BOC SINGLE ADMINISTRATIVE DOCUMENT

1 DECLARATION Office Code P02B

2 Exporter / Supplier Address Manila Intl Container Port
4 4
1 GUANGZHOU JZ FOREVER TRADE
CO LTD CHINA 3 Page 4
Customs Reference
C 350787 12-28-2017
1 2 Registry Number MSK0198-17
C 5 Items
4
6 Tot Pack
121
7 Reference Number
NEWI7122802
8 Importer / Consignee, Address TIN: 008352397000 9 CRF NUMBER :
U NEWCORE INDUSTRIES INTERNATIONAL
INC 1759 N GARCIA ST BRGY POBLACION T/S or W/S Entry No. :

MAKATI CITY 1920

S PHILIPPINES 10 11 12 Tot. F/I/O (Php)
25,688.00
13 T. Ref.

14 Broker / Attorney-In-Fact, Address TIN: 255186748000 15 Country of Export 15 C.E. Code 17

T WINCHELLE GLEN ENCARNACION ROSALES
UNIT 2032 D 2028 LM BLDG., TAFT AVE
CHINA CN PH

., 16 Country of Origin 17 Country of Destination

PASAY CITY 1300
O PHILIPPINES CHINA PHILIPPINES
18 Vessel / Aircraft 19 Ct 20 Terms of Delivery
HANSA FALKENSBURG V.1711 FOB
M 21 Local Carrier (if any) 22 F. Cur. Total Customs Value 23 Exch Rate 24 Thru Bank
USD 10,562.00 50.245 2 X
S 25
12/28/2017
26 27 Transhipment Port
28 Financial and Banking Data - Bank Code 998
Terms of Payment 01 - Basic
29 Port of Destination 30 Location of Goods
1 P02B
Manila Int'l Container Port S03
Bank Name

Branch
PCHC
NA Bank Ref Number: 010049996-1677866

31 Packages Marks and Numbers - Container No(s) 32 Item No. 33 HS Code Tar Spec
and 1 94017100 000 0%
Marks & No AS ADDRESSED
Description of Packages 34 C.O. Code 35 Item Gross Weight (kg) 36 Pref
of Goods
Number and Kind 38 PK CN 380.00 ACFTA
PACKAGE 37 Procedure 38 Item Net Weight (kg) 39 Qouta
Container No(s) TEMU2888637 4000 000 372.40 NNNNN
40a AWB / BL 40b Previous Doc No.
- - Upholstered ASHMNHF7113010
OTTOMAN
41 Suppl. Units 42 Item Customs Value (F. Cur) 43 V.M.
38 1,436.00 1
44 Add Infos OTHinEV : 1 INSinFRT : 0 Fine :
Doc / Product A.I. Code 45 Adjustment
Certif. & 2,049.00 + 1,443.00 + 0.00 + 71.00 - 547.00
Aut 1.00
A.D.

46 Dutiable Value (PHP)

75,644.00
Invoice No. : N.A. Dump Bond :

47 Calculation Type Tax Base Rate Amount MP 48 Prepaid Account No. 49 Identification of Warehouse
of Taxes
/
CUD 75,644.00 0% 0.00 0
47b ACCOUNTING DETAILS
VAT 77,952.00 12 % 9,354.00 0
Method of Payment : CASH
Assessment Number : L 515111 Date : 12-28-2017
Reciept Number : R 510630 Date : 12-28-2017
Guarantee 0.00 Date :

Total Fees 1,266.00

Total Item: 9,354.00 Total Assessment 69,386.00

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
WINCHELLE GLEN ENCARNACION ROSALES
NEWCORE INDUSTRIES INTERNATIONAL 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
BOC SINGLE ADMINISTRATIVE DOCUMENT
1 DECLARATION Office Code P02B
8 Importer / Consignee, Address TIN: 008352397000
Manila Intl Container Port
NEWCORE INDUSTRIES INTERNATIONAL 4 4 CUstoms Reference
INC 1759 N GARCIA ST BRGY POBLACION
3 Page 4 C 350787 12-28-2017
MAKATI CITY 1920 Registry Number MSK0198-17
PHILIPPINES 2 2
31 Packages Marks and Numbers - Container No(s) - Number and Kind 32 Item No. 33 Hs Code Tar Spec
and Marks & No AS ADDRESSED 2 94016100 000 0%
Description of Packages
of Goods Number and Kind 6 PK 34 C.O. Code 35 Item Gross Weight 36 Pref
PACKAGE CN 30.00 KG ACFTA
Container No(s) TEMU2888637 37 Procedure 38 Item Net Weight 39 Quota

