BOC SINGLE ADMINISTRATIVE DOCUMENT
1 DECLARATION Office Code P07
2 Exporter / Supplier Address Port of Cebu
4ES 4
1 PT. ARENA AGRO ANDALAN
RP. SOEROSO NO. 32, RT. 010 3 Page 4
Customs Reference
C 16829 05-08-2023
RW. 005, CIKINI, MENTENG 1 1 Registry Number EGP0033-23
JAKARTA PUSAT,
C INDONESIA
5 Items
1
6 Tot Pack
18500
7 Reference Number
ARRV3050701
8 Importer / Consignee, Address TIN: 215261911000 9 CRF NUMBER :
U ARVIN INTERNATIONAL MARKETING INC.
PUROK 3 BRGY. GAHONON, DAET
CAMARINES NORTE 4600
S PHILIPPINES 10 11 12 Tot. F/I/O (Php)
641,849.63
13 T. Ref.
14 Broker / Attorney-In-Fact, Address TIN: 343691800000 15 Country of Export 15 C.E. Code 17
T JANICA TAM UYCHONGCO
125 TAC AN ROAD BUDLAAN
INDONESIA ID PH
16 Country of Origin 17 Country of Destination
CEBU CITY 6000
O PHILIPPINES INDONESIA PHILIPPINES
18 Vessel / Aircraft 19 Ct 20 Terms of Delivery
UNI-POPULAR V. 0261-441S CFR
M 21 Local Carrier (if any) 22 F. Cur. Total Customs Value 23 Exch Rate 24 Thru Bank
USD 143,875.00 55.201 X
S 25
5/6/2023
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 P07
Port of Cebu S06
Bank Name
Branch
PCHC
N.A. Bank Ref Number: 010533457-0005460
31 Packages Marks and Numbers - Container No(s) 32 Item No. 33 HS Code Spec Code
and 1 11081200 000
Marks & No 25x20
Description of Packages 34 C.O. Code 35 Item Gross Weight (kg) 36 Pref
of Goods
Number and Kind18500 BG BAG ID 464,720.00 AFTA
Container No(s)EITU0576540 EISU2339591 EISU2275537 EITU3049409 37 Procedure 38 Item Net Weight (kg) 39 Qouta
- - Maize (corn) starch
4000 000 462,500.00 NNNNN
CORN STARCH 40a AWB / BL 40b Previous Doc No.
RWRD008300009661
41 Suppl. Units 42 Item Customs Value (F. Cur) 43 V.M.
143,875.00 NV
44 Add Infos OTHinEV : 1 INSinFRT : 0 Fine :
Doc / Product A.I. Code 45 Adjustment
Certif. & 483,008.75 + 158,840.88 + 0.00 + 15,800.48 - 51,119.20
Aut 1.00
A.D.
MSP 46 Dutiable Value (PHP)
0.00 8,583,893.51
Invoice No. : 2023002 Dump Bond :
47 Calculation Type Tax Base Rate Amount MP 48 Prepaid Account No. 49 Identification of Warehouse
of Taxes
/
CUD 8,583,893.51 0% 0.00 0
47b ACCOUNTING DETAILS
VAT 8,678,602.92 12 % 1,041,432.35 0
Method of Payment : CASH
Assessment Number : L 23454 Date : 05-08-2023
Reciept Number : Date :
Guarantee 0.00 Date :
Total Fees 9,680.00
Total Item: 1,041,432.35 Total Assessment 1,051,112.35
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
JANICA TAM UYCHONGCO ARVIN INTERNATIONAL MARKETING 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 8,583,893.51 WHARFAGE 15,800.48 OTHERS 1,000.00
BANK CHARGES 10,729.87 TOTAL 8,678,602.93
ARRASTRE CHARGE 51,119.20
CUSTOMS DUTY 0.00 LANDED COST PH x 12%
BROKERAGE FEE 15,779.87 DOCUMENTARY STAMP 280.00 TOTAL VAT PH 1,041,432.35
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 1,041,432.35
EGHU3966388
EITU3106330
EGHU3942690
EITU3113771
EGHU3219150
HMCU3096789
EGHU3861005
EISU2349033 Total Item Tax 1,041,432.35
EISU2293680 IPF 1,000.00
EMCU6195566
EITU0111230
EITU0474913
EITU0283270
EGHU3337739
EITU0290876
EGHU3945180
EMCU3929497 SGL 1,500.00
EGHU3979390
EMCU6120802 CSF 6,900.00
EMCU6121331 CDS 250.00
EITU3008009 IRS 30.00
Total Global Tax 9,680.00
1,051,112.35
