Certification of the entry of the object of an intra-Community supply into another EU Member State

Entry Certificate

I as the customer hereby certify my receipt/the entry of the following object of an intra-Community supply

Name and address of the customer

Your Order	Standard Commercial Description	Delivery Note	Pos.	Invoice No.	Quantity

Transport Start *

Transport End *

Member State and place of entry *

Date of issue *

Signature of the customer or of the authorised representative *

Successfully Submitted!