Недействующий

Об утверждении форм таможенного приходного ордера, добавочного листа к таможенному приходному ордеру, а также Инструкции о порядке заполнения таможенного приходного ордера и уплаты таможенных платежей с применением ТПО (с изменениями на 14 мая 1997 года) (утратил силу с 15.04.2013 на основании приказа ФТС России от 25.02.2013 N 350)

Приложение 1
к приказу ГТК России
от 19.12.1994 года N 670


Таможенный приходный ордер  N АА-999999
                                                                             Форма ТПО
                                                             +---------------------------------------+
                                                             ¦ 1. Тип ордера ¦  2. Добавочных листов ¦
+------------------------------------------------------------¦               ¦                       ¦
¦ 3. Справочный номер     /   /   /                          ¦               ¦                       ¦
+------------------------------------------------------------+---------------------------------------¦
¦ 4. Плательщик                                              ¦ 5. Валюта платежа                     ¦
¦                                                            ¦     +---------------------------------¦
¦                                                            ¦     ¦ 5.1. Наименование               ¦
¦                                                            ¦     +---------------------------------¦
¦                                                            ¦     ¦ 5.2. Код                        ¦
¦                                     +----------------------¦     +---------------------------------¦
¦                                     ¦ Код ОКПО             ¦     ¦ 5.3. Курс к доллару США         ¦
+------------------------------------------------------------+---------------------------------------¦
¦ 6. Дополнительная информация                               ¦ 6.1. Код товара по  ТН ВЭД            ¦
¦       /                                                    ¦                                       ¦
¦    представляемые                                          +---------------------------------------¦
¦    документы                                               ¦ 6.2. Вес товара (кг)                  ¦
¦                                                            +---------------------------------------¦
¦                                                            ¦ 6.3. Количество                       ¦
¦                                                            +---------------------------------------¦
¦                                                            ¦ 6.4. Страна происхождения             ¦
¦                                                            ¦                                       ¦
+------------------------------------------------------------+---------------------------------------¦
¦ 7. Наименование взимаемых таможенных платежей              ¦ 7.1.    ¦   в долларах США            ¦
¦                                                            ¦ Стои-   ¦                             ¦
¦                                                            ¦ мость   +-----------------------------¦
¦                                                            ¦ това-   ¦   в валюте платежа          ¦
¦                                                            ¦ ров     ¦                             ¦
+----------------------------------------------------------------------------------------------------¦
¦ 8. Ис- ¦   Код  ¦  Основа   ¦ Ставка¦ Сумма платежа¦ ВП ¦ СП ¦  Подробности                        ¦
¦ числе- ¦ платежа¦ начисления¦       ¦              ¦    ¦    ¦    подсчета                         ¦
¦ ние    +--------+-----------+-------+--------------+----+----+-------------------------------------¦
¦ тамо-  ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦ жен-   ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦ ных    ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦ плате- ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦ жей    ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦        ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦        ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦        ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦        ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦        ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦        ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦        ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦        ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦        ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦        +-------------------------------------------------------------------------------------------¦
¦        ¦ 8.1.  ¦циф- ¦ А (в рублях)                                                                ¦
¦        ¦ Всего ¦рами ¦                                                                             ¦
¦        ¦ подле-+-----+-----------------------------------------------------------------------------¦
¦        ¦ жит   ¦     ¦ В (в иностранной валюте платежа)                                            ¦
¦        ¦ оплате¦     ¦                                                                             ¦
