H.m. Customs Trade Declaration - Hmc-12(10/12) Page 2

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H.M. Customs Trade Declaration
_________
Page No./Total:
11 RECORD NO.:
________________
12 CPC: _____________________________________
18 F.O.B. VALUE: _________________________
13 TARIFF NO.: _______________________________
19 CHARGES / DEDUCTIONS
AMOUNT
14 COUNTRY OF ORIGIN: ______________________
15 NO. AND TYPE OF PACKAGES: ______________
16 DESCRIPTION
20 C.I.F. VALUE: __________________________
21 TAX
| IND. | VALUE | RATE
AMOUNT
|
|
|
17 a. NET WEIGHT (LB): _______________________
|
|
|
b. QUANTITY/UNITS: _______________________
|
|
|
22 ADDITIONAL INFORMATION
TOTAL:
11 RECORD NO.:
________________
12 CPC: _____________________________________
18 F.O.B. VALUE: _________________________
13 TARIFF NO.: _______________________________
19 CHARGES / DEDUCTIONS
AMOUNT
14 COUNTRY OF ORIGIN: ______________________
15 NO. AND TYPE OF PACKAGES: ______________
16 DESCRIPTION
20 C.I.F. VALUE: __________________________
21 TAX
| IND. | VALUE | RATE
AMOUNT
|
|
|
17 a. NET WEIGHT (LB): _______________________
|
|
|
b. QUANTITY/UNITS: _______________________
|
|
|
22 ADDITIONAL INFORMATION
TOTAL:
11 RECORD NO.:
________________
12 CPC: _____________________________________
18 F.O.B. VALUE: _________________________
13 TARIFF NO.: _______________________________
19 CHARGES / DEDUCTIONS
AMOUNT
14 COUNTRY OF ORIGIN: ______________________
15 NO. AND TYPE OF PACKAGES: ______________
16 DESCRIPTION
20 C.I.F. VALUE: __________________________
21 TAX
| IND. | VALUE | RATE
AMOUNT
|
|
|
17 a. NET WEIGHT (LB): _______________________
|
|
|
b. QUANTITY/UNITS: _______________________
|
|
|
22 ADDITIONAL INFORMATION
TOTAL:

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