This document is for information purposes only and shall NOT be submitted or used for processing at the Bureau

of Customs nor be relied upon as basis

for compliance with any legal requirement.
TEMPORARY SINGLE ADMINISTRATIVE DOCUMENT 1 DECLARATION Office Code: P12
2 Exporter /Supplier Address Port of Davao
4 4
ANPING COUNTY YIZE METAL PRODUCTS CO., LTD. Manifest No: MSK0104-23
JINWANG XIJIE, INDUSTRIAL ZONE, ANPING COUNTY, CHINA 3 Page Entry Number :
Date : 12/27/2023 16:38:57
1 5
1
5 Items 6 Tot Pack 7 Reference Number
1 522 TQSB2300003

8 Importer/Consignee, Address Tin: 234329964000 9 CRF No.

C DAMILES AGRICULTURAL FARM EQUIPMENT
RENTAL 1634 TIERRA DEL PUERTO CAMAMAN-AN CAGAYAN DE
U ORO CITY 9000
PHILIPPINES 10 11 12 Tot. F/I/O 13 T. Rel.
S XX XX 797.80

14 Broker/Attorney-In-Fact, Address
Tin: 479256534000 15 Country of Export 15 C.E. Code 17
T
FERDDY MARK LUNGAY SARDAN CHINA CN
1802 BSA MANSION, BENAVIDEZ STREET, LEGASPI VILLAGAE, SAN
O LORENZO 16 Country of Origin 17
MAKATI CITY1229
M PHILIPPINES CHINA

S 18 Vessel/Aircraft Registry No. 19 Ct 20 Terms Of Delivery

AS PIA 349E MSK0104-23 1 CIF

21 Local Carrier (If Any) : 22 F. Cur. Total Customs Value 23 Exch Rate 24 Thru Bank
USD 11,652.20 55.567 1

25 26 27 Transhipment Port 28 Financial and Banking Data Bank Code : 998

12/29/2023 XX Terms of Payment :
1 01-Basic
29 Port Of Destination 30 Location Of Goods Bank Name : PCHC
P12-Port of Davao S43 Branch : NA Bank Ref No. : 010533457-0012992

Marks and Numbers - Containers No(s) - Number and Kind 32 Item No. 33 HS Code Rate Tariff Spec Spec Code
Marks & Nos : 2X40 AS ADDRESSED
No. Of Packages : 1 48237000000 5.00 000000
522
Number and Kind : PK-PACKAGE
31 Packages Containers No(s) : 34 C.O. Code 35 Item Gross Wgt. 36 Pref
and Desc.
Of Goods MRKU2407956, TRHU4431849
- Moulded or pressed articles of paper pulp CN 6,370.00 Kg(s) ACFTA
Others
COOLING PAD WITH MATERIAL FRAME OF ALUMINUM ALLOY
37 Procedure Item Net Weight 39 Quota

4000 000 6,300.00 Kg(s) NNNNN

40a AWB/BL 40b Previous Doc No.

234059446

44 Add Infos OTHInEV : 1 INSinFRT : 0 Fine : 0.00 41 Suppl. Units 42 Item Customs Value (F.C.) 43 V.M.
Doc / Produ.
Certif. & Aut. 11,652.20 NV
0.00
31,117.52 + 13,213.83 + 0.00 + 216.58 - 700.70
A.I. Code 45 Adjustment

Prev Doc Reference : 1.00

MSP 46 Dutiable Value (PHP)

Invoice No. : CC20231120 Dump Bond : 691,809.15

48 Prepaid Account No. 49 Identification of Warehouse

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

CUD 691,809.15 5% 34,590.46 1 47b ACCOUNTING DETAILS

.............................................................................................................................
VAT 735,126.41 12% 88,215.17 1 Mode Of Payment : CASH
Assessment Number : Date :
AVT 1
Receipt Number : Date :
EXC 0.00 1 Guarantee : Date :
.............................................................................................................................
Total Fees 780.00
Total 122,805.63
Total Assessment 123,585.63
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.

FERDDY MARK LUNGAY SARDAN DAMILES AGRICULTURAL FARM EQUIPMENT Administering Officer /
Notary Public
Broker Date : Importer/Attorney-In-Fact

51 AUTHORIZATION 52 Control at Office Destination

Date Print name Position Date Print name Position

This document is for information purposes only and shall NOT be submitted or used for processing at the Bureau of Customs nor be relied
upon as basis for compliance with any legal requirement.

53 INTERNAL REVENUE (TAX PER BOX #46 & 47)

691,809.15 WHARFAGE 216.58 750.00
TAXABLE VALUE PHP OTHERS
864.76
BANK CHARGES 700.70 735,126.41
ARRASTRE CHARGES TOTAL LANDED COST PHP
34,590.46
CUSTOMS DUTY
5,914.76 DOCUMENTARY STAMP 280.00 88,215.17
BROKERAGE FEE 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

CUD 34,590.46
VAT 88,215.17
AVT 0.00

Total Items Taxes 122,805.63

SGL
IPF 750.00
IRS 30.00
CSF

Total Global Taxes 780.00

This document is for information purposes only and shall NOT be submitted or used for processing at the Bureau of Customs nor be relied
upon as basis for compliance with any legal requirement.

Republic of the Philippines

Department of Finance
BUREAU OF CUSTOMS

Terms Of Payment

Code Account
This document is for information purposes only and shall NOT be submitted or used for processing at the Bureau of Customs nor be relied
upon as basis for compliance with any legal requirement.

Bank Reference Number : 010533457-0012992 Section : 14

Republic of the Philippines
Department of Finance
BUREAU OF CUSTOMS
TEMPORARY ASSESSMENT NOTICE

Customs Office P12 Port of Port of Davao

Identification of the Declaration

Ref Registration Assessment Nbr of

Year Number Date Year Number Day/Mth Items
Model

4 4 2023 12/27/23 2023 27/Decemb 1

er

Declarant Reference No : TQSB2300003

Declarant : 479256534000 FERDDY MARK LUNGAY SARDAN

1802 BSA MANSION, BENAVIDEZ STREET, LEGASPI VILLAGAE, SAN
LORENZO
MAKATI CITY1229
PHILIPPINES
Importer : 234329964000 DAMILES AGRICULTURAL FARM EQUIPMENT
RENTAL 1634 TIERRA DEL PUERTO CAMAMAN-AN CAGAYAN DE ORO
CITY 9000
PHILIPPINES

Mode of Payment : CASH Account Number

Receipt number and Statement number and date

date :

CUD 34,590.46
EXC 0.00
VAT 88,215.17
AVT 0.00

Total Items taxes 122,805.63

IPF
750.00
IRS 30.00

Total global taxes 780.00

Total assessed amount for the declaration

Amount currently to be paid 123,585.63

This temporary Assessment Notice provides advice to the declarant of the entry number assigned to the declaration
encoded. This document is of a temporary nature. The final Assessment Notice will be issued by BOC staff.