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Import - Single Act

NAME

NIF/NIPC

ADDRESS

POSTAL CODE

PHONE

E-MAIL

CONTACT PERSON

PRODUCT TO IMPORT

Battery(s)

Vehicle(s)

THE EXPECTED DATE OF THE IMPORT

day month year

I declare that I have read, I agree, and I accept without any restrictions the conditions laid down in Imports contract of Batteries I declare that I have read, I agree, and I accept without any restrictions the conditions laid down in Imports contract of Vehicles

VALUES OF THE FINANCIAL (PF)

BATTERIES

CHEMICAL SYSTEM	PF (€/KG)	AMOUNTS TO DECLARE (KG)
LEAD	0,023
NIMH	0,015
LITHIUM	0,119

Subtotal Batteries: 0,000€

VEHICLES

VEHICLES	AGE	PF €/VEÍCULO
NEW	-	1,2
USED	POST (03/02/2010)	1,2
USED	PRE (03/02/2010)	5

Subtotal Vehicles 0,000€

FINAL VALUE OF THE PF: 0,000€