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2020.02.12 JHB 'Int

This customs declaration form summarizes the import of a used Toyota Hino truck from Mozambique into South Africa. It includes details of the exporter, importer, transport and delivery terms. The item is described as a used 8340kg Toyota Hino truck. The declared customs value is ZAR 260,869.57 and the gross mass is 8340kg. The importer's clearing agent, Keanu Clearing Agent at Lebombo Dry Port, signed the declaration confirming the details are true and correct.

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86 views1 page

2020.02.12 JHB 'Int

This customs declaration form summarizes the import of a used Toyota Hino truck from Mozambique into South Africa. It includes details of the exporter, importer, transport and delivery terms. The item is described as a used 8340kg Toyota Hino truck. The declared customs value is ZAR 260,869.57 and the gross mass is 8340kg. The importer's clearing agent, Keanu Clearing Agent at Lebombo Dry Port, signed the declaration confirming the details are true and correct.

Uploaded by

alsone07
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Printed 18.03.

11 12:23:44
SAD 500 - CUSTOMS DECLARATION FORM
1. Declaration A OFFICE / DESTINATION OF DEPARTURE
2. Exporter/Consignor Office Code Manifest Number
TIN 1305170
AUTO TSHWANE TRUCK & CAR 163720180825216000000000000
H KOM 2020.02.12
BSIC 4940135272
JHB `INT
3. Froms 4 Registation No. Assessment No and Date

1 1 9 2020.02.11
2. Importer or Exporter 5. Items 6. Tot Pack 7. Declarant Reference Receipt No. & Date
TIN
ARLINDO ADRIANO NGUENHA EXP/20/03/KEANU/0085
1 1
BSIC
9 10 11 12. Value Details 13 13A. Invoice No. and Date
260869.57 A0782//20.02.07

14. Declarant/Agent TIN 21620334 15. CODE16. COO 17. COD 17A. Owner Code 17B. Rebate User Code
KEANU CLEARING AGENT LEBOMBO DRY PORT N4 ZA MZ
HIGHWAY KOMATPORT
20. Delivery Terms
18. Identification, Date and nationality of 19 22. Currency and total FOB value 23. Rate Of Exchange
-------------- Trasport at arrival Con
CWT194L taner 260,869.57

21. Identification, date and nationality of 28 Consignt/Trans Particul 24. OTHER COSTS DETAILS
UCR
transport at frontier
20ZA013051803208 CURRENCY AMOUNT

Freight
25. TMF 26. TMI 27. Place of Discharge Trans Value
260,869.57
3 Receiving Bank
Insurance

29. OOE 30. Location of Goods Credit Terms VAT Claim


Other Cost
KOM N
31. AS ADDRESSED 1xUSED TOYOTA HINO 32. Item No. 33. Commodity Code
Packages Marks and
and numbers 1 8704.21.90(2)
Descriptio
Number & 34. COC 35. Gross mass ( KGS) 36. Preference
n of
type of 1xUSED TOYOTA HINO
goods
Packages
ZA 8340.00
37. CPC 38. Nett mass 39. Quota
Container
numbers 60 H00 (KGS)

Description 40. Summary declaration/previous document


8340 kg ton truck, toyota hino hhHouse No. = EXP/20/02/KEANU/0085

41. Supp. units 42. Customs value


8340 KG (FCY) 43. VM
260,869.57
44. Licence Number Deducted Value Deducted Quantity Ex Warehouse Code 45. Other Quantities
Additional
Information 1
Produced Removal in bord (R.I.B.) dayr & office Rebate Code 46. Statistical Value
Document
s
47. Type Duty/Taxe Base Rate Amount MP 48. Account Code 49. Identification of Warehouse/time
Calculation LIMIT
of duties SUMMARY OF TOTAL DUTIES AND TAXES
and taxes
TOTAL DUTIES & TAXES
AMOUNT OVERPAID

AMOUNT UNDERPAID

OTHER

TOTAL PAYABLE
TOTAL Guarantee Code Amount
DECLARATION FOR OFFICIAL USE
PEDRO JOCARPE EXPORT
I, the undersigneds of

being the ENTRY CLERK (agent) hereby declare that the particulars herein; ICN: BOE20161130KOM5026898
true and correct and comply with provisions the Customs and Excise Act. LRN: 00670845KOM20161130092427
2020.02.11 MRN: KOM201611305026898
Signature I.D Number Date
sad201611301950@USER-BOX User56150 tel. 011 975 1264
System Supplied by Advanced Customs Solutions

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