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Customs Regulation (Single Customs Declaration Form) Order, para. 3 · Revised Edition 2020

This Order shall take effect from 1st February, 1994. MADE by the Comptroller of Customs this 24th day of January, 1994. 80 Customs Regulation (MARVIN CACHO) Ag. Comptroller of Customs Customs Regulation 81 SCHEDULE BELIZE CUSTOMS DECLARATION (IMPORT/EXPORT) CUSTOMS AND EXCISE 1. Importer/Exporter (Name/Address) 5. Regime 6. Pages 7. 8. Official Use Items Tot.Pkgs . 9. Port 10. Date Reported 11. Curr./Exch. 12. Transport Document 13. T.O.P. 2. Consignor/Consignee (Name/Address) 14. C.O.C 15. Container No. 16. Means of Transport/Rotation 17. 18. 19. Account Holder Mode Nationality 3. Declarant Code 20. Preceding Document 4. Consignee (Name/Address) 21. Additional Information 22. Description of Goods 23. CPC 24. Commodity Code 25. 26. Net Mass C00/C0D 27. Gross Mass 28. Supply 29. Agmt. Code 30. Customs Value Qty. 1 31. Licence No. 32. Type of Pkgs. 33. No. of Pkgs. 22. Description of Goods 23. CPC 24. Commodity Code 25. 26. Net Mass C00/C0D 27. Gross Mass 28. Supply 29. Agmt. Code 30. Customs Value Qty. 1 31. Licence No. 32. Type of Pkgs. 33. No. of Pkgs. 22. Description of Goods 23. CPC 24. Commodity Code 25. 26. Net Mass C00/C0D 27. Gross Mass 28. Supply 29. Agmt. Code 30. Customs Value Qty. 1 82 Customs Regulation 31. Licence No. 32. Type of Pkgs. 33. No. of 22. Description of Goods 23. CPC 24. Commodity Code 25. 26. Net Mass C00/C0D 27. Gross Mass 28. Supply 29. Agmt. Code 30. Customs Value Qty. 1 31. Licence No. 32. Type of Pkgs. 33. No. of 22. Description of Goods 23. CPC 24. Commodity Code 25. 26. Net Mass C00/C0D 27. Gross Mass 28. Supply 29. Agmt. Code 30. Customs Value Qty. 1 31. Licence No. 32. Type of Pkgs. 33. No. of 22. Description of Goods 23. CPC 24. Commodity Code 25. 26. Net Mass C00/C0D 27. Gross Mass 28. Supply 29. Agmt. Code 30. Customs Value Qty. 1 31. Licence No. 32. Type of Pkgs. 33. No. of 37. I/We, hereby declare that all the 34. Other Charges 35. Total Taxes This Declaration particulars of this Declaration are true and Type Code $ C Type Cod that all accompanying documents refer to e the goods as declared. ___________ Date _________________________ 36. Total Signature of the Importer/Exporter/Declarant DECLARATION APPROVED AT ....................... COMPTROLLER OF CUSTOMS ......................... Warning!! Any person who makes or causes to be made any false declaration in relation to this Customs document is liable to heavy penalties and/or imprisonment. Customs Regulation 83 RELEASES Certificate of Shipment The Packages listed have been receive on board the: ....................... No. of Packages Received Signature of Receiver ................................ Master Examined/Seen on Board: ................................. ______________________________________ Officer Total Received in Words Shipped, Satisfied: ................................. Date: Officer ________________ ________________ Date Importer/Agent CERTIFICATE OF RECEIPT DOCUMENTS LODGED Received .................................................... packages into ............................................................warehouse TYPE SUBMITTED RETAINED NO. Date ........................................................................... Warehouse Keeper .................................................... Invoices AWB or BOL Work Sheets CERTIFICATES Licences Ins. Certificate Draft Packing Lists OC/note Other FOR OFFICIAL USE ONLY 84 Customs Regulation CUSTOMS DECLARATION (IMPORT/EXPORT) BELIZE CONTINUATION SHEET 1. Importer/Exporter Code Page Official Use No. ITEM 1 22. Description of Goods 23. CPC 24. Commodity 25. Code C00/C0D 27. Gross 28. Supply 29. Agmt. Mass Qty. 1 Code 31. Licence No. 32. Type of Pkgs. ITEM 2 22. Description of Goods 23. CPC 24. Commodity 25. Code C00/C0D 27. Gross 28. Supply 29. Agmt. Mass Qty. 1 Code 31. Licence No. 32. Type of Pkgs. ITEM 3 22. Description of Goods 23. CPC 24. Commodity 25. Code C00/C0D 27. Gross 28. Supply 29. Agmt. Mass Qty. 1 Code 31. Licence No. 32. Type of Pkgs. ITEM 4 22. Description of Goods 23. CPC 24. Commodity 25. Code C00/C0D 27. Gross 28. Supply 29. Agmt. Mass Qty. 1 Code 31. Licence No. 32. Type of Pkgs. Customs Regulation 85 ITEM 5 22. Description of Goods 23. CPC 24. Commodity 25. 26. Net Code C00/C0D Mass 27. Gross 28. Supply 29. Agmt. 30. Mass Qty. 1 Code Customs Value 31. Licence No. 32. Type of 33. No. Pkgs. of Pkgs. ITEM 6 22. Description of Goods 23. CPC 24. Commodity 25. 26. Net Code C00/C0D Mass 27. Gross 28. Supply 29. Agmt. 30. Mass Qty. 1 Code Customs Value 31. Licence No. 32. Type of 33. No. Pkgs. of Pkgs.
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