CASH AND CHECKS DECLARATION FORM EN

Archive number
Read the notes on the reverse before completing this form

The Republic of Macedonia USE CAPITAL LETTERS/TICK AS APPROPRIATE

1. You are Entering Republic of Macedonia x Leaving Republic of Macedonia
2. Personal details x Male Female Issuing place
Surname(s) AKGUNDUZ Issuing date
Name(s) CIHANGIR Personal number
Nationality TURKEY Address Gunestepe mh. kelebek sk.
Date of birth 15 07 1990 (Street/no.) no:5/8
Place of birth DIYARBAKIR City ISTANBUL
ID-document x Passport ID Other Zip/post code 34164
Passport/ID number U33619814 Country TURKEY
3. You are the owner x Yes (if yes, go to part 4) No, the owner is a: Legal Entity Natural Person
(if no, fill in the details of the owner)
Legal Entity Address
(Street/no.)
VAT number City
Surname(s) Zip/post code
Name(s) Country
4. Details of the cash/checks
Amount Currency
Cash (banknotes, coins) 19.000 EURO

Checks
5. Origin and intended use of the cash/checks
Origin CASINO
Intended use
You are the intended x Yes (if yes, go to part 6) No, the intended recipient is a: Legal Entity Natural Person
recipient (if no, fill in the details of the intended recipient)
Legal Entity Address
(Street/no.)
VAT number City
Surname(s) Zip code
Name(s) Country

6. Transport details
Means of transport x Air Road Rail Other
Transport company PEGASUS AIRLINES Reference number
Country of departure MACEDONIA/SKOPJE Departure date 05 05 2024
Via (Transit Country) Transit date
Country of destination TURKEY / ISTANBUL Arrival date
7. Signature of declarant Signature of the customs officer For official use only
I declare that all above details are correct. I am Recording Yes No
aware that a false, inaccurate or incomplete Seized cash and checks Yes No
declaration is liable to penalties and detention or
confiscation of the cash by the by the competent
authority. Stamp of competent customs Seized amount of cash and currency
authority _____________

Date Seized amount of checks and currency

___________
General Information:
Pursuant to article 29 of the Law on Foreign Exchange Operations, you have obligation before the competent
customs authority to declare effective cash and checks upon entering or leaving the Republic of Macedonia, in
the amount of 120.000 Denars or more and 10.000 Euros or more. In your own will you can declare amounts
lower than 10.000 Euros.
In case of false, inaccurate or incomplete declaration, it will be considered that you have not complied with the
obligation to declare the transportation of cash and checks upon entering or leaving the Republic of
Macedonia and you will be fined in the amount of 1.500 to 3.000 Euros, and the undeclared amount will be
seized by the customs authority.
- Explanatory notes
All parts in white must be completed in capital letters

1. Entering the Republic of Macedonia and Leaving the Republic of Macedonia

Tick the box ‘Entering the Republic of Macedonia when you are entering the Republic of Macedonia on a
journey that started outside the Republic of Macedonia.
Tick the box ‘Leaving the Republic of Macedonia when you are leaving the Republic of Macedonia on a journey
that will end outside the Republic of Macedonia.
2. Personal details of the declarant
Enter the details as they appear in your ID-Document (the competent authorities can make a copy of your ID
and/or travel documents).
Personal Number: enter your personal tax identification number, personal social security number or similar
unique personal identification number.
3. Personal details of the owner
If you are not the owner of the cash give details of the owner. The owner can be a natural person or a legal
entity. Tick the appropriate box and fill in the details. Ensure to enter the Value Added Tax (VAT) number when
known.
If there is more than one owner, enter the details of the other owners on annexed documents. For this purpose
extra copies of the declaration form can be used. All information will constitute one declaration. All annexed
pages must be signed.
4. Details of the cash/checks
Complete the exact amount per currency and per type of the effective cash and checks. Provide this
information in the following format: example 10 358 EUR or 17 501 US DOLLAR or 19 471, 18 BRITISH POUNDS
or checks for a value of 15 000 EUR.
5. Origin and intended use of the cash / monetary instruments
Origin: indicate where the cash declared comes from e.g. an inheritance, savings, from a sale of property, etc.
Explain briefly the intended use: e.g. acquisition of property, investment etc.
The intended recipient can be a natural person or a legal entity (e.g. a company). Tick the appropriate box and
fill in the details.
Ensure to enter the Value Added Tax (VAT) number when known.
If there is more than one intended recipient, enter the details of the other intended recipients on annexed
documents. For this purpose an extra copy of the declaration form can be used. All information will constitute
one declaration. All annexed pages must be signed.
6. Transport details
Tick “X” “Air” on entering/leaving by aircraft. Provide the flight number or the registered number of the
aircraft under Box ‘Reference number’.
Tick “X” “Road” on entering/leaving by any kind of motorized road vehicle (car, bus, truck, motorcycle etc.).
Provide the official registration number and country code of the vehicle under Box ‘Reference number’.
Tick “X” “Rail” on entering/leaving by train. Provide the train type and the train number under Box ‘Reference
number’.
Tick “X” “Other” if none of the other transport methods were used (e.g. pedestrian traffic, bicycle).
7. Signature of declarant
Sign the declaration and fill in the date. The customs official shall give you an endorsed copy of your
declaration.