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EXPORT DECLARATION DOCUMENT

1 DECLARATION Office Code:P02B


2 Exporter /Supplier, Address: Manila Int`l Container Port
EX1 1
MMG METAL RECYCLING INC. Manifest No:
SITIO BAYUGO, BULIRAN ROAD, SAN ISI DRO ANTIPOLO 3 Page Entry Number: E-1010963
1870 1870 PHILIPPINES
1 1 of 2 Date : 06/27/2020
5 Items 6 Tot Pack 7 Reference No:

1 60 DQ2B000044E

C 8 Importer/Consignee, Address: 9 CRF


GUIXI JINXIN METALS CO.,LTD NA
U DISTMANTLING PROCESSING ZONE XINGTAN GUIXI
CIRCULAR ECONOMY BASE INDUSTRY JIANGXI PROVINCE 10 11 12 Tot. F/I/O 13 T. Rel.
S CHINA

T 14 Broker/Attorney-In-Fact: TIN : 15 Country of Export 15 C.E. Code


111111111111
O EXPORTER AS DECLARANT PHILIPPINES
16 Country of Origin 17 Country of Destination
M
PHILIPPINES CHINA
S
18 Vessel/Aircraft: 19 Ct 20 Terms Of Delivery

G ACE V2012N 1 FOB - Free On Board


21 Local Carrier (If Any) : 22 F. Cur. Total Customs Value 23 Exch Rate 24 Thru Bank

USD 4,200.00 50.013 1


25 26 27 Port of Loading 28 Financial and Banking Data Bank Code : 998
XX XX PHMN2 Terms of Payment : 01 - Basic
29 Port Of Departure 30 Location Of Goods
1 Bank Name : PCHC
P02B - Manila Int`l Container Port S03 - INTERNATIONAL
CONTAINER TERMINAL IN Branch : NA Bank Ref No. : 010140015-0004115
Marks and Numbers - Containers No(s) - Number and Kind 32 Item No. 33 HS Code Tariff Spec
Marks & Nos : 3X20GP
No. Of Packages : 60 1 72041000000
Number and Kind : SA - SACK
31 Packages Containers No(s) : 34 C.O. Code 35 Item Gross Wgt. 36 Pref
and Desc.
Of Goods TEMU2893464, SITU2858871, SITU2847671
- Waste and scrap of cast iron PH 60,000.00 Kg(s)
MIXED METAL SCRAP
37 Procedure Item Net Weight 39 Quota

1000 000 60,000.00 Kg(s) NNNNN


40a AWB/BL 40b Previous Doc No.

44 Add Infos OTHInEV : 0 INSinFRT : 0 Fine : 0 41 Suppl. Units 42 Item Customs Value (F.C.) 43 V.M.
Doc / Produ.
Certif. & Aut. 50.01 + 50.01 + 50.01 + 0.00 - 0.00 0.00 4,200.00 1

45 Adjustment

0.00

46 Dutiable Value (PHP)

Invoice No. : 202024 Dump Bond :

48 Prepaid Account No. 49 Identification of Warehouse


47 Calcula- Type Tax Base Rate Amount MP
tion of Taxes

47b ACCOUNTING DETAILS


.............................................................................................................................
:
Mode Of Payment
Assessment Number : Date :
Receipt Number : Date :
Guarantee : Date :
.............................................................................................................................
Total Fees
Total
Total Assessment

50 We hereby certify that the information contained in all pages of this Declaration and the documents submitted are Subscribed and sworn to before me
to the best of out knowledge and belief true and correct.

EXPORTER AS DECLARANT Administering Officer /


MMG METAL RECYCLING INC. Notary Public
Broker Date : Exporter/Attorney-In-Fact

51 AUTHORIZATION 52 Control at Office Destination

Date Print name Position Date Print name Position


53 INTERNAL REVENUE (TAX PER BOX #46 & 47

TAXABLE VALUE PHP WHARFAGE OTHERS

BANK CHARGES
ARRASTRE CHARGES TOTAL LANDED COST PHP
CUSTOMS DUTY

BROKERAGE FEE DOCUMENTARY STAMP TOTAL VAT PHP

DESCRIPTION IN TARIFF TERMS SHOULD BE

54 SECTION 55 NO. OF PACKAGES EXAMINED EXAMINATION RETURN 56 DATE RECEIVED 57 DATE RELEASED

ITEM
NO DESCRIPTION IN TARIFF TERMS SHOULD BE QTY UNIT UNIT VALUE TARIFF HEADING RATE

PLEASE REFER TO RIDER/S FOR FINDINGS ON ITHER ITEMS

REVISED CHARGES LIQUIDATION

59 CHARGES 60 DECLARATION 61 FINDINGS 62 DIFFERENCES 65 LIQUIDATION AMOUNT


PHP
DUTY

BIR Taxes
66 SHORT/EXCESS
VAT PHP
Excise Tax/Ad
Valorem 67 REMARKS

Others

Surcharges

TOTAL

63 ACTION DIRECTED / 64 68
RECOMMENDED
Date Date

69
Date Date

CONTINUATION FROM BOX # 31 FREE DISPOSAL

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