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SINGLE ADMINISTRATIVE DOCUMENT 1 DECLARATION Office Code: P02A 2 Exporter /Supplier Address Port of Manila
SINGLE ADMINISTRATIVE DOCUMENT
1
DECLARATION
Office Code:
P02A
2
Exporter /Supplier Address
Port of Manila
4
4
Manifest No:
KMT0005-19
TOPTONE CORPORATION
SEONGBUK GU SEOUL,KOREA
3
Page
Entry Number :
Date :
03/27/2019 15:39:29
1
5
1
5
Items
6 Tot Pack
7 Reference Number
1
160
5Z3A1900083
8
Importer/Consignee, Address
Tin:
001095517000
9
CRF No.
ILYON INDUSTRIAL CORPORATION
16A BOWLING ST. SAINT FRANCIS VILLA
GE CAINTA
RIZAL 1212
10
11
12 Tot. F/I/O
13 T. Rel.
1212
601.40
PHILIPPINES
XX
XX
15
Country of Export
15 C.E. Code
14
Broker/Attorney-In-Fact, Address
Tin:
228123632000
17
RONALD R. BELENO
11 dove st. area 1 veterans
bagong silangan
quezon city PHILIPPINES
KOREA, REPUBLIC OF
KR
16
Country of Origin
17
KOREA, REPUBLIC OF
18
Vessel/Aircraft
Registry No.
19 Ct
20
Terms Of Delivery
KMTC SHANGHAI
KMT0005-19
1
CIF
21
Local Carrier (If Any) :
22
F. Cur.
Total Customs Value
23 Exch Rate
24 Thru Bank
USD
8,160.00
52.801
2
28 Financial and Banking Data
Bank Code :
998
25
26
27
Transhipment Port
03/28/2019
XX
Terms of Payment :
01-Basic
1
29
Port Of Destination
30
Location Of Goods
Bank Name :
PCHC
P02A-Port of Manila
S01
Branch :
NA
Bank Ref No. :
010533457-0007672
Marks and Numbers - Containers No(s) - Number and Kind
32
Item No.
33 HS Code
Rate
Tariff Spec
1
28332990200
0.00
Marks & Nos :
LYONTERON LYONIPOL MADE IN KOREA NE
31
Packages
No. Of Packages :
160
34
C.O. Code
35 Item Gross Wgt.
36
Pref
and Desc.
Of Goods
Number and Kind :
DR-DRUM
KR
30,400.00 Kg(s)
Containers No(s) :
37
Procedure
Item Net Weight
39
Quota
DFSU1895558, SEGU3374636
- - - - Other
LYONTERON LYONIPOL
4000
000
27,200.00 Kg(s)
NNNNN
40a AWB/BL
40b Previous Doc No.
PUSB451388
OTHInEV :
1
INSinFRT :
0
Fine :
0.00
41
Suppl. Units
42
Item Customs Value (F.C.)
43 V.M.
44
Add Infos
Doc / Produ.
Certif. & Aut.
0.00
8,160.00
1
14,520.28 + 17,234.25 + 0.00 + 519.35 - 4,307.00
45
Adjustment
Prev Doc Reference :
1.00
46
Dutiable Value (PHP)
Invoice No. :
1903-09JEFF
Dump Bond :
462,610.68
48
Prepaid Account No.
49 Identification of Warehouse
Type
Tax Base
Rate
Amount
MP
47
Calcula-
tion of Taxes
CUD
462,610.68
0%
0.00
1 47b ACCOUNTING DETAILS
VAT
473,845.29
12%
56,861.44
1 Mode Of Payment
1 Assessment Number
: CASH
: Date :
EXC
0.00
Receipt Number
: Date :
Guarantee
: Date :
Total Fees
500.00
Total
56,861.44
Total Assessment
57,361.44
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.
RONALD R. BELENO
ILYON INDUSTRIAL CORPORATION
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 copy is for information purposes only. This is not an official document of the Bureau of Customs and may not be used or relied upon as basis for compliance with any legal requirement.

53 INTERNAL REVENUE (TAX PER BOX #46 & 47) 462,610.68 519.35 500.00 TAXABLE VALUE PHP
53 INTERNAL REVENUE (TAX PER BOX #46 & 47)
462,610.68
519.35
500.00
TAXABLE VALUE PHP
WHARFAGE
OTHERS
0.00
BANK CHARGES
4,307.00
473,845.29
ARRASTRE CHARGES
TOTAL LANDED COST PHP
0.00
CUSTOMS DUTY
280.00
56,861.44
5,628.26
DOCUMENTARY STAMP
TOTAL VAT PHP
BROKERAGE FEE
DESCRIPTION IN TARIFF TERMS SHOULD BE
54
SECTION
55 NO. OF PACKAGES EXAMINED
EXAMINATION RETURN
56 DATE RECEIVED
57 DATE RELEASED
ITEM
DESCRIPTION IN TARIFF TERMS SHOULD BE
QTY
UNIT
UNIT VALUE
TARIFF HEADING
RATE
NO
1
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
VAT
Total Items Taxes
SGL
IPF
CSF
Total Global Taxes

This copy is for information purposes only. This is not an official document of the Bureau of Customs and may not be used or 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
Republic of the Philippines
Department of Finance
BUREAU OF CUSTOMS
Terms Of Payment
Code
Account

This copy is for information purposes only. This is not an official document of the Bureau of Customs and may not be used or relied upon as basis for compliance with any legal requirement.

Bank Reference Number :

010533457-0007672

Section :

Republic of the Philippines Department of Finance BUREAU OF CUSTOMS TEMPORARY ASSESSMENT NOTICE Customs Office
Republic of the Philippines
Department of Finance
BUREAU OF CUSTOMS
TEMPORARY ASSESSMENT NOTICE
Customs Office
P02A
Port of Port of Manila
Identification of the Declaration
Ref
Registration
Assessment
Nbr of
Year
Items
Model
Number
Date
Year
Number
Day/Mth
4
4
2019
03/27/19
2019
27/March
1
Declarant Reference No :
5Z3A1900083
Declarant :
228123632000
RONALD R. BELENO
11 dove st. area 1 veterans
bagong silangan
quezon city PHILIPPINES
Importer :
001095517000
ILYON INDUSTRIAL CORPORATION
16A BOWLING ST. SAINT FRANCIS VILLA
GE CAINTA
RIZAL 1212
1212
PHILIPPINES
Mode of Payment :
CASH
Account Number
Statement number and date
Receipt number and
date :
CUD
0.00
EXC
0.00
VAT
56,861.44
Total Items taxes
56,861.44
IPF
500.00
Total global taxes
500.00
Total assessed amount for the declaration
Amount currently to be paid
57,361.44
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.

This copy is for information purposes only. This is not an official document of the Bureau of Customs and may not be used or relied upon as basis for compliance with any legal requirement.