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  • Declaration Form en

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    Martina Martyna
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    1. This document is a registration reference for cash controls entering the European Union from Romania to Sweden dated April 9, 2013. 2. The declaration involves cash totaling 63850 Swedish Krona, 300 Romanian Lei, and 67 Euro brought into Sweden from Romania by Popescu Carmen, a sales manager for S.C. TERAPIA S.A., a Romanian company that produces throat pills. 3. The cash is intended for payment for the import of sore throat pills from S.C. TERAPIA S.A.'s factory in Cluj, Romania to a store in Stockholm, Sweden.

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    Declaration Form En

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    1. This document is a registration reference for cash controls entering the European Union from Romania to Sweden dated April 9, 2013. 2. The declaration involves cash totaling 63850 Swedish Krona, 300 Romanian Lei, and 67 Euro brought into Sweden from Romania by Popescu Carmen, a sales manager for S.C. TERAPIA S.A., a Romanian company that produces throat pills. 3. The cash is intended for payment for the import of sore throat pills from S.C. TERAPIA S.A.'s factory in Cluj, Romania to a store in Stockholm, Sweden.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    104 views2 pages

    Declaration Form en

    Uploaded by

    Martina Martyna
    1. This document is a registration reference for cash controls entering the European Union from Romania to Sweden dated April 9, 2013. 2. The declaration involves cash totaling 63850 Swedish Krona, 300 Romanian Lei, and 67 Euro brought into Sweden from Romania by Popescu Carmen, a sales manager for S.C. TERAPIA S.A., a Romanian company that produces throat pills. 3. The cash is intended for payment for the import of sore throat pills from S.C. TERAPIA S.A.'s factory in Cluj, Romania to a store in Stockholm, Sweden.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    of 2

    EN

    EUROPEAN COMMUNITY
    1.Registration reference 2. Date of receipt of declaration: 4.Competent authority to which declaration is made: Romania

    DVl56RO46655

    09.04.2013

    3.1 for controls of cash entering or leaving the Community


    under Reg. 1889/05 art. 3(2):

    Y 2013 N 54444 3.2 RECORD of information (Reg. 1889/05 art. 4) : Y


    6.1 Entering EU PART I Details of owner of cash

    5.Country: 6.Type of declaration (please tick as appropriate): 7. Details of declarant: a.Name of person

    Romania

    2013

    N 5565

    6.2 Leaving EU 9. If different than the declarant:

    Sweden

    Popescu Carmen
    Romanian 14.05.1987 CLUJ-Napoca Saler Manager Str Ion Vadu Nr565 Cluj 400853 Romania 8. Passport / ID details: 0054656556 27 May 08 Cluj Napoca

    a.Name of company

    S.C. TERAPIA S.A.


    Romanian Company product of throat pills Str Fabricii Nr 124 Cluj 400623 Romania 10. Passport / ID details (if known by the declarant): -

    b.Nationality c.Date of birth d.Place of birth e.Occupation f.Address g.Town h.Post code/Zip i.Country a.Number b.Issuing date: c. Place of issue:

    b.Nationality c.Date of birth d.Place of birth e.Occupation f.Address g.Town h.Post code/Zip i.Country a.Number b.Issuing date: c.Place of issue:

    PART II: DESCRIPTION OF THE CASH OR MONETARY INSTRUMENTS


    11. Amount
    a. Banknotes, coins b. Cheques, traveller cheques c. Other : Diurnal Tickets 13.Provenance 14. Intended recipient (if other than you) 15. Intended use a.Name: b.Address:
    -Banknotes 12. SEK

    Currency

    63850 SEK -------

    63850 SEK Swedish crown

    -300 RON 67 Euro

    PART III: PROVENANCE & DESTINATION OF CASH / MONETARY INSTRUMENTS


    Stockohlom, Sweden
    Apostol Andrei Str Fabricii Nr. 124,Cluj , Romania

    Payment import sore throat pills


    Part IV Transport

    16. Means of transport


    17.Transport Route

    Air

    Sea

    Road

    Rail

    Other

    17. Trans

    a. Country of departure: d. Departure date f. Transport company

    Romania
    10/04/2013
    S.C. TRANSRULA. S.R.L.

    b.Via:

    Stockohlom.

    c.Country of destination:

    Sweden

    e. Arrival Date: 14/04/2013

    f. Transport ref. Nr (e.g.flight number)


    18. Is it your first visit to this country?

    CJ 123 ZLI
    Yes No (please indicate number of visits)

    The undersigned declares that all above details are correct

    Signature of declarant

    Signature & stamp of competent authority

    Remarks of the compentent authority

    Popescu Carmen

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