DATE: January 16, 2024

RIZALINO JOSE C. TORRALBA

District Collector
Port of Manila

Subject: REQUEST FOR RELEASE UNDER TENTATIVE ASSESSMENT

Dear Sir,

I am PAULINE M. ASCAN, Licensed Customs Broker, the responsible officer of P.M. Ascan Customs
Brokerage Services, with office address at #3 North Susana Avenue, North Susana Executive Village, Matandang
Balara, Quezon City.

I lodged a provisional goods declaration on January 12, 2024, in view of the Online Filing of Goods
Declaration for our shipment more specifically described as follows:

Single Administrative Document (SAD) No.: I-1

Consignee: FR. FRANCISZEK PUPKOWSKI
Address: Sacred Heart Formation House, Masbate St. Aluba Subdivision, Cagayan De Oro City
Broker: PAULINE M. ASCAN
AWB/BL Number: TSSU2242203
Container Number/s: SZXLTMNLS2401100
Description of the Goods: DIRECT MARKETING MAIL PACKS

I have full knowledge of the content of the said shipments and I attest to the veracity of the declaration as
well as the supporting documents thereof.

I undertake to submit the original copy of the importation document/s on or before January 17, 2024, within
3 days from the online filing of goods declaration as per OCOM Memo No. 115-2020.

I committed that failure on my part to submit the hardcopy of the original documents within the prescribed
period may cause the suspension of the accreditation as an importer or broker and I will be barred from
transacting with the Bureau.

I also committed under penalty of perjury and other related criminal offenses that this commitment and
undertaking is true and current and I submit to the full authority of the Bureau of Customs (BOC) to proceed
against the shipment or to the company, should any of the foregoing facts be found to be false and incorrect.

I am writing this request for the purpose of requesting for release of aforesaid shipment under Tentative
Assessment and for complying with the requirements in support of the provisional goods declaration.

Thank you.

Respectfully,

PAULINE M. ASCAN
Licensed Customs Broker