(VSF Z 08 26 Abs.

3)
SHIP'S STORES DECLARATION
Arrival Departure Page No.

1. Name of ship 1)
Sheet 1 - For the customs office

2. Port of arrival/departure 3. Date of arrival/departure

4. Nationality of ship 5. Port arrived from/Port of destination

6. Number of person on board 7. Period of stay 8. Place of storage

9. Number of article 2) 10. Quantity 11. For official use

Items put under (Qty., type, no. of seals; date, signatuire, official stamp)
customs seal

Roasted coffee (kg)

Soluble coffee (kg)

Sparkling wine (l)

Spirit drinks (l)

Cigars (pieces)

Cigarettes (pieces)

Smoking tobacco (kg)

12. Date, signature of Master, Notices

authorised agent or ship's officer 1)
For departures, the time of day must be indicated in
addition to the date.
2)
All other goods (such as foodstuffs) can be declared in a
summarised manner.
0110-E- Ship's Stores Declaration (2014) 1/4
1. Customs treatment by the office of entry for the customs procedure Date, signature, official stamp
The goods declared in colums 9 and 10 are releassed for the immediate "end-use" on board.

The export of any unused stores is allowed.

Prior to exporting any unused ship's stores you are abliged to submit a ship's stores declaration
(form 0110). It shall be accompanied by this statement.
Stores
examined completely examined randomly

Outcome of the examination; other notices

2. Departure from the German part of the Community customs territory Date, signature of Master, authorised
agent, or ship's officer
Advice
The ship is expected to leave at (time of day, HH:MM)
this territory on (Date DD.MM.YYYY)

directly seawards via these other container ports/free zones

Notice by the customs office of exit Customs office (name), date,

Customs seal intact and signature, official stamp
removed. left. Submission of the declaration (date and time)

Other remarks

Requirements and recommendations for the skipper (Master, authorised agent, or ship's officer)
1. The skipper shall submit the Ship’s Stores Declaration after each entry into the German territorial waters, or if coming from a free zone, after arrival
at the first German port.

2. The goods may only be used on board. However, persons arriving on the ship and going on shore leave, or leaving the ship temporarily fora
maximum of three days, may use up to 5 cigars or 20 cigarettes or 50 grams of smoking tobacco ashore (Section 14, German Customs
Ordinance). In all other cases the ship’s stores may only be taken off board against payment of the import duties. The same shall apply where
these goods are used on board for purposes other than those originally approved. In these cases you are obliged to submit the Ship’s Stores
Declaration to the competent customs office.

3. As soon as the ship has stayed in one port for a total of four weeks (but not later than two months after arriving at the first German port) the ship’s
stores may no longer be used duty-free, even if the ship has temporarily left the German part of the Community customs territory without going
beyond the coastal area. The skipper shall then declare the ship’s stores to the customs office responsible for the ship’s berth so that import duties
may be levied where appropriate.

4. Any changes of the estimated time of departure shall be notified immediately to the customs office of exit.

5. Where the customs office of exit refrains from examining the ship’s stores, the skipper shall be entitled to remove the seals affixed for securing the
stores, as soon as the ship has left the port directly seawards at the time declared or at a later time; if the ship departs to a free zone, or departs
seawards via several container ports, the seals affixed may only be removed after entering the free zone or after leaving the last container port.

6. The skipper shall keep the Ship’s Stores Declaration on board and available for customs controls until the ship is leaving the German territorial
waters.

7. If a ship engaged in maritime traffic continues its journey via waterways that are not subject to customs supervisison (Zollstraßen), the exemption
from import duty shall be limited to use within eight days after the first customs treatment. In these cases it is required to also keep a listing of
consumables (Form 1171).

Notice in accordance with Section 4 (3) of the Federal Data Protection Act
You are obliged to give the details listed above, in particular pursuant to Article 59(1) of Regulation (EEC) No 2913/92 (Customs Code)
and the first sentence of Section 21 (2) of the German Turnover Tax Act.

