ANNEX
RECEIPT DECLARATION
PART I
Data elements
The recipient shall lodge electronically the receipt declaration which shall contain the following data elements:
(1)
Name, address and EORI number of the recipient
(2)
Description of product concerned declared, commodity code — TARIC code and TARIC additional code (where applicable), gross and net mass, quantity expressed in supplementary unit (where applicable), country of origin code and/or, where applicable, country of consignment code ( 1 )
(3)
Competent Member State (see Articles 3(2) and 4(4))
(4)
Number of the Regulation(s) or Notice(s) of initiation applicable to this declaration
Measure applicable:
—
Anti-dumping/countervailing statistics
—
Notice of initiation
—
Registration
—
Provisional anti-dumping duty
—
Provisional countervailing duty
—
Definitive anti-dumping duty
—
Definitive countervailing duty
(5)
Net, free-at-continental shelf or Exclusive Economic Zone frontier price.
(6)
Calculation of the amount of provisional and/or definitive anti-dumping and/or countervailing duty, where applicable
(7)
Date of receipt of the product concerned and, where applicable, MRN
(8)
Documents produced, certificates and authorisations, additional references (invoice shall be attached in case of sale of product concerned)
(9)
Date, name and signature of the recipient
The customs authorities may allow that these data elements may be provided without using electronic data-processing techniques. In this case, the recipient shall use the following paper form ‘Receipt declaration’.
PART II
Form
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EUROPEAN UNION
Receipt declaration
(Articles 3 and 4 of the Commission Implementing Regulation (EU) 2019/1131, of 2 July 2019 establishing a customs tool in order to implement Article 14a of Council Regulation (EU) 2016/1036 and Article 24a of Council Regulation (EU) 2016/1037)
Original
For the competent customs authorities
1. Recipient identification No (name, address and EORI number of the recipient)
2. Product concerned declared
Commodity code — TARIC code (and TARIC additional code where applicable)
Country of origin code and/or, where applicable (1), country of consignment code
Gross and net mass
Quantity expressed in supplementary unit (where applicable)
Description of product concerned
3. Competent Member State (see Articles 3(2) and 4(4))
4. Number of the Regulation(s) or notice(s) of initiation applicable to this declaration
Measure applicable (tick box):
Anti-dumping/countervailing statistics
Notice of initiation
Registration
Provisional anti-dumping duty
Provisional countervailing duty
Definitive anti-dumping duty
Definitive countervailing duty
5. Net, free-at-continental shelf or Exclusive Economic Zone frontier price.
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ORIGINAL
6. Calculation of the amount of anti-dumping and/or countervailing duty payable, where applicable
7. Date of receipt of the product concerned and, where applicable, MRN
8. Documents produced, certificates and authorisations, additional references (invoice shall be attached in case of sale of product concerned)
9. Date Name of the recipient Signature of the recipient
(1) In case anti-dumping or anti-subsidy measures have been extended to products consigned from a country other than the country concerned by the measures after an anti-circumvention investigation.
FOR CUSTOMS USE ONLY
Remarks of the competent customs authorities of the Member State
Date of receipt of the Receipt declaration and registration number
Invoice for application of reduced rate of duty or undertaking (tick box)
Meeting the Minimum Import Price (MIP) defined as threshold for reduction/exemption of antidumping/countervailing duty(tick box)
Other remarks
Date Name Signature Stamp/Address
Note:
The text on the copy of the receipt declaration shall be:
‘Copy
For the recipient’.
( 1 ) In case anti-dumping or anti-subsidy measures have been extended to products consigned from a country other than the country concerned by the measures after an anti-circumvention investigation.