South African Customs Form - Excess International Movers Page 2

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DA 304
REPUBLIC OF SOUTH AFRICA
CUSTOMS AND EXCISE
DECLARATION BY A NATURAL PERSON ON CHANGE OF RESIDENCE TO THE REPUBLIC WITH
REGARD TO HOUSEHOLD FURNITURE, OTHER HOUSEHOLD EFFECTS AND OTHER
REMOVABLE ARTICLES, INCLUDING EQUIPMENT NECESSARY FOR THE EXERCISE OF THE
CALLING, TRADE OR PROFESSION OF THE PERSON, OTHER THAN INDUSTRIAL, COMMERCIAL
OR AGRICULTURAL PLANT AND EXCLUDING MOTOR VEHICLES, ALCOHOLIC BEVERAGES
AND TOBACCO GOODS
ITEM 407.06 OF SCHEDULE NO. 4 TO THE CUSTOMS AND EXCISE ACT
PERSONAL AND TRAVEL PARTICULARS
Name
Passport No.
Address
Nationality
Number of Adult Dependants
Number of child dependants
Value of furniture, other
household effects and other
Used
R
New
R
Total
R
removable articles
1. An inventory of all the household goods here concerned must be produced.
NOTES
2. A separate declaration (DA 304A) must be completed in respect of a motor vehicle.
DECLARATION
I ……………………………………………………………………………………………………….
hereby declare that I have permanently / temporarily changed the residence of myself and that of my family to the Republic of South
Africa, that the household furniture, other household effects and other removable articles described above are the bona fide property of
myself and my family, owned by us prior to our departure for South Africa.
I further declare that none of the effects are intended for sale or disposal and hereby undertake to pay the duty due to the
Secretary for Customs and Excise if any of the articles are sold or disposed of within six months of the date of entry thereof for customs
purposes.
Signature of
Importer
______________________________ Witnesses
1.
_______________________
Date
______________________________
2.
_______________________
FOR OFFICIAL USE ONLY
Returning S.A. resident after an absence of ________________________________________
Immigration Permit No __________________________
Date __________________________
Date of Arrival (in passport) ______________________

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