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    Received Cash Payments Form

    Part I: Identity of individual from whom the cash was received

    YesNo

    If more than one individual is involved, please complete the information on additional forms for the other individuals

    Part II: Person/Business on whose behalf this transaction was conducted

    Part III: Description of transaction and method of payment

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      Declaration Form Freezone Facility Charge

      Company name*

      Account no.

      License no.

      Fill in corresponding month*

      The undersigned declares that total turnover 1 over the month of

      Fill in amount and indicate currency by checking appropriate box*

      Amounted to $Afl

      Fill in amount and indicate currency by checking appropriate box*

      The undersigned further declares to have paid Freezone Facility Charge in the amount of $Afl

      Fill in amount and indicate currency by checking appropriate box*

      The undersigned further declares to have paid BAZV2 in the amount of $Afl

      Indicate payment method by checking appropiate box(es)

      Payment was made in favor of Free Zone Aruba (FZA) NV by
      ChequeCash (only amounts under Afl. 1000,-)AB # 4002851CMB # 21208905

      By submitting this form I declare to be authorized to provide this specific information and that the information provided is complete and correct. Free Zone Aruba (FZA) NV accepts this electronically submitted form as if it was a signed hard copy, and retains the right to request hard copies of the submitted forms.

      Date:*

      Name:*

      Email: * receive a copy.

       

      Print Form

      (1) Turnover refers to total value of sales of merchandise, cash or credit in the reported period, whether from export or sales to the local market, as well as the value of sales of merchandise or goods processed on behalf or third parties and the value of all services rendered, including management fees, lease income, etc.
      The turnover is the basis for calculating the FFC. (2) The BAZV (health levy) equals 2% of the total Freezone Facility Charge amount.

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        Received Cash Payments Form

        Part I: Identity of individual from whom the cash was received

        YesNo

        If more than one individual is involved, please complete the information on additional forms for the other individuals

        Part II: Person/Business on whose behalf this transaction was conducted

        Part III: Description of transaction and method of payment

        YesNo
        receive a copy.

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