ATT.

BARCELONA CUSTOMS ADMINISTRATOR

MANUFACTURER’S STATEMENT OF RESPONSABILITY

INVOICE NUMBER: №123 dd. 23.10.2023

Regarding the excise tax on non-reusable plastic containers of the Law on waste and
contaminated land for a circular economy (Law 7/2022 of April 8,2022).

In order to proceed with the importation of the goods.

Please be informed:

☐ The packaging contains0.5

…. KG of non-reusable plastic.
☐ The non-reusable plastic it’s recycled.
☐ The non-reusable plastic it’s not recycled

☐ The packaging contains …. KG of reusable plastic.

☐ The packaging doesn’t content plastic materials.

Name: Makhno Serhii

Position in the company: Director
signature and date: 21.12.2023