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SINGLE ADMINISTRATIVE DOCUMENT

1 DECLARATION Office Code: P02A


2 Exporter /Supplier Address Port of Manila
4 4
TOPTONE CORPORATION Manifest No: KMT0005-19
SEONGBUK GU SEOUL,KOREA 3 Page Entry Number :
Date : 03/27/2019 15:39:29
1 5
1
5 Items 6 Tot Pack 7 Reference Number
1 160 5Z3A1900083

8 Importer/Consignee, Address Tin: 001095517000 9 CRF No.

ILYON INDUSTRIAL CORPORATION


16A BOWLING ST. SAINT FRANCIS VILLA
GE CAINTA
RIZAL 1212 10 11 12 Tot. F/I/O 13 T. Rel.
1212
PHILIPPINES XX XX 601.40

14 Broker/Attorney-In-Fact, Address Tin: 228123632000 15 Country of Export 15 C.E. Code 17


RONALD R. BELENO KOREA, REPUBLIC OF KR
11 dove st. area 1 veterans
bagong silangan 16 Country of Origin
quezon city PHILIPPINES 17
KOREA, REPUBLIC OF

18 Vessel/Aircraft Registry No. 19 Ct 20 Terms Of Delivery

KMTC SHANGHAI KMT0005-19 1 CIF

21 Local Carrier (If Any) : 22 F. Cur. Total Customs Value 23 Exch Rate 24 Thru Bank
USD 8,160.00 52.801 2

25 26 27 Transhipment Port 28 Financial and Banking Data Bank Code : 998


03/28/2019 XX Terms of Payment :
1 01-Basic
29 Port Of Destination 30 Location Of Goods Bank Name : PCHC
P02A-Port of Manila S01 Branch : NA Bank Ref No. : 010533457-0007672

Marks and Numbers - Containers No(s) - Number and Kind 32 Item No. 33 HS Code Rate Tariff Spec

Marks & Nos : 1 28332990200 0.00


LYONTERON LYONIPOL MADE IN KOREA NE
31 Packages No. Of Packages : 160 34 C.O. Code 35 Item Gross Wgt. 36 Pref
and Desc.
Of Goods
Number and Kind : DR-DRUM KR 30,400.00 Kg(s)
Containers No(s) :
37 Procedure Item Net Weight 39 Quota
DFSU1895558, SEGU3374636
- - - - Other
LYONTERON LYONIPOL 4000 000 27,200.00 Kg(s) NNNNN

40a AWB/BL 40b Previous Doc No.

PUSB451388

44 Add Infos OTHInEV : 1 INSinFRT : 0 Fine : 0.00 41 Suppl. Units 42 Item Customs Value (F.C.) 43 V.M.
Doc / Produ.
Certif. & Aut. 0.00 8,160.00 1
14,520.28 + 17,234.25 + 0.00 + 519.35 - 4,307.00
45 Adjustment
Prev Doc Reference : 1.00

46 Dutiable Value (PHP)


Invoice No. : 1903-09JEFF Dump Bond : 462,610.68

48 Prepaid Account No. 49 Identification of Warehouse


47 Calcula- Type Tax Base Rate Amount MP
tion of Taxes

CUD 462,610.68 0% 0.00 1 47b ACCOUNTING DETAILS


.............................................................................................................................
VAT 473,845.29 12% 56,861.44 1 Mode Of Payment : CASH
Assessment Number : Date :
EXC 0.00 1
Receipt Number : Date :
Guarantee : Date :
.............................................................................................................................
Total Fees 500.00
Total 56,861.44
Total Assessment 57,361.44
50 We hereby certify that the information contained in all pages of this Declaration and the documents submitted are Subscribed and sworn to before me
to the best of out knowledge and belief true and correct.

RONALD R. BELENO ILYON INDUSTRIAL CORPORATION Administering Officer /


Notary Public
Broker Date : Importer/Attorney-In-Fact

51 AUTHORIZATION 52 Control at Office Destination

Date Print name Position Date Print name Position

This copy is for information purposes only. This is not an official document of the Bureau of Customs and may not be used or relied upon
as basis for compliance with any legal requirement.
53 INTERNAL REVENUE (TAX PER BOX #46 & 47)
462,610.68 WHARFAGE 519.35 500.00
TAXABLE VALUE PHP OTHERS
0.00
BANK CHARGES 4,307.00 473,845.29
ARRASTRE CHARGES TOTAL LANDED COST PHP
0.00
CUSTOMS DUTY
5,628.26 DOCUMENTARY STAMP 280.00 56,861.44
BROKERAGE FEE TOTAL VAT PHP

DESCRIPTION IN TARIFF TERMS SHOULD BE

54 SECTION 55 NO. OF PACKAGES EXAMINED EXAMINATION RETURN 56 DATE RECEIVED 57 DATE RELEASED

ITEM
NO DESCRIPTION IN TARIFF TERMS SHOULD BE QTY UNIT UNIT VALUE TARIFF HEADING RATE

PLEASE REFER TO RIDER/S FOR FINDINGS ON ITHER ITEMS

REVISED CHARGES LIQUIDATION

59 CHARGES 60 DECLARATION 61 FINDINGS 62 DIFFERENCES 65 LIQUIDATION AMOUNT


PHP
DUTY

BIR Taxes
66 SHORT/EXCESS
VAT PHP
Excise Tax/Ad
Valorem 67 REMARKS

Others

Surcharges

TOTAL

63 ACTION DIRECTED / 64 68
RECOMMENDED
Date Date

69
Date Date

CONTINUATION FROM BOX # 31 FREE DISPOSAL

CUD
VAT

Total Items Taxes

SGL
IPF
CSF
Total Global Taxes

This copy is for information purposes only. This is not an official document of the Bureau of Customs and may not be used or relied upon
as basis for compliance with any legal requirement.
Republic of the Philippines
Department of Finance
BUREAU OF CUSTOMS

Terms Of Payment

Code Account

This copy is for information purposes only. This is not an official document of the Bureau of Customs and may not be used or relied upon
as basis for compliance with any legal requirement.
Bank Reference Number : 010533457-0007672 Section :
Republic of the Philippines
Department of Finance
BUREAU OF CUSTOMS
TEMPORARY ASSESSMENT NOTICE

Customs Office P02A Port of Port of Manila

Identification of the Declaration

Ref Registration Assessment Nbr of


Year Number Date Year Number Day/Mth Items
Model

4 4 2019 03/27/19 2019 27/March 1

Declarant Reference No : 5Z3A1900083

Declarant : 228123632000 RONALD R. BELENO


11 dove st. area 1 veterans
bagong silangan
quezon city PHILIPPINES

Importer : 001095517000 ILYON INDUSTRIAL CORPORATION


16A BOWLING ST. SAINT FRANCIS VILLA
GE CAINTA
RIZAL 1212
1212
PHILIPPINES

Mode of Payment : CASH Account Number

Receipt number and Statement number and date


date :

CUD 0.00
EXC 0.00
VAT 56,861.44

Total Items taxes 56,861.44


IPF
500.00

Total global taxes 500.00

Total assessed amount for the declaration

Amount currently to be paid 57,361.44

This temporary Assessment Notice provides advice to the declarant of the entry number assigned to the declaration
encoded. This document is of a temporary nature. The final Assessment Notice will be issued by BOC staff.

This copy is for information purposes only. This is not an official document of the Bureau of Customs and may not be used or relied upon
as basis for compliance with any legal requirement.