Republic of the Philippines

Depertment of Finance Statement of Settlement of Duties and Taxes

BUREAU OF CUSTOMS

Customs Office P02B Manila Intl Container Port

DECLARATION

Model Customs Reference Declarant Reference Assessment Reference No. of items

44 C 419156 5UHS31128001 L 570610 1

Declarant Company
TIN : 245634900000 TIN : 181351624000
ROWEL SYLIT BONDAL NAVATO LINE CONSUMER GOODS TRADING
PHASE 8B PKG1 BLK 32 LOT 3 BAGONG S 1153 M.H. DEL PILAR STREET, BRGY. 6
ILANG 67 ZONE 072 ERMITA
MANILA 1000

Mode of payment Account Number Receipt Number and date Statement Number and date

Cash R 647535 2023-12-29

Item Taxes Global Taxes

CUD 0.00 IPF 1,000.00

VAT 186,401.23 OGT 834.00

FIN 0.00

Total Item Taxes 186,401.23 Total Item Taxes 1,834.00

Total assessed amount for the declaration 188,235.23

Code Non-Cash Instrument Account No. Amount Remaining Balance

TCC Number
TCC Balance
Non-cash Amount Collected
Cash Amount Paid Through Bank 188,235.23