¦        ¦       +-----+-----------------------------------------------------------------------------¦
¦        ¦       ¦     ¦ А                                                                           ¦
¦        ¦       ¦     ¦                                                                             ¦
¦        ¦       ¦про- +-----------------------------------------------------------------------------¦
¦        ¦       ¦писью¦ В                                                                           ¦
¦        ¦       ¦     ¦                                                                             ¦
+----------------------------------------------------------------------------------------------------¦
¦9. Подпись сотрудника таможни   ¦ 10. Подпись лица, принявшего платеж  ¦   11. Подпись плательщика  ¦
¦                                ¦                                      ¦                            ¦
¦                          М.П.  ¦                              М.П.    ¦                            ¦
+----------------------------------------------------------------------------------------------------+
¦ 1 ¦    Экземпляр для таможни     ¦ 1  ¦
+---------------------------------------+



Таможенный приходный ордер  N АА-999999
                                                                            Форма ТПО
                                                             +---------------------------------------+
                                                             ¦ 1. Тип ордера ¦  2. Добавочных листов ¦
+------------------------------------------------------------¦               ¦                       ¦
¦ 3. Справочный номер     /   /   /                          ¦               ¦                       ¦
+------------------------------------------------------------+---------------------------------------¦
¦ 4. Плательщик                                              ¦ 5. Валюта платежа                     ¦
¦                                                            ¦     +---------------------------------¦
¦                                                            ¦     ¦ 5.1. Наименование               ¦
¦                                                            ¦     +---------------------------------¦
¦                                                            ¦     ¦ 5.2. Код                        ¦
¦                                     +----------------------¦     +---------------------------------¦
¦                                     ¦ Код ОКПО             ¦     ¦ 5.3. Курс к доллару США         ¦
+------------------------------------------------------------+---------------------------------------¦
¦ 6. Дополнительная информация                               ¦ 6.1. Код товара по  ТН ВЭД            ¦
¦       /                                                    ¦                                       ¦
¦    представляемые                                          +---------------------------------------¦
¦    документы                                               ¦ 6.2. Вес товара (кг)                  ¦
¦                                                            +---------------------------------------¦
¦                                                            ¦ 6.3. Количество                       ¦
¦                                                            +---------------------------------------¦
¦                                                            ¦ 6.4. Страна происхождения             ¦
¦                                                            ¦                                       ¦
+------------------------------------------------------------+---------------------------------------¦
¦ 7. Наименование взимаемых таможенных платежей              ¦ 7.1.    ¦   в долларах США            ¦
¦                                                            ¦ Стои-   ¦                             ¦
¦                                                            ¦ мость   +-----------------------------¦
¦                                                            ¦ това-   ¦   в валюте платежа          ¦
¦                                                            ¦ ров     ¦                             ¦
+----------------------------------------------------------------------------------------------------¦
¦ 8. Ис- ¦   Код  ¦  Основа   ¦ Ставка¦ Сумма платежа¦ ВП ¦ СП ¦  Подробности                        ¦
¦ числе- ¦ платежа¦ начисления¦       ¦              ¦    ¦    ¦    подсчета                         ¦
¦ ние    +--------+-----------+-------+--------------+----+----+-------------------------------------¦
¦ тамо-  ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦ жен-   ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦ ных    ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦ плате- ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦ жей    ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦        ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦        ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦        ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦        ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦        ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦        ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦        ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦        ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦        ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦        +-------------------------------------------------------------------------------------------¦
