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BOC SINGLE ADMINISTRATIVE DOCUMENT

1 DECLARATION Office Code P02A


2 Exporter / Supplier Address Port of Manila
IED 4
1 SHANG CHEN STEEL CO., LTD
NO. 7 DAYE SOUTH ROAD,SIAOGANG 3 Page 4
Customs Reference
D 2345 04-19-2021
DISTRICT KAOHSIUNG 81261 1 1 Registry Number MTCBIHOT
C TAIWAN 5 Items
1
6 Tot Pack
1
7 Reference Number
MI991041901
8 Importer / Consignee, Address TIN: 000241903000 9 CRF NUMBER :
U MARILAO TUBE CENTER INC
STA ROSA 2 ABANGAN NORTE MARILAO BU T/S or W/S Entry No. :
LACAN
MARILAO 3019
S PHILIPPINES 10 11 12 Tot. F/I/O (Php)
0.00
13 T. Ref.

14 Broker / Attorney-In-Fact, Address TIN: 402144172000 15 Country of Export 15 C.E. Code 17


T JEFFREY LUDOVICE MEDINA
227 AMPIOCO STREET BALUT TONDO
TAIWAN, PROVINCE OF CHINA TW PH

16 Country of Origin 17 Country of Destination


MANILA 1012
O PHILIPPINES CHINA PHILIPPINES
18 Vessel / Aircraft 19 Ct 20 Terms of Delivery
NA MTCBIHOT CFR
M 21 Local Carrier (if any) 22 F. Cur. Total Customs Value 23 Exch Rate 24 Thru Bank
USD 298,820.00 48.479 2 X
S 25
4/19/2021
26 27 Transhipment Port
28 Financial and Banking Data - Bank Code 998
Terms of Payment A1 - Letter of Credit
29 Port of Destination 30 Location of Goods
1 P02A
Port of Manila S01
Bank Name

Branch
PCHC
NA Bank Ref Number: 010261389-0908265

31 Packages Marks and Numbers - Container No(s) 32 Item No. 33 HS Code Spec Code
and 1 72082799 000
Marks & No NA
Description of Packages 34 C.O. Code 35 Item Gross Weight (kg) 36 Pref
of Goods
Number and Kind 1 CL COIL CN 400,000.00 ACFTA
Container No(s) 37 Procedure 38 Item Net Weight (kg) 39 Qouta
- - - - Other
4000 000 400,000.00 NNNNN
PRIME HOT ROLLED STEL SHEET IN COILS 40a AWB / BL 40b Previous Doc No.
(1.35MM/1.80MM/2.80MM*1210MM*C) NA
41 Suppl. Units 42 Item Customs Value (F. Cur) 43 V.M.

298,820.00 NV
44 Add Infos OTHinEV : 1 INSinFRT : 0 Fine :
Doc / Product A.I. Code 45 Adjustment
Certif. & 0.00 + 0.00 + 0.00 + 0.00 - 0.00
Aut 1.00
A.D.

46 Dutiable Value (PHP)

15,065,954.57
Invoice No. : NA Dump Bond :

47 Calculation Type Tax Base Rate Amount MP 48 Prepaid Account No. 49 Identification of Warehouse
of Taxes
/
CUD 15,065,954.57 0% 0.00 0
47b ACCOUNTING DETAILS
VAT 0.00 12 % 0.00 0
Method of Payment : CASH
Assessment Number : Date :

Reciept Number : Date :

Guarantee 0.00 Date :

Total Fees 0.00


Total Item: 0.00 Total Assessment 0.00

50 We hereby certify that the information contained in all pages Subscribed and sworn bofore me
of this Declaration and the documents submitted are to the best
of our knowledge and belief true and correct

51 AUTHO- Broker : Date : Importer / Attorney-in-Fact :


RIZATION Administering Officer
JEFFREY LUDOVICE MEDINA MARILAO TUBE CENTER INC Notary Public

52 Control Code 53 Office of Destination and Country


at Office Destination
CONTROL AT OFFICE OF DESTINATION Stamp 54 Place and date

Signature
53 INTERNAL REVENUE (TAX PER BOX #45 & #47)

TAXABLE VALUE PH 15,065,954.57 WHARFAGE 0.00 OTHERS 0.00

BANK CHARGES 0.00 TOTAL 15,090,117.01


ARRASTRE CHARGE 0.00
CUSTOMS DUTY 0.00 LANDED COST PH x 12%

BROKERAGE FEE 23,882.44 DOCUMENTARY STAMP 280.00 TOTAL VAT PH 0.00

DESCRIPTION IN TARIFF TERMS SHOULD BE

54 SECTION 55 NO. OF PACKAGES EXAMINED 56 DATE RECIEVED 57 DATE RELEASED


EXAMINATION RETURN

58
ITEM TARIFF
NO DESCRIPTION IN TARIFF TERMS SHOULD BE QTY UNIT UNIT VALUE HEADING RATE

PLEASE REFER TO RIDERS FOR FINDINGS ON OTHER ITEMS

REVISED CHARGES LIQUIDATION

59 CHARGES 60 DECLARATION 61 FINDINGS 62 DIFFERENCES 65 LIQUIDATED Amount


Duty
BIR Taxes 66 SHORT/EXCESS
VAT
Excise Tax/Ad Valorem 67 REMARKS
Others
Surcharges
TOTAL
63 ACTION DIRECTED/RECOMMENDED 64 68

DATE COO III DATE


69

DATE COO V DATE

CONTINUATION FROM BOX # 31 FREE DISPOSAL CUD 0.00


Container Numbers continuation: VAT 0.00

Total Item Tax 0.00


IPF 0.00

Total Global Tax 0.00


0.00

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