2/4
0110-E- Ship's Stores Declaration (2014)
 (VSF Z 08 26 Abs. 3)
SHIP'S STORES DECLARATION
Arrival Departure Page No.

1. Name of ship 2. Port of arrival/departure 3. Date of arrival/departure 1)

4. Nationality of ship 5. Port arrived from/Port of destination

Sheet 2 - For the skipper

6. Number of person on board 7. Period of stay 8. Place of storage

9. Number of article 2) 10. Quantity 11. For official use

Items put under (Qty., type, no. of seals; date, signatuire, official stamp)
customs seal

Roasted coffee (kg)

Soluble coffee (kg)

Sparkling wine (l)

Spirit drinks (l)

Cigars (pieces)

Cigarettes (pieces)

Smoking tobacco (kg)

12. Date, signature of Master, Notices

authorised agent or ship's officer 1)
For departures, the time of day must be indicated in
addition to the date.
2)
All other goods (such as foodstuffs) can be declared in a
summarised manner.
0110-E- Ship's Stores Declaration (2014) 3/4
1. Customs treatment by the office of entry for the customs procedure Date, signature, official stamp
The goods declared in colums 9 and 10 are releassed for the immediate "end-use" on board.

The export of any unused stores is allowed.

Prior to exporting any unused ship's stores you are abliged to submit a ship's stores declaration
(form 0110). It shall be accompanied by this statement.
Stores
examined completely examined randomly

Outcome of the examination; other notices

2. Departure from the German part of the Community customs territory Date, signature of Master, authorised
agent, or ship's officer
Advice
The ship is expected to leave at (time of day, HH:MM)
this territory on (Date DD.MM.YYYY)

directly seawards via these other container ports/free zones

Notice by the customs office of exit Customs office (name), date,

Customs seal intact and signature, official stamp
removed. left. Submission of the declaration (date and time)

Other remarks

Requirements and recommendations for the skipper (Master, authorised agent, or ship's officer)
1. The skipper shall submit the Ship’s Stores Declaration after each entry into the German territorial waters, or if coming from a free zone, after arrival
at the first German port.

2. The goods may only be used on board. However, persons arriving on the ship and going on shore leave, or leaving the ship temporarily fora
maximum of three days, may use up to 5 cigars or 20 cigarettes or 50 grams of smoking tobacco ashore (Section 14, German Customs
Ordinance). In all other cases the ship’s stores may only be taken off board against payment of the import duties. The same shall apply where
these goods are used on board for purposes other than those originally approved. In these cases you are obliged to submit the Ship’s Stores
Declaration to the competent customs office.

3. As soon as the ship has stayed in one port for a total of four weeks (but not later than two months after arriving at the first German port) the ship’s
stores may no longer be used duty-free, even if the ship has temporarily left the German part of the Community customs territory without going
beyond the coastal area. The skipper shall then declare the ship’s stores to the customs office responsible for the ship’s berth so that import duties
may be levied where appropriate.

4. Any changes of the estimated time of departure shall be notified immediately to the customs office of exit.

5. Where the customs office of exit refrains from examining the ship’s stores, the skipper shall be entitled to remove the seals affixed for securing the
stores, as soon as the ship has left the port directly seawards at the time declared or at a later time; if the ship departs to a free zone, or departs
seawards via several container ports, the seals affixed may only be removed after entering the free zone or after leaving the last container port.

6. The skipper shall keep the Ship’s Stores Declaration on board and available for customs controls until the ship is leaving the German territorial
waters.

7. If a ship engaged in maritime traffic continues its journey via waterways that are not subject to customs supervisison (Zollstraßen), the exemption
from import duty shall be limited to use within eight days after the first customs treatment. In these cases it is required to also keep a listing of
consumables (Form 1171).

Notice in accordance with Section 4 (3) of the Federal Data Protection Act
You are obliged to give the details listed above, in particular pursuant to Article 59(1) of Regulation (EEC) No 2913/92 (Customs Code)
and the first sentence of Section 21 (2) of the German Turnover Tax Act.

4/4
0110-E- Ship's Stores Declaration (2014)