¦        ¦ 8.1.  ¦циф- ¦ А (в рублях)                                                                ¦
¦        ¦ Всего ¦рами ¦                                                                             ¦
¦        ¦ подле-+-----+-----------------------------------------------------------------------------¦
¦        ¦ жит   ¦     ¦ В (в иностранной валюте платежа)                                            ¦
¦        ¦ оплате¦     ¦                                                                             ¦
¦        ¦       +-----+-----------------------------------------------------------------------------¦
¦        ¦       ¦     ¦ А                                                                           ¦
¦        ¦       ¦     ¦                                                                             ¦
¦        ¦       ¦про- +-----------------------------------------------------------------------------¦
¦        ¦       ¦писью¦ В                                                                           ¦
¦        ¦       ¦     ¦                                                                             ¦
+----------------------------------------------------------------------------------------------------¦
¦9. Подпись сотрудника таможни   ¦ 10. Подпись лица, принявшего платеж  ¦   11. Подпись плательщика  ¦
¦                                ¦                                      ¦                            ¦
¦                          М.П.  ¦                              М.П.    ¦                            ¦
+----------------------------------------------------------------------------------------------------+
¦ 2 ¦    Экземпляр для таможни     ¦ 2  ¦
+---------------------------------------+




Таможенный приходный ордер  N АА-999999
                                                                            Форма ТПО
                                                             +---------------------------------------+
                                                             ¦ 1. Тип ордера ¦  2. Добавочных листов ¦
+------------------------------------------------------------¦               ¦                       ¦
¦ 3. Справочный номер     /   /   /                          ¦               ¦                       ¦
+------------------------------------------------------------+---------------------------------------¦
¦ 4. Плательщик                                              ¦ 5. Валюта платежа                     ¦
¦                                                            ¦     +---------------------------------¦
¦                                                            ¦     ¦ 5.1. Наименование               ¦
¦                                                            ¦     +---------------------------------¦
¦                                                            ¦     ¦ 5.2. Код                        ¦
¦                                     +----------------------¦     +---------------------------------¦
¦                                     ¦ Код ОКПО             ¦     ¦ 5.3. Курс к доллару США         ¦
+------------------------------------------------------------+---------------------------------------¦
¦ 6. Дополнительная информация                               ¦ 6.1. Код товара по  ТН ВЭД            ¦
¦       /                                                    ¦                                       ¦
¦    представляемые                                          +---------------------------------------¦
¦    документы                                               ¦ 6.2. Вес товара (кг)                  ¦
¦                                                            +---------------------------------------¦
¦                                                            ¦ 6.3. Количество                       ¦
¦                                                            +---------------------------------------¦
¦                                                            ¦ 6.4. Страна происхождения             ¦
¦                                                            ¦                                       ¦
+------------------------------------------------------------+---------------------------------------¦
¦ 7. Наименование взимаемых таможенных платежей              ¦ 7.1.    ¦   в долларах США            ¦
¦                                                            ¦ Стои-   ¦                             ¦
¦                                                            ¦ мость   +-----------------------------¦
¦                                                            ¦ това-   ¦   в валюте платежа          ¦
¦                                                            ¦ ров     ¦                             ¦
+----------------------------------------------------------------------------------------------------¦
¦ 8. Ис- ¦   Код  ¦  Основа   ¦ Ставка¦ Сумма платежа¦ ВП ¦ СП ¦  Подробности                        ¦
