Formulario-Anexo.pdf - ADUANA PASO CANOAS SOLICITUD DE...

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ADUANA PASO CANOAS SOLICITUD DE CERTIFICADO DE IMPORTACION TEMPORAL DE VEHICULOS PARA FINES NO LUCRATIVOS DATOS DEL SOLICITANTE ________________________________ ______________________________ ___________________________ 1ªApellido/Last Name 2ª apellido/Last Name Nombre/Name Pasaporte No/Passport Nº:_____________ de País/Country________________ Plazo solicitado/ Request Period ______________ Dirección prevista en Costa Rica/Expected Address______________________________________________________________ Teléfono/Phone_________________ PERSONAS AUTORIZADAS POR EL SOLICITANTE PARA CONDUCIR (Hasta 2 personas)/PERSONS AUTHORIZED TO DRIVE THE VEHÍCLE (Up to 2 people) ____________________________ _________________________________ __________________________________ 1ª Apellido/Last Name 2ª apellido /Last Name Nombre/Name Pasaporte No/Passport Nº__________________________ País/Country_______________________________________ ____________________________ _________________________________ __________________________________ 1ª Apellido/Last Name 2ª apellido/Last Name Nombre/Name Pasaporte No/Passport Nº__________________________ País/Country_______________________________________ CANTIDAD ACOMPAÑANTES / NUMBER OF COMPANIONS ________ (Adjuntar las Declaraciones de Aduanas para cada viajero, incluyendo al declarante. Tratándose de un grupo familiar se puede presentar una sola declaración firmada por el encargado o representante) / Attach the customs declarations for each traveler, including the declarant. If a family group, you may file a statement signed by the head of the group). CARACTERISTICAS DEL VEHICULO/ VEHICLE DELIVERY SPECIFICATION Marca/Brand____________ Modelo/Model_____________ Año/Year _________ Tracción/Traction (4x2, 4x4,) __________ Color/Color________________
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