BOC SINGLE ADMINISTRATIVE DOCUMENT

1 DECLARATION Office Code P02B

2 Exporter / Supplier Address Manila Intl Container Port
4 4
1 THANH TIN SERVICE AND TRADE
COMPANY LIMITED 3 Page 4
Customs Reference
C 37928 02-06-2021
383 BACH DANG ST., WARD 9, SOC 1 1 Registry Number YMT0005-21
C TRANG CITY, VIETNAM 5 Items
1
6 Tot Pack
10400
7 Reference Number
A2131020401
8 Importer / Consignee, Address TIN: 215261911000 9 CRF NUMBER :
U ARVIN INTERNATIONAL MARKETING INC.
PUROK 3 BRGY. GAHONON, DAET T/S or W/S Entry No. :

CAMARINES NORTE 4600

S PHILIPPINES 10 11 12 Tot. F/I/O (Php)
252,802.67
13 T. Ref.

14 Broker / Attorney-In-Fact, Address TIN: 501869203000 15 Country of Export 15 C.E. Code 17

T ANNETTE PATRICE BALABA BORMATE
2337 LEVERIZA ST BRGY 32 PASAY CITY
VIET NAM VN PH

1300 16 Country of Origin 17 Country of Destination

PASAY CITY 1300
O PHILIPPINES VIET NAM PHILIPPINES
18 Vessel / Aircraft 19 Ct 20 Terms of Delivery
YM CREDIBILITY 003N YMT0005-21 FOB
M 21 Local Carrier (if any) 22 F. Cur. Total Customs Value 23 Exch Rate 24 Thru Bank
USD 249,600.00 48.065 2 X
S 25
2/6/2021
26 27 Transhipment Port
28 Financial and Banking Data - Bank Code 998
Terms of Payment 01 - Basic
29 Port of Destination 30 Location of Goods
1 P02B
Manila Int'l Container Port S03
Bank Name

Branch
PCHC
NA Bank Ref Number: 010533457-0005460

31 Packages Marks and Numbers - Container No(s) 32 Item No. 33 HS Code Spec Code
and 1 10063030 100 000000
Marks & No 20X20 VIETNAMESE GLUTINOUS RICE
Description of Packages 10% BROKEN 34 C.O. Code 35 Item Gross Weight (kg) 36 Pref
of Goods
Number and Kind 10400 BG BAG VN 521,508.00 AFTA
Container No(s) BMOU2790288 CAIU6537597 CAIU6586992 DFSU2900690 37 Procedure 38 Item Net Weight (kg) 39 Qouta
- - - In-Quota
4000 0N1 520,000.00 NNNNN
Others
20X20 VIETNAMESE GLUTINOUS RICE 10% BROKEN 40a AWB / BL 40b Previous Doc No.
I490404808
41 Suppl. Units 42 Item Customs Value (F. Cur) 43 V.M.

249,600.00 NV
44 Add Infos OTHinEV : 1 INSinFRT : 1 Fine :
Doc / Product A.I. Code 45 Adjustment
Certif. & 230,712.00 + 22,090.67 + 0.00 + 10,387.00 - 74,540.00
Aut 1.00
A.D.

46 Dutiable Value (PHP)

12,249,826.67
Invoice No. : TT-AV008/B Dump Bond :

47 Calculation Type Tax Base Rate Amount MP 48 Prepaid Account No. 49 Identification of Warehouse
of Taxes
/
CUD 12,249,826.67 35 % 4,287,439.33 0
47b ACCOUNTING DETAILS
VAT 16,651,179.56 12 % 0.00 0
Method of Payment : CASH
Assessment Number : Date :

Reciept Number : Date :

Guarantee 0.00 Date :

Total Fees 6,086.00

Total Item: 4,287,439.33 Total Assessment 4,293,525.33

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

51 AUTHO- Broker : Date : Importer / Attorney-in-Fact :

RIZATION Administering Officer
ANNETTE PATRICE BALABA BORMATE ARVIN INTERNATIONAL MARKETING INC. Notary Public

52 Control Code 53 Office of Destination and Country

at Office Destination
CONTROL AT OFFICE OF DESTINATION Stamp 54 Place and date

Signature
53 INTERNAL REVENUE (TAX PER BOX #45 & #47)

TAXABLE VALUE PH 12,249,826.67 WHARFAGE 10,387.00 OTHERS 1,000.00

BANK CHARGES 0.00 TOTAL 16,643,835.28

ARRASTRE CHARGE 74,540.00
CUSTOMS DUTY 4,287,439.33 LANDED COST PH x 12%

BROKERAGE FEE 20,362.28 DOCUMENTARY STAMP 280.00 TOTAL VAT PH 0.00

DESCRIPTION IN TARIFF TERMS SHOULD BE

54 SECTION 55 NO. OF PACKAGES EXAMINED 56 DATE RECIEVED 57 DATE RELEASED

EXAMINATION RETURN

58
ITEM TARIFF
NO DESCRIPTION IN TARIFF TERMS SHOULD BE QTY UNIT UNIT VALUE HEADING RATE

PLEASE REFER TO RIDERS FOR FINDINGS ON OTHER ITEMS

REVISED CHARGES LIQUIDATION

59 CHARGES 60 DECLARATION 61 FINDINGS 62 DIFFERENCES 65 LIQUIDATED Amount

Duty
BIR Taxes 66 SHORT/EXCESS
VAT
Excise Tax/Ad Valorem 67 REMARKS
Others
Surcharges
TOTAL
63 ACTION DIRECTED/RECOMMENDED 64 68

DATE COO III DATE

69

DATE COO V DATE

CONTINUATION FROM BOX # 31 FREE DISPOSAL CUD 4,287,439.33

Container Numbers continuation: VAT 0.00
FCIU4927486
FCIU5002773
FCIU6625269
GLDU5146262
MAGU2425539
MAGU2431803
MAGU2549632
SEGU1689892 Total Item Tax 4,287,439.33
SEGU3016545 IPF 1,000.00
TEMU0749870
YMLU3327412
YMLU3357588
YMLU3447486
YMLU3463580
YMLU3621330
YMLU3634656

CSF 4,806.00
CDS 250.00
IRS 30.00
Total Global Tax 6,086.00
4,293,525.33