Customs Drawback Forms




Mar. 28.] THE NEW ZEALAND GAZETTE. 543

Form 23. [Voucher No. Section 33. Reg. 30.
New Zealand Customs.
DRAWBACK DEBENTURE (DUTIES AND SALES TAX).
Port of............

I [We] hereby claim drawback of duty and sales tax paid on the goods entered for export for drawback on Entry No. , of , and exported per parcels post [in the ship “ ”] for [Destination of goods] on the day of , 19 , and recapitulated as hereunder shown.

............, Exporter[s].
Per ............, Agent [or Clerk].

Marks and Nos. Number and Description of Packages and Goods. Produced or Manufactured in Quantity. Current Domestic Value under Customs Acts plus 10 per Cent. [Value shown to be inclusive of the 10 per Cent.] Rate of Drawback of Duty. Amount of Drawback claimed.
£ s. d. £ s. d.

Sale value of above goods on which sales tax has been paid £........

Amount of sales tax paid .. .. .. .. .. £

Total amount of drawback of duty and sales tax claimed .. .. £

I, [Full name], authorized agent [clerk] of [Name of exporter(s)], do hereby declare—
(1) That the above particulars are true and correct in every respect;
(2) That the exporter[s] has [have] not received directly or indirectly drawback or refund of any portion of the duty or sales tax drawback of which is now claimed;
(3) That the goods above specified have been duly exported to the destination stated above, and have not been relanded or reimported, and are not intended to be relanded or reimported in any part of New Zealand; and
(4) That the exporter[s] is [are] entitled to the drawback claimed thereon.

............
Exporter [Agent or Clerk].

Declared before me at , this day of , 19 .
............, Officer of Customs
[Postmaster, Customs Agent, Solicitor, or Notary Public].

Examined and found correct.
............, Sub-Collector.

Received this day of , 19 , from the Collector of Customs, the sum of pounds shillings and pence, in full payment of the above claim for drawback. ‘
£ : : .
............, Exporter[s].
Per ............, Authorized Agent.

———

Form 24. [Voucher No. Section 33. Reg. 31.
New Zealand Customs.
DRAWBACK OF SALES TAX ON GOODS EXPORTED BY POST.
(In duplicate.)

Port of . day of , 19 .
Exporter’s name : . Per , agent.

Destination. [Full Address to be stated.] Description of Goods. Sale Value of Goods. Amount of Drawback claimed.
£ s. d. £ s. d.

Total sale value of goods and amount of drawback claimed .. .. £ £

I, , claim drawback on the above-mentioned goods in the amount stated above, and do hereby declare—
(1) That the above particulars are true and correct in every respect:
(2) That I have not already made application for or received directly or indirectly drawback or refund of any portion of the sales tax drawback of which is now claimed;
(3) That the full sales tax chargeable on the said goods by law has been paid:
(4) That the said goods have been duly posted for exportation to the destination stated herein, and are not intended to be relanded or reimported in any part of New Zealand:
(5) That the exporter[s] was [were] at the time of posting the goods entitled to drawback thereon.

............, Exporter [or Agent].
Declared before me at , this day of , 19 .
............
Officer of Customs [or Postmaster].

D



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🏭 Drawback Debenture for Duties and Sales Tax (continued from previous page)

🏭 Trade, Customs & Industry
Drawback, Customs, Sales Tax, Export, Forms

🏭 Drawback of Sales Tax on Goods Exported by Post

🏭 Trade, Customs & Industry
Drawback, Sales Tax, Export, Postal, Customs