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
BAKHRESA FOOD PRODUCTS LIMITED 100-181-517 IM9 TZDL DAR CUSTOMS SERVICE CENTRE TZDL-22-1197501 07/05/2022
P.O. BOX 2517 DAR ES SALAAM 3.No Items 4.CL. Plan 5.Security Account No. Receipt Number & Date
1 PMD
6.Country Last Consignment 7.Trading Country 8.Country of Export
TZ United Republic of Tanzania TZ United Republic of Tanzania TZ United Republic of Tanzania
9.Importer/Consignee Name & Address TIN: 10.Country of Destination 11.Delivery Term Code Place 12.Nat of Trans
MR HAMID ABDALLA RIYAMY 107-868-836 ZN Zanzibar
P.O. BOX 476 ZANZIBAR 13.Exchange Rate 14.Currency Total Invoice Value 15.Invoice No. & Date
1.00 TZS 20,885,000.00 1244 07/05/2022
Freight Charges Currency Insurance Currency
16. 1.00 TZS 1.00 TZS
Valuation
17.Declarant/Agent Name & Address TIN: Note Other charges Currency Deductions Currency
LOTRA FREIGHT FORWARDER COMPANY 137-145-847
1752 BLOCK 630 LUMUMBA, ROAD MOROGORO P. O. BOX P.O 18.No Pckgs 19.Gross Weight 20.Net Weight
BOX 12101 Ilala Dar es Salaam 2150 (CN) 4,000 (Kgs) 4,000 (Kgs)
21.Entry/Exit Office 22.Loc. Of Goods 23.AWB/BL/RCN/Shipping Order
Ref.No. & Date 137145847-22-9700042 07/05/2022 TZDW WTTZDL01A T921 DWJ

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

Declared TZS 20,885,000.00 1.00 1.00 20,885,002.00

Assessed TZS 20,885,000.00 1.00 1.00 20,885,002.00

Item No. 1 24.Description 25.H.S. Code 26.Value for Customs 27.FOB Value
Waters, including mineral waters and aerated waters, containing added suga
D 2202.10.00.0000 20,885,002.00 20,885,000.00
SODA

A 2202.10.00.0000 20,885,002.00 20,885,000.00

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

SODA
D 2,150 9,713.95 20,885,000.00
1
A 2,150 9,713.95 20,885,000.00

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

SIGNATURE

SIGNATURE,DATE AND STAMP SIGNATURE,DATE AND STAMP

Printed on : 10/05/2022 13:06
 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 20,885,002.00 5,221,251.00 A 1
EX 20,885,002.00 131,150.00 A 1
CPF 20,885,000.00 0.60 125,310.00 1
RDL 20,885,002.00 313,276.00 A 1
VAT 20,885,002.00 3,781,857.00 A 1

Total taxes for item 1 125,310.00