Anexo I - Normas Receita Federal

Anexo I
TERMO DE RETIRADA DE AMOSTRA
Conhecimento de carga:
Número:___________________________________________________
Importador/ Exportador:______________________________________CNPJ:_____________________________________________________
Data Retirada: ____/____/______
Descrição e quantidade da amostra retirada:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
__________________________________________
Fiel depositário:_____________________________________________
CPF: _____________________________________________________
Assinatura:_________________________________________________
RFB:______________________________________________________
CPF:______________________________________________________
Assinatura:_________________________________________________
Importador/Representante Legal :_______________________________
CPF:______________________________________________________
Assinatura:_________________________________________________