IMPORTERS DECLARATION IN RESPECT OF

PERSONAL/HOUSEHOLD EFFECTS

This form is for you to declare your belongings to Customs and to claim any tax reliefs that may apply when you return to, or transfer your normal home, to Jersey.

REMOVAL COMPANY DETAILS:

CONSIGNOR DETAILS:

Name:

Address:

Contact No:

CONSIGNEE DETAILS:

Name:

Address:

Contact No:

Approximate date of arrival in Jersey:

List below any of the following items contained amongst your personal/household effects (use the Notes section overleaf if further space is required):

Type of Goods

Description	Quantity eg Number of bottles	Price paid	Present value
Tobacco Products

If none write ‘none’
Spirits

If none write ‘none’
Wine

If none write ‘none’
Prohibited and Restricted Goods

If none write ‘none’

Prohibited and restricted goods include:-
Controlled drugs such as opium, heroin, cocaine, MDMA (ecstasy), morphine, cannabis, amphetamines, and lysergide (LSD)
Firearms, including gas pistols, electric shock batons, stun guns and similar weapons, ammunition and explosives, including flares
Indecent or obscene material
Flick knives, butterfly knives and certain other prohibited weapons
Plants and plant produce
Animals, birds and fish, whether alive or dead (e.g. stuffed), parts and articles derived from protected species including fur skins, ivory, reptile leather, stony corals and goods made from them.

Declaration

1.	Have you been resident outside of the Island continuously for 12 months prior to relocation?

Yes	No

2.	Have the shipped goods been in your possession and used by you for more than

6 months?

Yes	No

3.	Are the shipped goods intended for you and your family’s use?

Yes	No

4.	Do you wish to claim relief from GST on the basis of your relocation to the Island?

Yes	No

The following section must be signed by the importer of the goods and NOT by an agent:

I declare that the details shown on this entry are true and complete. I undertake that any goods admitted free of Customs duty under the terms of ‘Change of Residence’ relief will not be sold, hired or otherwise disposed of for at least one year after their date of arrival in Jersey.

Declarant Name:...........................................................	Signature:............................................................

WARNING: Imports are subject to examination by Customs and there are heavy penalties for making false declarations.

NOTES:

PROTECT (when complete)

JCE 185

IMPORTERS DECLARATION IN RESPECT OF

Yvette Arden

2008-05-01

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States Of Jersey