¦ числе- ¦ платежа¦ начисления¦       ¦              ¦    ¦    ¦    подсчета                         ¦
¦ ние    +--------+-----------+-------+--------------+----+----+-------------------------------------¦
¦ тамо-  ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦ жен-   ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦ ных    ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦ плате- ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦ жей    ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦        ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦        ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦        ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦        ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦        ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦        ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦        ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦        ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦        ¦        ¦           ¦       ¦              ¦    ¦    ¦                                     ¦
¦        +-------------------------------------------------------------------------------------------¦
¦        ¦ 8.1.  ¦циф- ¦ А (в рублях)                                                                ¦
¦        ¦ Всего ¦рами ¦                                                                             ¦
¦        ¦ подле-+-----+-----------------------------------------------------------------------------¦
¦        ¦ жит   ¦     ¦ В (в иностранной валюте платежа)                                            ¦
¦        ¦ оплате¦     ¦                                                                             ¦
¦        ¦       +-----+-----------------------------------------------------------------------------¦
¦        ¦       ¦     ¦ А                                                                           ¦
¦        ¦       ¦     ¦                                                                             ¦
¦        ¦       ¦про- +-----------------------------------------------------------------------------¦
¦        ¦       ¦писью¦ В                                                                           ¦
¦        ¦       ¦     ¦                                                                             ¦
+----------------------------------------------------------------------------------------------------¦
¦9. Подпись сотрудника таможни   ¦ 10. Подпись лица, принявшего платеж  ¦   11. Подпись плательщика  ¦
¦                                ¦                                      ¦                            ¦
¦                          М.П.  ¦                              М.П.    ¦                            ¦
+----------------------------------------------------------------------------------------------------+
¦ 3 ¦ Экземпляр для плательщика    ¦ 3  ¦
+---------------------------------------+




Добавочный лист таможенного приходного ордера                                Форма ДТПО
                                                             +-----------------------------------------------+
                                                             ¦ 1. Способ перемещения ¦  2. Добавочный лист   ¦
+------------------------------------------------------------¦                       ¦     N                 ¦
¦ 3. Справочный номер ТПО    /   /   /                       ¦                       ¦                       ¦
+------------------------------------------------------------------------------------------------------------¦
¦ 4.    ¦                      ¦  Стоимость ¦ Пош- ¦        ¦Акциз  ¦       ¦ НДС  ¦      ¦ Др.    ¦         ¦
¦ Наи-  ¦                      ¦            ¦ лина ¦        ¦       ¦       ¦      ¦      ¦ налоги ¦         ¦
¦ мено- +----------------------¦            +---------------+---------------+-------------+------------------¦
¦ вание ¦ Код товара  ¦ Кол-во ¦            ¦               ¦               ¦             ¦                  ¦
¦       ¦             ¦        ¦            ¦               ¦               ¦             ¦                  ¦
¦ това- +----------------------+------------+---------------+---------------+-------------+------------------¦
¦ ров   ¦                      ¦  Стоимость ¦ Пош- ¦        ¦Акциз  ¦       ¦ НДС  ¦      ¦ Др.    ¦         ¦
¦       ¦                      ¦            ¦ лина ¦        ¦       ¦       ¦      ¦      ¦ налоги ¦         ¦
¦ /     +----------------------¦            +---------------+---------------+-------------+------------------¦
¦ взима-¦ Код товара  ¦ Кол-во ¦            ¦               ¦               ¦             ¦                  ¦
¦ емых  ¦             ¦        ¦            ¦               ¦               ¦             ¦                  ¦
¦ тамо- +----------------------+------------+---------------+---------------+-------------+------------------¦
¦ женных¦                      ¦  Стоимость ¦ Пош- ¦        ¦Акциз  ¦       ¦ НДС  ¦      ¦ Др.    ¦         ¦
¦ плате-¦                      ¦            ¦ лина ¦        ¦       ¦       ¦      ¦      ¦ налоги ¦         ¦
¦ жей   +----------------------¦            +---------------+---------------+-------------+------------------¦
