9547

HOCHMNH 15/6/2011 VU TH LAM

DT-GC 0
1 6 0 0 6 8 0 3 8 9
CAC 1Y CO PHAA HUAC JUOAC
L 44 khu cng nghip M 1ho, tnh 1in Ciang, Jit Aam
D/C: + 84 (73) 385-4245
Seafood connection Co.ltd 02 HV-SFC 2011 RUSSA
Saint-Petersburg, Chaykovskogo Ulitsa, 50, Russia 25/5/2011
Tel: +7 (812) 273-01-84
HOCHMNH PORT
0.600 L/C

NGUYN DUONG MNH

TNG GM C
KHNG UONG, KHNG DA
66,600.00
C TRA PHLE NG LANH
S
2503000000 3,100.00 86.00
TH|T TRNG, MA BNG 15 %
U
TN
FOB
266,600.00
D
1 Ngy xut khu: Ngy.......thng..... nm 200
2 C Khng
3 C Khng
4 C Khng
Nu C , c phi l khon tin khai bo ti tiu thc 15 khng ? C Khng
5 C Khng
Mi quan h c bit c nh h-ng n tr gi giao dch khng C Khng
6 Mt hng s Mt hng s Mt hng s Mt hng s
1 2 3 4
7. Gi mua ghi trn ho n
8. Khon thanh ton gin tip
9. Khon tin tr tr-c, ng tr-c,t cc
10. Chi ph hoa hng bn hng/ph mi gii
11. Chi ph bao b gn lin vi hng ho
12. Chi ph ng gi
13. Cc khon tr gip ng-i mua cung
cp min ph hoc gim gi
a. Nguyn vt liu, b phn cu thnh,
ph tng chi tit t-ng t
b. Vt liu, nhin liu, nng l-ng tiu hao
c. Cng c, dng c, khun rp, khun
c,
d. Bn v thit k/ k thut/ trin khai,
thit k m thut/ thi cng/ mu, s ,
phc tho, sn phm v dch v t-ng t
14. Tin bn quyn, ph giy php
15. Tin thu -c phi tr sau khi nh
ot,s dng hng ho
16. Chi ph vn ti, bc xp, chuyn hng
17. Chi ph bo him hng ho
18. Ph bo him, vn ti hng trong ni
a
19. Chi ph pht sinh sau khi nhp khu
20. Tin li phi tr do vic thanh ton
tin mua hng
21. Cc khon thu, ph, l ph phi tr
22. Khon gim gi
23. Tr gi tnh Hi Quan
= 7+8.+17-18-19-..22
24. Tr gi tnh thu bng ng Vit Nam
Mt hng s Mt hng s Mt hng s Mt hng s
5 6 7 8
7. Gi mua ghi trn ho n
8. Khon thanh ton gin tip
9. Khon tin tr tr-c, ng tr-c,t cc
10. Chi ph hoa hng bn hng/ph mi gii
11. Chi ph bao b gn lin vi hng ho
12. Chi ph ng gi
13. Cc khon tr gip ng-i mua cung
cp min ph hoc gim gi
a. Nguyn vt liu, b phn cu thnh,
ph tng chi tit t-ng t
b. Vt liu, nhin liu, nng l-ng tiu hao
c. Cng c, dng c, khun rp, khun
c,
d. Bn v thit k/ k thut/ trin khai,
thit k m thut/ thi cng/ mu, s ,
phc tho, sn phm v dch v t-ng t
14. Tin bn quyn, ph giy php
15. Tin thu -c phi tr sau khi nh
ot,s dng hng ho
16. Chi ph vn ti, bc xp, chuyn hng
17. Chi ph bo him hng ho
phn xc nh tr gi tnh thu
6, S th t mt hng trong t khai
hng ho nhp khu
t
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Vic bn hng hay gi c c ph thuc vo iu kin no dn

n vic khng xc nh -c tr gi ca hng ho nhp khu
khng ?
Ng-i mua c phi tr thm khon tin no t s tin thu -c
do vic nh ot, s dng hng ho nhp khu khng ?
Ng-i mua v ng-i bn c mi quan h c bit hay khng ?
Nu C, nu r mi quan h .
phn xc nh tr gi tnh thu
S th t mt hng trong t khai
hng ho nhp khu
t
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g
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hI quan vit nam t khai tr gi tnh thu hng ho nhp khu

Km theo t khai hng ho nhp khu HQ/2002-NK s................................./NK...............ngy......./........./200
T s............/..........t
S l-ng ph lc t khai tr gi...t HQ/2008-TGT
iu kin p dng tr gi giao dch
Ng-i mua c y quyn nh ot, quyn s dng hng
ho
sau khi nhp khu khng ?
18. Ph bo him, vn ti hng trong ni
a
19. Chi ph pht sinh sau khi nhp khu
20. Tin li phi tr do vic thanh ton
tin mua hng
21. Cc khon thu, ph, l ph phi tr
22. Khon gim gi
23. Tr gi tnh Hi Quan
= 7+8.+17-18-19-..22
24. Tr gi tnh thu bng ng Vit Nam
25. Ti xin cam oan v chu trch nhim
tr-c php lut v nhng ni dng khai bo
trn t khai ny
dnh ring cho cng chc h quan
26. Ghi chp ca cng chc
hi
quan tip nhn t khai
27. Ghi chp ca cng chc hi
quan kim tra, xc nh tr
gi tnh thu
H ni ngy thng nm 200
(Ng-i khai hi quan ghi r h tn chc danh, k, ng du) (K, ghi r h tn) (K, ghi r h tn)
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