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Customs

Company logo/FIRMALOGO - STEMPEL

Invoice Terms of delivery/ INCOTERMS - Place/STED

Sent by/ SENDER Sent to/ MOTTAKER


Name/NAVN Name/NAVN

Address/ADRESSE Address/ADRESSE

Postal Code & City/POSTNR & STED Postal Code & City/POSTNR & STED

Country/LAND Country/LAND

Phone/TLF.NR Phone/TLF.NR

Org.nr/VAT.nr Org.nr/VAT.NR

Total gross weight/ TOTAL BRUTTOVEKT Total net weight/ TOTAL NETTOVEKT

Quantity/ Hs-number/toll Net weight/ Full description of goods/ Country of origin Value & Currency/
ANTALL TOLLTARIFFNR NETTO VEKT NØYAKTIG VAREBESKRIVELSE OPPRINNELSESLAND VERDI & VALUTA PR STK

Total value and currency/ TOTAL VERDI & MYNTENHET

Freight charges/FRAKT KOSTNADER

Reason for export/ÅRSAK FOR EKSPORT (må oppgis når handelsfaktura ikke utstedes)

Gift /GAVE Return after repair/RETUR ETTER REPARASJON

For repair/TIL REPARASJON Return for credit/RETUR FOR KREDITT

For repair under guarantee/GARANTIREPARASJON Other/ANNET:

The exporter of the products covered by this document (Aut nr declares that, except where otherwise
clearly indicated, these products are of EEA preferential origin.

Signature/SIGNATUR

Date/DATO Name in capital letters/STORE BOKSTAVER

Place/STED Signature/SIGNATUR

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