¦       ¦ Код товара  ¦ Кол-во ¦            ¦               ¦               ¦             ¦                  ¦
¦       ¦             ¦        ¦            ¦               ¦               ¦             ¦                  ¦
¦       +----------------------+------------+---------------+---------------+-------------+------------------¦
¦       ¦                      ¦  Стоимость ¦ Пош- ¦        ¦Акциз  ¦       ¦ НДС  ¦      ¦ Др.    ¦         ¦
¦       ¦                      ¦            ¦ лина ¦        ¦       ¦       ¦      ¦      ¦ налоги ¦         ¦
¦       +----------------------¦            +---------------+---------------+-------------+------------------¦
¦       ¦ Код товара  ¦ Кол-во ¦            ¦               ¦               ¦             ¦                  ¦
¦       ¦             ¦        ¦            ¦               ¦               ¦             ¦                  ¦
¦       +----------------------+------------+---------------+---------------+-------------+------------------¦
¦       ¦                      ¦  Стоимость ¦ Пош- ¦        ¦Акциз  ¦       ¦ НДС  ¦      ¦ Др.    ¦         ¦
¦       ¦                      ¦            ¦ лина ¦        ¦       ¦       ¦      ¦      ¦ налоги ¦         ¦
¦       +----------------------¦            +---------------+---------------+-------------+------------------¦
¦       ¦ Код товара  ¦ Кол-во ¦            ¦               ¦               ¦             ¦                  ¦
¦       ¦             ¦        ¦            ¦               ¦               ¦             ¦                  ¦
¦       +----------------------+------------+---------------+---------------+-------------+------------------¦
¦       ¦                      ¦  Стоимость ¦ Пош- ¦        ¦Акциз  ¦       ¦ НДС  ¦      ¦ Др.    ¦         ¦
¦       ¦                      ¦            ¦ лина ¦        ¦       ¦       ¦      ¦      ¦ налоги ¦         ¦
¦       +----------------------¦            +---------------+---------------+-------------+------------------¦
¦       ¦ Код товара  ¦ Кол-во ¦            ¦               ¦               ¦             ¦                  ¦
¦       ¦             ¦        ¦            ¦               ¦               ¦             ¦                  ¦
¦       +----------------------+------------+---------------+---------------+-------------+------------------¦
¦       ¦                      ¦  Стоимость ¦ Пош- ¦        ¦Акциз  ¦       ¦ НДС  ¦      ¦ Др.    ¦         ¦
¦       ¦                      ¦            ¦ лина ¦        ¦       ¦       ¦      ¦      ¦ налоги ¦         ¦
¦       +----------------------¦            +---------------+---------------+-------------+------------------¦
¦       ¦ Код товара  ¦ Кол-во ¦            ¦               ¦               ¦             ¦                  ¦
¦       ¦             ¦        ¦            ¦               ¦               ¦             ¦                  ¦
¦       +----------------------+------------+---------------+---------------+-------------+------------------¦
¦       ¦                      ¦  Стоимость ¦ Пош- ¦        ¦Акциз  ¦       ¦ НДС  ¦      ¦ Др.    ¦         ¦
¦       ¦                      ¦            ¦ лина ¦        ¦       ¦       ¦      ¦      ¦ налоги ¦         ¦
¦       +----------------------¦            +---------------+---------------+-------------+------------------¦
¦       ¦ Код товара  ¦ Кол-во ¦            ¦               ¦               ¦             ¦                  ¦
¦       ¦             ¦        ¦            ¦               ¦               ¦             ¦                  ¦
¦       +----------------------+------------+---------------+---------------+-------------+------------------¦
¦       ¦                      ¦  Стоимость ¦ Пош- ¦        ¦Акциз  ¦       ¦ НДС  ¦      ¦ Др.    ¦         ¦
¦       ¦                      ¦            ¦ лина ¦        ¦       ¦       ¦      ¦      ¦ налоги ¦         ¦
¦       +----------------------¦            +---------------+---------------+-------------+------------------¦
¦       ¦ Код товара  ¦ Кол-во ¦            ¦               ¦               ¦             ¦                  ¦
¦       ¦             ¦        ¦            ¦               ¦               ¦             ¦                  ¦
¦       +----------------------+------------+---------------+---------------+-------------+------------------¦
¦       ¦                      ¦  Стоимость ¦ Пош- ¦        ¦Акциз  ¦       ¦ НДС  ¦      ¦ Др.    ¦         ¦
¦       ¦                      ¦            ¦ лина ¦        ¦       ¦       ¦      ¦      ¦ налоги ¦         ¦
¦       +----------------------¦            +---------------+---------------+-------------+------------------¦
¦       ¦ Код товара  ¦ Кол-во ¦            ¦               ¦               ¦             ¦                  ¦
¦       ¦             ¦        ¦            ¦               ¦               ¦             ¦                  ¦
¦       +----------------------+------------+---------------+---------------+-------------+------------------¦
¦       ¦ Итого:               ¦  Стоимость ¦ Пош- ¦        ¦Акциз  ¦       ¦ НДС  ¦      ¦ Др.    ¦         ¦
¦       ¦                      ¦            ¦ лина ¦        ¦       ¦       ¦      ¦      ¦ налоги ¦         ¦
¦       ¦         +------------¦            +---------------+---------------+-------------+------------------¦
