Tanzania Revenue Authority United Republic of Tanzania

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ASSESSMENT DOCUMENT
2.Exporter/Consigner Name & Address TIN:
1.Declaration Type A.Processing/Clearing office TANSAD Number & Date
BE FORWARD CO.,LTD IM4 TZDL DAR CUSTOMS SERVICE CENTRE TZDL-19-1098032 21/03/2019
JAPAN 3.No Items 4.CL. Plan 5.Security Account No. Receipt Number & Date
1 PAD
6.Country Last Consignment 7.Trading Country 8.Country of Export
JP Japan JP Japan JP Japan
9.Importer/Consignee Name & Address TIN: 10.Country of Destination 11.Delivery Term Code Place 12.Nat of Trans
VENANCE MASANJA OGESA 138-708-071 TZ United Republic of CFR Dar es Salaam 1 9
P.O.BOX 999 DAR ES SALAAM 13.Exchange Rate 14.Currency Total Invoice Value 15.Invoice No. & Date
2,300.87 USD 1,000.00 1541895 15/02/2019
Freight Charges Currency Insurance Currency
16. 570.00 USD 2.00 USD
Valuation
17.Declarant/Agent Name & Address TIN: Note Other charges Currency Deductions Currency
JAMAAP CO LTD 100-597-780
45-46 CHIMARA ROAD BLOCK C CHIMARA ROAD-NEAR OCEAN 18.No Pckgs 19.Gross Weight 20.Net Weight
ROAD HOSPITAL DSM P. O. BOX 104784 DAR ES SALAAM Ilala 1 (NE) 1,275 (Kgs) 1,000 (Kgs)
Dar es Salaam
21.Entry/Exit Office 22.Loc. Of Goods 23.AWB/BL/RCN/Shipping Order
Ref.No. & Date 100597780-19-0600335 21/03/2019 TZDW BFTP01214239

Result of Valuation :
State Currency TOTAL FOB Freight Insurance Othe charges Deductions Total Customs Value

Declared TZS 2,300,870.00 1,311,495.90 4,601.74 3,616,967.64

Assessed TZS 2,300,870.00 1,311,495.90 4,601.74 3,616,967.64

Item No. 1 24.Description 25.H.S. Code 26.Value for Customs 27.FOB Value
Other:Motor cars and other motor vehicles p:Of a cylinder capacity>1,000cc
D 8703.22.90.0000 3,616,967.64 2,300,870.00
USED HONDA FIT

A 8703.22.90.0000 3,616,967.64 2,300,870.00

No 28.Model, Specification Component Quantity Unit Price Item invoice Price

WAGON, 1330 CC, YEAR 2005
D 1 1,000.00 1,000.00
1
A 1 1,000.00 1,000.00

Declaration by Importer/Importer's Agent TANZANIA REVENUE AUTHORITY

(Who must sign and stamp either of the declaration below) REPRESENTATIVE

I/We
the undersigned, being the Importer/Exporter/Agent*
do hereby declare that the information declared on
this entry is true and complete and accept fully the
conditions and requirements attached to the use of
CPC declared therein, and comply with the provision of
the Customs Management Act.
I/We
the undersigned, being the Importer/Exporter/Agent*
do hereby declare that the information declared on
this entry is true and complete and accept fully the
conditions and requirements attached to the use of issued by TRA for importer's information on
CPC declared therein, and comply with the provision of TRA's assessment related to HS. Codes &
the Customs Management Act.
Customs Values

SIGNATURE

SIGNATURE,DATE AND STAMP SIGNATURE,DATE AND STAMP

Printed on : 25/03/2019 11:04
 Tanzania Revenue Authority United Republic of Tanzania
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ASSESSMENT DOCUMENT
29. Taxes
Tax Type Duty / Tax Base Rate Amount Relief Amount Relief Code MOP
IMP 3,616,967.64 25.00 904,242.00 1
EXA 4,521,209.64 30.00 1,356,363.00 1
EX 4,521,209.64 5.00 226,061.00 1
VEH 450,000.00 100.00 450,000.00 1
CPF 2,300,870.00 0.60 13,806.00 1
RDL 3,616,967.64 1.50 54,255.00 1
VAT 6,621,694.64 18.00 1,191,906.00 1
Total taxes for item 1 4,196,633.00