., LEGASPIVILLAGE
MAKATI 1129
1129
PHILIPPINES
14 Broker/Attorney-In-Fact, Address
Tin:
936227663000
GEORGE B. CORTES
HIGHWAY 77 SAINT ANTHONY STREET TAL
AMBAN, CEBU CITY
CEBU 60006000
PHILIPPINES
18 Vessel/Aircraft
7 Reference Number
0395X05338
0.000
Fine :
41 Suppl. Units
0.00
42 Item Customs Value (F.C.)
0.00
0 + 14,961 + 0 + 961 - 3,109
43 V.M.
16,428.30
45 Adjustment
1.00
Prev Doc Reference :
46 Dutiable Value (PHP)

Invoice No. :
47 Calculation of Taxes
Dump Bond :
0005039
Type
Tax Base
CUD
VAT
786,976.26
799,328.14
Rate
0%
12%
Total
Amount
786,976.26
MP
0.00
95,919.00
95,919.00
1
1
48 Prepaid Account No.
49 Identification of Warehouse
47b ACCOUNTING DETAILS

.............................................................................................................................
:
Mode Of Payment
CASH
Assessment Number
Date :
: Receipt Number
Date :
: Guarantee
Date :
:
.............................................................................................................................
Total Fees
1,499.00
Total Assessment
97,418.00
50 We hereby certify that the information contained in all pages of this Declaration and the documents submitted are
to the best of out knowledge and belief true and correct.
GEORGE B. CORTES
Broker
Administering Officer /
Notary Public

Date :
Importer/Attorney-In-Fact
52 Control at Office Destination
51 AUTHORIZATION
Date
Subscribed and sworn to before me
Print name
Position
Date
Print name
Position
53 INTERNAL REVENUE (TAX PER BOX #46 & 47
BANK CHARGES
786,976.26
983.72
CUSTOMS DUTY
0.00
TAXABLE VALUE PHP
6,033.72
BROKERAGE FEE
961.00
WHARFAGE
3,109.00
ARRASTRE CHARGES
265.00
DOCUMENTARY STAMP
1,000.00
OTHERS
799,328.70
TOTAL LANDED COST PHP
95,919.00
TOTAL VAT PHP
DESCRIPTION IN TARIFF TERMS SHOULD BE

54 SECTION
55 NO. OF PACKAGES EXAMINED
ITEM
DESCRIPTION IN TARIFF TERMS SHOULD BE
NO
EXAMINATION RETURN
QTY
56 DATE RECEIVED
UNIT
UNIT VALUE
57 DATE RELEASED
TARIFF HEADING
1
PLEASE REFER TO RIDER/S FOR FINDINGS ON ITHER ITEMS
REVISED CHARGES
59 CHARGES
60 DECLARATION
61 FINDINGS
LIQUIDATION
62 DIFFERENCES
65 LIQUIDATION AMOUNT
PHP
DUTY
BIR Taxes
66 SHORT/EXCESS
PHP
VAT
Excise Tax/Ad
67 REMARKS
Others
Surcharges
TOTAL
63 ACTION DIRECTED /
RECOMMENDED
64
Date
68
Date
69
Date
CONTINUATION FROM BOX # 31
CUD
VAT
Date
FREE DISPOSAL
0.00
95,919.00
Total Item Taxes
IPF
D&F
CSF
95,919.00
1,000.00
265.00
234.00
Total Global Taxes
1,499.00
97,418.00
RATE
Republic of the Philippines

Department of Finance
BUREAU OF CUSTOMS
Terms Of Payment
Code
Account
010050011-3270780
Bank Reference Number :
Selectivity Color :
YELLOW
Section
Republic of the Philippines

Department of Finance
BUREAU OF CUSTOMS
TEMPORARY ASSESSMENT NOTICE

Customs Office
P07
Port of Cebu
Identification of the Declaration
Model
Ref
Year
Registration
Number
Date
Year
Number
2015
C-31397
2015
Declarant Reference No :
Nbr of
Items
1GTA1500181
Declarant : 936227663000
Importer :
11/17/15
Assessment
Day/Mth
004271857000
GEORGE B. CORTES
HIGHWAY 77 SAINT ANTHONY STREET TAL
AMBAN, CEBU CITY
CEBU 60006000
PHILIPPINES
AB
MAURI PHILIPPINES INC
MAKATI 1129
1129
PHILIPPINES
Mode of Payment :
CASH
Account Number
Receipt number
Statement number and date
CUD
VAT
0.00
95,919.00
Total Item Taxes
IPF
D&F
CSF
95,919.00
1,000.00
265.00
234.00
Total Global Taxes
1,499.00
Total assessed amount for the declaration

Amount currently to be paid
97,418.00
This temporary Assessment Notice provides advice to the declarant of the entry number assigned to the declaration
encoded. This document is of a temporary nature. The final Assessment Notice will be issued by BOC staff.
TRANSACTION RECEIPT
TRANSACTION RECEIPT NO.
CLIENT
TIN
1GTA1500181

MAKATI 1129
1129
PHILIPPINES
004271857000
TRANSACTION DETAILS
ENTRY DATE
11/17/2015 00.00.00
ENTRY NO.
C-31397
HOUSE NO.
0395X05338
MANIFEST NO.
WHL0047-15
REFERENCE NO.
1GTA1500181
AMOUNT
45.00
TOTAL AMOUNT DUE
FORTY FIVE PESOS ONLY
Certified correct :
CARGO DATA EXCHANGE CENTER, INC.

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BOC SINGLE ADMINISTRATIVE DOCUMENT

2 Exporter /Supplier Address

AB MAURI VIETNAM LTD

Total Customs Value

Marks & Nos :

Item Net Weight

40b Previous Doc No.

DIAMOND BREAD IMPROVER

35 Item Gross Wgt.

Bank Name : PCHC

Marks and Numbers - Containers No(s) - Number and Kind

28 Financial and Banking Data

21 Local Carrier (If Any) :

AB MAURI PHILIPPINES INC

42 Item Customs Value (F.C.)

0 + 14,961 + 0 + 961 - 3,109

Prev Doc Reference :

46 Dutiable Value (PHP)

48 Prepaid Account No.

47b ACCOUNTING DETAILS

AB MAURI PHILIPPINES INC

52 Control at Office Destination

Subscribed and sworn to before me

53 INTERNAL REVENUE (TAX PER BOX #46 & 47

TAXABLE VALUE PHP

TOTAL LANDED COST PHP

TOTAL VAT PHP

DESCRIPTION IN TARIFF TERMS SHOULD BE

55 NO. OF PACKAGES EXAMINED

CONTINUATION FROM BOX # 31

Total Item Taxes

Total Global Taxes

Republic of the Philippines

Bank Reference Number :

Republic of the Philippines

TEMPORARY ASSESSMENT NOTICE

Statement number and date

Total Item Taxes

Total Global Taxes

Total assessed amount for the declaration

TRANSACTION RECEIPT NO.

AB MAURI PHILIPPINES INC

TOTAL AMOUNT DUE

FORTY FIVE PESOS ONLY

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