DECLARAO DE VALOR ( VALUE DECLARATION)

Valor para fins aduaneiros sem valor comercial (Value for customs purpose only no commercial value)

1. Expedidor ( Sent by )

2. Destinatrio ( Sent to )

Nome ( Name ): Cont Nbr.: PT

Nome ( Name ):

Morada ( Adress ):

Morada ( Adress ):

Cdigo Postal (Postal Code):

Cdigo Postal (Postal Code):

Cidade ( City ):

Cidade ( City ):

Pas ( Country ):

Pas ( Country ):

Tel. N:

Tel. N:

3.
Completa descrio do contedo
(Full description of goods)
Em Ingls por favor (In English please)

Classificao Pautal
(Customs commodity
code)

Pas de
Origem
(Country of
origin)

Qtd.
(Qty)

Valor
unitrio
(Unit
value)

Se for conhecido (If known)

Valor total e Moeda

(Total value and Currency)

N de Volumes (Number of packages):

Peso Bruto (Total gross weight):
Peso Lquido (Total net weight):

4. Razo para exportar (Reason for export):

Assinatura (Signature):

Local e data (Place and date):

Subtotal