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
B & S BRAND DISTRIBUTION IM4 TZDL DAR CUSTOMS SERVICE TZDL-22-1298835 29/06/2022
3316 EE DORDRECHT NETHERLANDS 3.No Items 4.CL. Plan 5.Security Account No. Receipt Number & Date
6 PAD
6.Country Last Consignment 7.Trading Country 8.Country of Export
NL Netherlands NL Netherlands NL Netherlands
9.Importer/Consignee Name & Address TIN: 10.Country of Destination 11.Delivery Term Code Place 12.Nat of Trans
FLOISA AND SON'S COMPANY LIMITED 154-975-993 TZ United Republic of CIF Dar es Salaam 1 1
P.O. BOX 90018 Dar es Salaam 13.Exchange Rate 14.Currency Total Invoice Value 15.Invoice No. & Date
2,315.31 USD 39,889.54 22NL00002104 22/04/2022
Freight Charges Currency Insurance Currency
16. 1,800.00 USD 50.00 USD
Valuation
17.Declarant/Agent Name & Address TIN: Note Other charges Currency Deductions Currency
DEVIS AGENCY TANZANIA LIMITED 134-805-447
1127 BLOCK 8 BIBI TITI/ MUHAMED P. O. BOX 40121 Ilala Dar 18.No Pckgs 19.Gross Weight 20.Net Weight
es Salaam
1740 (CS) 17,135 (Kgs) 17,135 (Kgs)
21.Entry/Exit Office 22.Loc. Of Goods 23.AWB/BL/RCN/Shipping Order
Ref.No. & Date 134805447-22-9700013 29/06/2022 TZDW MEDUTT639381

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

Declared TZS 7,293,226.50 2,778,372.00 115,765.50 10,187,364.00

Assessed TZS 92,356,644.37 4,167,558.00 115,765.50 96,639,967.87

Item No. 1 24.Description 25.H.S. Code 26.Value for Customs 27.FOB Value
Liqueurs and cordials
D 2208.70.00.0000 1,617,041.90 7,293,226.50
JAGERMEISTER - LIQUEUR - 35%

A 2208.70.00.0000 28,055,908.74 92,356,644.37

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

JAGERMEISTER - LIQUEUR - 35%
D 4,800 0.10 500.00
1
A 4,800 2.41 11,580.48

Declaration by Importer/Importer's Agent TANZANIA REVENUE AUTHORITY

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

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

SIGNATURE,DATE AND STAMP SIGNATURE,DATE AND STAMP

Printed on : 26/07/2022 17:20
 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 28,055,908.74 25.00 7,013,978.00 1
EX 4,800.00 4,386.06 21,053,088.00 1
CPF 26,812,401.15 0.60 160,875.00 1
RDL 28,055,908.74 1.50 420,839.00 1
VAT 56,704,688.74 18.00 10,206,844.00 1

Total taxes for item 1 38,855,624.00

Item No. 2 24.Description 25.H.S. Code 26.Value for Customs 27.FOB Value
Liqueurs and cordials
D 2208.70.00.0000 1,940,450.29 7,293,226.50
JAGERMEISTER - LIQUEUR - 35%

A 2208.70.00.0000 6,137,230.04 92,356,644.37

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

JAGERMEISTER - LIQUEUR - 35%
D 1,050 0.57 600.00
1
A 1,050 2.41 2,533.23

29. Taxes
Tax Type Duty / Tax Base Rate Amount Relief Amount Relief Code MOP
IMP 6,137,230.04 25.00 1,534,308.00 1
EX 4,800.00 4,386.06 21,053,088.00 1
CPF 5,865,212.75 0.60 35,192.00 1
RDL 6,137,230.04 1.50 92,059.00 1
VAT 28,851,877.04 18.00 5,193,338.00 1

Total taxes for item 2 27,907,985.00

Item No. 3 24.Description 25.H.S. Code 26.Value for Customs 27.FOB Value
Whiskies
D 2208.30.00.0000 679,157.60 7,293,226.50
WHISKEY JACK DANIEL BLACK - WHISKEY - 40%

A 2208.30.00.0000 15,432,799.40 92,356,644.37

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

WHISKEY JACK DANIEL BLACK -
WHISKEY - 40% D 900 0.23 210.00
1
A 900 7.08 6,370.11

29. Taxes
Tax Type Duty / Tax Base Rate Amount Relief Amount Relief Code MOP
IMP 15,432,799.40 25.00 3,858,200.00 1
EX 900.00 4,386.06 3,947,454.00 1
CPF 14,748,779.38 0.60 88,493.00 1
RDL 15,432,799.40 1.50 231,492.00 1
VAT 23,558,438.40 18.00 4,240,519.00 1
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ASSESSMENT DOCUMENT
29. Taxes
Tax Type Duty / Tax Base Rate Amount Relief Amount Relief Code MOP

Total taxes for item 3 12,366,158.00

Item No. 4 24.Description 25.H.S. Code 26.Value for Customs 27.FOB Value
Whiskies
D 2208.30.00.0000 1,584,701.07 7,293,226.50
WHISKEY JACK DANIEL S OLD NO 7 - TEQUILA - 40%

A 2208.30.00.0000 2,880,789.22 92,356,644.37

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

WHISKEY JACK DANIEL S OLD NO 7 -
TEQUILA - 40% D 168 2.92 490.00
1
A 168 7.08 1,189.09

29. Taxes
Tax Type Duty / Tax Base Rate Amount Relief Amount Relief Code MOP
IMP 2,880,789.22 25.00 720,198.00 1
EX 168.00 4,386.06 736,859.00 1
CPF 2,753,105.48 0.60 16,519.00 1
RDL 2,880,789.22 1.50 43,212.00 1
VAT 4,397,577.22 18.00 791,564.00 1

Total taxes for item 4 2,308,352.00

Item No. 5 24.Description 25.H.S. Code 26.Value for Customs 27.FOB Value
Vodka
D 2208.60.00.0000 1,131,929.33 7,293,226.50
VODKA ABSOLUTE BLUE - VODKA - 12%

A 2208.60.00.0000 33,796,520.25 92,356,644.37

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

VODKA ABSOLUTE BLUE - VODKA - 12%
D 1,800 0.19 350.00
1
A 1,800 7.75 13,950.00

29. Taxes
Tax Type Duty / Tax Base Rate Amount Relief Amount Relief Code MOP
IMP 33,796,520.25 25.00 8,449,131.00 1
EX 1,800.00 4,386.06 7,894,908.00 1
CPF 32,298,574.50 0.60 193,792.00 1
RDL 33,796,520.25 1.50 506,948.00 1
VAT 50,841,299.25 18.00 9,151,434.00 1

Total taxes for item 5 26,196,213.00

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ASSESSMENT DOCUMENT
Item No. 6 24.Description 25.H.S. Code 26.Value for Customs 27.FOB Value
Whiskies
D 2208.30.00.0000 3,234,083.81 7,293,226.50
WHISKY GRANTS TRIPLE WOOD

A 2208.30.00.0000 10,336,720.23 92,356,644.37

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

WHISKY GRANTS TRIPLE WOOD
D 900 1.11 1,000.00
1
A 900 4.74 4,266.63

29. Taxes
Tax Type Duty / Tax Base Rate Amount Relief Amount Relief Code MOP
IMP 10,336,720.23 25.00 2,584,181.00 1
EX 900.00 4,386.06 3,947,454.00 1
CPF 9,878,571.11 0.60 59,272.00 1
RDL 10,336,720.23 1.50 155,051.00 1
VAT 17,082,678.23 18.00 3,074,883.00 1

Total taxes for item 6 9,820,841.00