¦       ¦         ¦ Кол-во     ¦            ¦               ¦               ¦             ¦                  ¦
¦       ¦         ¦            ¦            ¦               ¦               ¦             ¦                  ¦
+------------------------------------------------------------------------------------------------------------¦
¦ 5. Допол-                                                                                                  ¦
¦ нительная                                                                                                  ¦
¦                                                                                                            ¦
¦ инфор-                                                                                                     ¦
¦ мация                                                                                                      ¦
+------------------------------------------------------------------------------------------------------------¦
¦ 6. Подпись сотрудника таможни      ¦  7. Подпись плательщика     ¦        Экземпляр                   ¦    ¦
¦                                    ¦                             ¦       для таможни                  ¦ 1  ¦
¦                              М.П.  ¦                             ¦                                    ¦    ¦
+------------------------------------------------------------------------------------------------------------+






Добавочный лист таможенного приходного ордера                                Форма ДТПО
                                                             +-----------------------------------------------+
                                                             ¦ 1. Способ перемещения ¦  2. Добавочный лист   ¦
+------------------------------------------------------------¦                       ¦     N                 ¦
¦ 3. Справочный номер ТПО    /   /   /                       ¦                       ¦                       ¦
+------------------------------------------------------------------------------------------------------------¦
¦ 4.    ¦                      ¦  Стоимость ¦ Пош- ¦        ¦Акциз  ¦       ¦ НДС  ¦      ¦ Др.    ¦         ¦
¦ Наи-  ¦                      ¦            ¦ лина ¦        ¦       ¦       ¦      ¦      ¦ налоги ¦         ¦
¦ мено- +----------------------¦            +---------------+---------------+-------------+------------------¦
¦ вание ¦ Код товара  ¦ Кол-во ¦            ¦               ¦               ¦             ¦                  ¦
¦       ¦             ¦        ¦            ¦               ¦               ¦             ¦                  ¦
¦ това- +----------------------+------------+---------------+---------------+-------------+------------------¦
¦ ров   ¦                      ¦  Стоимость ¦ Пош- ¦        ¦Акциз  ¦       ¦ НДС  ¦      ¦ Др.    ¦         ¦
¦ /     ¦                      ¦            ¦ лина ¦        ¦       ¦       ¦      ¦      ¦ налоги ¦         ¦
¦       +----------------------¦            +---------------+---------------+-------------+------------------¦
¦ взима-¦ Код товара  ¦ Кол-во ¦            ¦               ¦               ¦             ¦                  ¦
¦ емых  ¦             ¦        ¦            ¦               ¦               ¦             ¦                  ¦
¦       +----------------------+------------+---------------+---------------+-------------+------------------¦
¦ тамо- ¦                      ¦  Стоимость ¦ Пош- ¦        ¦Акциз  ¦       ¦ НДС  ¦      ¦ Др.    ¦         ¦
¦ женных¦                      ¦            ¦ лина ¦        ¦       ¦       ¦      ¦      ¦ налоги ¦         ¦
¦       +----------------------¦            +---------------+---------------+-------------+------------------¦
¦ плате-¦ Код товара  ¦ Кол-во ¦            ¦               ¦               ¦             ¦                  ¦
¦ жей   ¦             ¦        ¦            ¦               ¦               ¦             ¦                  ¦
¦       +----------------------+------------+---------------+---------------+-------------+------------------¦
¦       ¦                      ¦  Стоимость ¦ Пош- ¦        ¦Акциз  ¦       ¦ НДС  ¦      ¦ Др.    ¦         ¦
¦       ¦                      ¦            ¦ лина ¦        ¦       ¦       ¦      ¦      ¦ налоги ¦         ¦
¦       +----------------------¦            +---------------+---------------+-------------+------------------¦
¦       ¦ Код товара  ¦ Кол-во ¦            ¦               ¦               ¦             ¦                  ¦
¦       ¦             ¦        ¦            ¦               ¦               ¦             ¦                  ¦
¦       +----------------------+------------+---------------+---------------+-------------+------------------¦
¦       ¦                      ¦  Стоимость ¦ Пош- ¦        ¦Акциз  ¦       ¦ НДС  ¦      ¦ Др.    ¦         ¦
¦       ¦                      ¦            ¦ лина ¦        ¦       ¦       ¦      ¦      ¦ налоги ¦         ¦
¦       +----------------------¦            +---------------+---------------+-------------+------------------¦
¦       ¦ Код товара  ¦ Кол-во ¦            ¦               ¦               ¦             ¦                  ¦
