Personal Effects Accounting Document

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PERSONAL EFFECTS ACCOUNTING DOCUMENT
DOCUMENT DE DÉCLARATION EN DÉTAIL DES EFFETS PERSONNELS
(list of goods imported)
(liste des marchandises importées)
• Goods imported with you at the time of accounting should be listed separately from goods which are to follow at a later date. Please use a separate list if any goods are to follow.
• Inscrire uniquement les marchandises importées au moment de la déclaration en détail et utiliser une autre feuille pour dresser la liste des marchandises qui suivront à une date
ultérieure.
Name of Importer – Nom de l'importateur
Document no. – N° du document
Description of goods (include serial numbers, if applicable)
Description des marchandises (y compris le numéro de série, s'il y a lieu)
Item
Article
1
A Pair of Persian Rug (Tabriz)2mX3m
2
one Persian Rug (Tabriz)2mX3m
3
3 Persian Rugs (Tabriz)3mX3m
4
1 Persian Rugs (Tabriz)2mX3m
5
1 Persian Rugs (Tabriz)1mX1m
6
A Pair of Persian Kilim 1mX1.5m
7
A Pair of Persian Kilim 0.75mX1m
8
A rug panel 0.2mX0.5m
9
A rug panel (flowers) 0.75mX0.5m
List of goods to follow
✔ Liste de marchandises à suivre
Value for duty (cdn. dollars)
Valeur en douane (dollars CAN)
10 A rug panel (a girl picture) 0.75mX0.5m
11 A rug panel (a tiger) 0.75mX1m
12 A rug panel (a dog) 0.75mX1m
13 Silver items (flowers, dishes, cups, clocks, spoons, vases, frames,.......)
14 Crystals items (dishes,cups,vases,frames,candle holder,bowels,glasses,....)
15 Decoration items (statues,glasses,mirror,candle holder, .....)
16 Bicycle
17 Computer, monitor, scanner, printer, speakers, and other related items
18 Clothes, shoes (men,women, boys and girls)
19 Dishes (pots,pans,plates,cutlery,glasses,sieves,cutting board,greater,....)
20 China set of dishes for 12 people
21 China set of dishes for 6 people
22 China set of dishes for 12 people
23 A set of gold for women (necklace, earrings,bracelet,ring)
24 Gold Wedding rings (man and woman)
25 Gold Peacock necklace with red and white gems
26 Gold Necklace (God) with chain
CBSA Stamp
Timbre de l'ASFC
Signature of importer / Signature de l'importateur
B4A (05)
Date