Goods Desc. 4000 000 29.40 KG NNNNN

- - Upholstered
40a AWB / BL 40b Previous Doc No.
SOFA
ASHMNHF7113010
44 Add Infos OTHinEV : 1 INSinFRT : 0 Fine : 41 Suppl. Units 42 Item Customs Value (F. Cur) 43 V.M
Doc / Product 6 276.00 1
Certif &
394.00 + 277.00 + 0.00 + 14.00 - 105.00 48 Dutiable Value (PHP) 49 Adjustment
Aut
Invoice No. : N.A. 14,539.00 1.00
31 Packages Marks and Numbers - Container No(s) - Number and Kind 32 Item No. 33 Hs Code Tar Spec
and Marks & No AS ADDRESSED 3 94016100 000 0%
Description of Packages
of Goods Number and Kind 26 PK 34 C.O. Code 35 Item Gross Weight 36 Pref
PACKAGE CN 479.00 KG ACFTA
Container No(s) TEMU2888637 37 Procedure 38 Item Net Weight 39 Quota

Goods Desc. 4000 000 469.42 KG NNNNN

- - Upholstered
40a AWB / BL 40b Previous Doc No.
OFFICE CHAIR
ASHMNHF7113010
44 Add Infos OTHinEV : 1 INSinFRT : 0 Fine : 41 Suppl. Units 42 Item Customs Value (F. Cur) 43 V.M
Doc / Product 26 5,641.00 1
Certif &
8,051.00 + 5,669.00 + 0.00 + 277.00 - 2,150.00 48 Dutiable Value (PHP) 49 Adjustment
Aut
Invoice No. : N.A. 297,152.00 1.00
31 Packages Marks and Numbers - Container No(s) - Number and Kind 32 Item No. 33 Hs Code Tar Spec
and Marks & No AS ADDRESSED 4 94033000 000 0%
Description of Packages
of Goods Number and Kind 51 PK 34 C.O. Code 35 Item Gross Weight 36 Pref
PACKAGE CN 702.00 KG ACFTA
Container No(s) TEMU2888637 37 Procedure 38 Item Net Weight 39 Quota

Goods Desc. 4000 000 687.96 KG NNNNN

- Wooden furniture of a kind used in offices
40a AWB / BL 40b Previous Doc No.
FURNITURE (WORKSTATION)
ASHMNHF7113010
44 Add Infos OTHinEV : 1 INSinFRT : 0 Fine : 41 Suppl. Units 42 Item Customs Value (F. Cur) 43 V.M
Doc / Product 51 3,209.00 1
Certif &
4,580.00 + 3,225.00 + 0.00 + 158.00 - 1,223.00 48 Dutiable Value (PHP) 49 Adjustment
Aut
Invoice No. : N.A. 169,041.00 1.00
47 Calculation Type Tax Base Rate Amount MP Type Tax Base Rate Amount MP
of Taxes
CUD 14,539.00 0% 0.00 0 CUD 297,152.00 0% 0.00 0
VAT 16,348.00 12 % 1,961.00 0 VAT 301,269.00 12 % 36,152.00 0

Total first item of this rider 1,961.00 Total second item of this rider 36,152.00
Type Tax Base Rate Amount MP Type Amount MP

CUD 169,041.00 0% 0.00 0

VAT 172,112.00 12 % 20,653.00 0

Total third item of this rider 20,653.00 G.T.

53 INTERNAL REVENUE (TAX PER BOX #45 & #47)

TAXABLE VALUE PH 556,376.00 WHARFAGE 520.00 OTHERS 750.00

BANK CHARGES 0.00 TOTAL 567,681.47

ARRASTRE CHARGE 4,025.00
CUSTOMS DUTY 0.00 LANDED COST PH x 12%

BROKERAGE FEE 5,745.47 DOCUMENTARY STAMP 265.00 TOTAL VAT PH 68,120.00

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 68,120.00

Total Item Tax 68,120.00

IPF 750.00

CSF 251.00
CDS 250.00
IRS 15.00
Total Global Tax 1,266.00
69,386.00