¦       ¦             ¦        ¦            ¦               ¦               ¦             ¦                  ¦
¦       +----------------------+------------+---------------+---------------+-------------+------------------¦
¦       ¦                      ¦  Стоимость ¦ Пош- ¦        ¦Акциз  ¦       ¦ НДС  ¦      ¦ Др.    ¦         ¦
¦       ¦                      ¦            ¦ лина ¦        ¦       ¦       ¦      ¦      ¦ налоги ¦         ¦
¦       +----------------------¦            +---------------+---------------+-------------+------------------¦
¦       ¦ Код товара  ¦ Кол-во ¦            ¦               ¦               ¦             ¦                  ¦
¦       ¦             ¦        ¦            ¦               ¦               ¦             ¦                  ¦
¦       +----------------------+------------+---------------+---------------+-------------+------------------¦
¦       ¦                      ¦  Стоимость ¦ Пош- ¦        ¦Акциз  ¦       ¦ НДС  ¦      ¦ Др.    ¦         ¦
¦       ¦                      ¦            ¦ лина ¦        ¦       ¦       ¦      ¦      ¦ налоги ¦         ¦
¦       +----------------------¦            +---------------+---------------+-------------+------------------¦
¦       ¦ Код товара  ¦ Кол-во ¦            ¦               ¦               ¦             ¦                  ¦
¦       ¦             ¦        ¦            ¦               ¦               ¦             ¦                  ¦
¦       +----------------------+------------+---------------+---------------+-------------+------------------¦
¦       ¦                      ¦  Стоимость ¦ Пош- ¦        ¦Акциз  ¦       ¦ НДС  ¦      ¦ Др.    ¦         ¦
¦       ¦                      ¦            ¦ лина ¦        ¦       ¦       ¦      ¦      ¦ налоги ¦         ¦
¦       +----------------------¦            +---------------+---------------+-------------+------------------¦
¦       ¦ Код товара  ¦ Кол-во ¦            ¦               ¦               ¦             ¦                  ¦
¦       ¦             ¦        ¦            ¦               ¦               ¦             ¦                  ¦
¦       +----------------------+------------+---------------+---------------+-------------+------------------¦
¦       ¦                      ¦  Стоимость ¦ Пош- ¦        ¦Акциз  ¦       ¦ НДС  ¦      ¦ Др.    ¦         ¦
¦       ¦                      ¦            ¦ лина ¦        ¦       ¦       ¦      ¦      ¦ налоги ¦         ¦
¦       +----------------------¦            +---------------+---------------+-------------+------------------¦
¦       ¦ Код товара  ¦ Кол-во ¦            ¦               ¦               ¦             ¦                  ¦
¦       ¦             ¦        ¦            ¦               ¦               ¦             ¦                  ¦
¦       +----------------------+------------+---------------+---------------+-------------+------------------¦
¦       ¦                      ¦  Стоимость ¦ Пош- ¦        ¦Акциз  ¦       ¦ НДС  ¦      ¦ Др.    ¦         ¦
¦       ¦                      ¦            ¦ лина ¦        ¦       ¦       ¦      ¦      ¦ налоги ¦         ¦
¦       +----------------------¦            +---------------+---------------+-------------+------------------¦
¦       ¦ Код товара  ¦ Кол-во ¦            ¦               ¦               ¦             ¦                  ¦
¦       ¦             ¦        ¦            ¦               ¦               ¦             ¦                  ¦
¦       +----------------------+------------+---------------+---------------+-------------+------------------¦
¦       ¦ Итого:               ¦  Стоимость ¦ Пош- ¦        ¦Акциз  ¦       ¦ НДС  ¦      ¦ Др.    ¦         ¦
¦       ¦                      ¦            ¦ лина ¦        ¦       ¦       ¦      ¦      ¦ налоги ¦         ¦
¦       ¦         +------------¦            +---------------+---------------+-------------+------------------¦
¦       ¦         ¦ Кол-во     ¦            ¦               ¦               ¦             ¦                  ¦
¦       ¦         ¦            ¦            ¦               ¦               ¦             ¦                  ¦
+------------------------------------------------------------------------------------------------------------¦
¦ 5. Допол-                                                                                                  ¦
¦ нительная                                                                                                  ¦
¦                                                                                                            ¦
¦ инфор-                                                                                                     ¦
¦ мация                                                                                                      ¦
+------------------------------------------------------------------------------------------------------------¦
¦ 6. Подпись сотрудника таможни      ¦  7. Подпись плательщика     ¦        Экземпляр                   ¦    ¦
¦                                    ¦                             ¦       для таможни                  ¦ 2  ¦
¦                              М.П.  ¦                             ¦                                    ¦    ¦
+------------------------------------------------------------------------------------------------------------+