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Seller's name and address

Importer's name and address

EORI number

Incoterms

Invoice number and date

Are the buyer and the seller related within the meaning of Article 127(*) of Implementing Regulation (EU) No 2015/2447?

Yes No

Are there any RESTRICTIONS on the disposal or use of the goods, other than those which - are imposed or required by law or by public authorities in the Union, or - limit the geographical area within which the goods may be resold, or which do not - significantly affect the value of the goods?

Yes No

Is the sale or price subject to any CONDITIONS or COMPENSATION for which a value cannot be determined with respect to the goods subject to customs valuation?

Yes No

Does the purchase condition include any ROYALTY or LICENSE FEES for the imported goods, to be paid either directly or indirectly by the buyer?

Yes No

Is the sale or price subject to an arrangement whereby a portion of the profit from any subsequent RESALE, DISPOSAL OR USE of the goods accrues directly or indirectly to the seller?

Yes No

I confirm that the information I have provided is correct.

Create Customs Value Declaration

CUSTOMS VALUE DECLARATION

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