of May 19, 2021 No. 12
About the receipt
Based on subitems 10.7 and 10.42 of Item 10 of the Regulations on the State Customs Committee of the Republic of Belarus approved by the Presidential decree of the Republic of Belarus of April 21, 2008 No. 228, the State Customs Committee of the Republic of Belarus DECIDES:
1. Establish form of the receipt on acceptance of cash confirming their acceptance by the authorized officer of customs authority according to appendix.
First Deputy Chairman
A. A. Valiyev
to the Resolution of the State Customs Committee of the Republic of Belarus of May 19, 2021 No. 12
The receipt on acceptance of cash confirming their acceptance by the authorized officer of customs authority
Series __ No. _____
__ ____________ 20 __.
Are accepted from ___________________________________________________________________
(the surname, own name, middle name (if that is available) this about the document
proving the identity of physical person, nationality (citizenship) (in the presence)
Name of payment Payment code Amount, payment currency
cash in the amount ____________________________________________
(sum in words, name of payment currency)
Cash accepted ________ ______________________________ (signature) (initials, surname of the authorized officer of customs authority)
The receipt was received by _________ ______________________________
(signature) (initials, surname of physical person)
Approved by the Resolution of the State Customs Committee of the Republic of Belarus of May 19, 2021 No. 12
1. This Instruction determines procedure for filling and use of the receipt on acceptance of cash confirming their acceptance by the authorized officer of customs authority (further - the receipt).
2. Forms of receipts are forms of documents with certain degree of protection, are made, considered and written off according to the procedure, established by the legislation for such forms.
3. The receipt is used for confirmation of acceptance by the authorized officer of customs authority of cash in case of payment by physical person:
customs payments, penalty fee concerning goods for private use according to part two of Item 1 of the Presidential decree of the Republic of Belarus of March 2, 2021 No. 77 "About activities of customs authorities";
penalty according to part 1 of article 10.3 of the Procedural and executive code of the Republic of Belarus about administrative offenses.
4. The receipt is filled in:
by hand ink or ball pen or by means of technical means;
it is legible and is clear.
Erasures, blots, corrections in the receipt are not allowed.
5. In case of the wrong filling of the receipt the authorized officer of customs authority fills in the new receipt.
6. The receipt is drawn up in duplicate. The first copy of the receipt is issued to physical person, the second copy remains in customs authority.
7. Details of the receipt are filled in the following procedure:
7.1. in line "__ _________ 20 __" specifies acceptance date of cash by the authorized officer of customs authority;
7.2. in the line "Are Accepted from" the following information about the physical person from whom cash is accepted is specified:
surname, own name, middle name (if that is available);
identification number and series (in case of their availability), document number, proving the identity, or the document for departure from the Republic of Belarus and (or) entry into the Republic of Belarus, or the valid passport or other document replacing it, intended for trip abroad and issued by relevant organ of the state of civil accessory or the regular residence of the foreign citizen or the stateless person or the international organization;
nationality (citizenship) (in the presence);
7.3. in the graph of the table "Name of Payment" the name of subsection of the classification of budget receipts established in appendix 1 to the resolution of the Ministry of Finance of the Republic of Belarus of December 31, 2008 No. 208 "About budget classification of the Republic of Belarus" is specified (further - classification of budget receipts).
At the same time the reducing the name of subsection of classification of budget receipts which is not complicating its identification is allowed;
7.4. in the graph of the table "Payment code" the five-digit digital code on the following structure is specified:
where X - one of the following digital codes:
"0" - customs payments, penalty;
"1" - penalty fee;
RR - code of the Section of classification of budget receipts;
Software - code of subsection of classification of budget receipts;
7.5. in the graph of the table "Amount, Payment Currency" are specified cash amount of money in Belarusian rubles or foreign currency by figures and digital currency code according to the nation-wide qualifier of the Republic of Belarus to OKRB 016-99 "Currencies" approved by the resolution of the State committee on standardization, metrology and certification of the Republic of Belarus of June 16, 1999 No. 8;
7.6. in the line "cash in the amount" are specified cash amount of money in cursive script and the name of payment currency. In case of acceptance of cash in different currencies such data are specified through comma according to the procedure of their following in the graph of the table "Amount, Payment Currency";
7.7. in the line "Accepted Cash" the signature, initials, surname of the authorized officer of the customs authority which accepted cash which is certified by print of personal number seal of the official of customs authority are specified;
Disclaimer! This text was translated by AI translator and is not a valid juridical document. No warranty. No claim. More info
Database include more 50000 documents. You can find needed documents using search system. For effective work you can mix any on documents parameters: country, documents type, date range, teams or tags.
More about search system
If you cannot find the required document, or you do not know where to begin, go to Help section.
In this section, we’ve tried to describe in detail the features and capabilities of the system, as well as the most effective techniques for working with the database.
You also may open the section Frequently asked questions. This section provides answers to questions set by users.