TAPA / COCOA CLEARANCE

Please complete the below form for clearance of Tapa or Cocoa from the Pacific Islands.

Once documents and this completed form is received I will immediately lodge customs entry and send the paperwork to Quarantine for assessment who can take up to 24 hours to process – Tapa (Barkcloth – Broussonetia Papyrifera) will be released if correct Phytosanitary certificate is present once the department of Agriculture assess, HOWEVER COCOA, handicrafts and mats (Pandanus spp) need an inspection at QANTAS please note Quarantine inspections incur extra charges – $65 for 15min inspection fee plus document fee of $39 (additional time over 15mins QUARANTINE charge $65 per 15 mins)

FAILURE TO TAKE GOODS SIGNED UP FOR INSPECTION TO A DEPOT FOR A BIOSECURITY OFFICER TO INSPECT IS A BREACH OF THE BIOSECURITY ACT AND CAN INCURE LARGE FINES OR EVEN JAIL TIME.-

FULL NAME

ADDRESS (please include post code)

PHONE NUMBER

I DECLARE THE CUSTOMS VALUE OF THE GOODS DOES NOT EXCEED AUD $1000.00

YES it is not over $1000 AUD in value

Price paid/ value for customs purposes

Description of the goods

ARE THE GOODS PROHIBITED OR RESTRICTED IMPORTS OR DO YOU WISH TO REFER THESE GOODS TO CUSTOMS FOR ASSESSMENT OR PROHIBITED OR RESTRICTED STATUS? (Refer to www.customs.gov.au or call Australian Customs on 1300 363 263 for more information OR call/email us on 02 95405599 imports@matthewshort.com.au).

DO YOU WISH TO REFER THESE GOODS TO THE DEPARTMENT OF AGRICULTURE (QUARANTINE). (Do your goods contain animal product, plant product or food stuffs? If so, you MUST DECLARE your goods and refer them to QUARANTINE for processing. (Refer to http://www.agriculture.gov.au/ or call QUARANTINE on 1800 020 504 for more information) This is a YES as all Tapa and Cocoa is subjected to the Department of Agriculture document assessment.

ARE THE GOODS ALCOHOL OR TOBACCO PRODUCTS

AIR WAY BILL NUMBER/ BILL OF LADING NUMBER

Date of Arrival (listed on the airway bill)

Number of pieces and Weight

PLEASE READ THE FOLLOWING BEFORE SIGNING AND DATING THIS FORM. MATTHEW SHORT & ASSOCIATES and its nominees and/or subagents are appointed by you to act as your registered Self-assessed clearance declaration communicators for the purposes of the Customs Act 1901 as amended, at all places in the Commonwealth and you . A false or misleading statement to the Australian Customs Service and Department of Agriculture is an offence and may involve heavy penalties, including forfeiture, destruction or re-export of any goods concerned at your expense. In line with Customs requirements and The Privacy Act 1988 we must tell you why we are collecting this information, how we will use it and whether you have to give it to us. This information is required to ensure importers comply with Australian Customs, Quarantine, Health, Wildlife and Currency laws. We request this information under the Customs Act 1901, the Quarantine Act 1908, the Wildlife Protection (Regulation of Exports and Imports) Act 1982 and the Financial Transaction Reports Act 1988. Matthew Short & Associates Pty Ltd also needs the information to ensure all SAC declaration requirements are met, including the calculation of the right amount of duties and taxes for alcohol, tobacco and tobacco products imports. I declare that the above particulars are to the best of my knowledge true and correct and that I have understood the questions contained in this form and the answers provided to those questions are true and correct. I remove Matthew Short & Associates Pty Ltd from all liability that may arise from providing false or misleading information and agree to all terms and conditions available on our website www.matthewshort.com.au . This is a legally binding document and may be used as evidence. I CONFIRM THERE IS NO ASBESTOS IN THIS SHIPMENT and confirm the shipment does not contain any illegally logged timber.

BY TICKING THIS BOX YOU ACCEPT THE ABOVE STATEMENT

CREDIT CARD AUTHORITY VISA / MASTERCARD/ AMEX *TAPA / COCOA are offered the discounted price of $100 inclusive of GST for both Customs lodgement and Quarantine document lodgement - Inspection by Quarantine incurs additional (minimum) $104 GST free payable to MAtthew Short as we are on account with the department of agriculture, so your total bill if inspection required will be $204 (plus additional Quarantine if the Inspecting officer goes over 15mins. - There is no additional depot fee at Qantas for inspection but this can take several weeks to get a booking with QUARANTINE)