SINGLE ADMINISTRATIVE DOCUMENT

1 DECLARATION Office Code: P12

2 Exporter /Supplier Address Port of Davao
4 4 Manifest No: MSK0001-24
ANPING COUNTY YIZE METAL PRODUCTS CO., LTD.
JINWANG XIJIE, INDUSTRIAL ZONE, ANPING COUNTY, 3 Page
Customs reference no.: C-367
CHINA
1 1 5 Date : 01/03/2024 12:42:45
5 Items 6 Tot Pack 7 Reference Number

1 522 TQSB2400004
8 Importer/Consignee, Address Tin: 234329964000 9 CRF No.
DAMILES AGRICULTURAL FARM EQUIPMENT
C RENTAL 1634 TIERRA DEL PUERTO CAMAMAN-AN CAGAYAN DE
ORO CITY 9000
U 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
1802 BSA MANSION, BENAVIDEZ STREET, LEGASPI CHINA CN
O VILLAGAE, SAN LORENZO 16 Country of Origin 17
MAKATI CITY1229
M PHILIPPINES CHINA
18 Vessel/Aircraft Registry No. 19 Ct 20 Terms Of Delivery
S
AS PIA 349E MSK0001-24 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
XX Terms of Payment : 01-Basic
1
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 : 522 1 48237000000 5.00 000000
Number and Kind : NE-UNDETERMINED/UNPACKED/UNPAKAGED
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
OTHInEV : INSinFRT : Fine : 41 Suppl. Units 42 Item Customs Value (F.C.) 43 V.M.
44 Add Infos
Doc / Produ.
1 0.000 0.00
Certif. & Aut.
0.00 11,652.20 NV
31,118 + 13,214 + 0 + 217 - 701
A.I. Code 45 Adjustment

Prev Doc Reference : 1.00

MSP 46 Dutiable Value (PHP)
Invoice No. : Dump Bond :
CC20231120 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

VAT 735,126.41 12% 88,215.17 1 47b ACCOUNTING DETAILS
.............................................................................................................................
:
Mode Of Payment CASH
Assessment Number : - Date :
Receipt Number : - Date :
Guarantee : Date :
.............................................................................................................................
Total Fees 2,141.00
Total
122,805.63 Total Assessment 124,946.63
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

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

TAXABLE VALUE PHP 691,809.15 WHARFAGE 216.58 OTHERS 750.00

BANK CHARGES 864.76
ARRASTRE CHARGES 700.70 TOTAL LANDED COST PHP 735,126.41
CUSTOMS DUTY 34,590.46
5,914.76 DOCUMENTARY STAMP 280.00 TOTAL VAT PHP 88,215.17
BROKERAGE FEE

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

Total Item Taxes 122,805.63

CSF 1,111.00
IPF 750.00
CDS 250.00
IRS 30.00

Total Global Taxes 2,141.00

124,946.63
Republic of the Philippines
Department of Finance
BUREAU OF CUSTOMS

Terms Of Payment

Code Account
Bank Reference Number : 010533457-0012992 Selectivity Color : ORANGE Section : 14
Republic of the Philippines
Department of Finance
BUREAU OF CUSTOMS
TEMPORARY ASSESSMENT NOTICE

Customs Office P12 Port of Davao

Identification of the Declaration

Ref Registration Assessment Nbr of

Year Number Date Year Number Day/Mth Items
Model

4 4 2024 C-367 01/03/24 2024 - 1

Declarant Reference No : TQSB2400004

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
VAT 88,215.17

Total Item Taxes 122,805.63

CSF 1,111.00
IPF 750.00
CDS 250.00
IRS 30.00

Total Global Taxes 2,141.00

Total assessed amount for the declaration

Amount currently to be paid 124,946.63

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.
 TRANSACTION RECEIPT

TRANSACTION RECEIPT NO. TQSB2400004

DAMILES AGRICULTURAL FARM EQUIPMENT

CLIENT RENTAL 1634 TIERRA DEL PUERTO CAMAMAN-AN CAGAYAN DE ORO CITY 9000
PHILIPPINES

TIN 234329964000

TRANSACTION DETAILS

ENTRY DATE 01/03/2024 00.00.00

ENTRY NO. C-367

HOUSE NO. 234059446

MANIFEST NO. MSK0001-24

REFERENCE NO. TQSB2400004

AMOUNT 45.00

TOTAL AMOUNT DUE FORTY FIVE PESOS ONLY

Certified correct :

CARGO DATA EXCHANGE CENTER, INC.