■ 수출용원재료에 대한 관세 등 환급사무처리에 관한 고시 [별지 제23호서식]

평균세액증명서 (공통사항, 갑)

처리기간 : 1일

제출번호 : XXXXX-XX-XXXXXX                                                                                                      접수번호 : XXX-XX-XXXXXXX

1. 신청내역
①접수번호	XXX-XX-XXXXXXX	신청 관세사	③상호 : XXXXXXXXXXXXXXXXXXXX	⑤수입(매입) 연월	XXXX년 XX월
②접수일	YYYY-MM-DD
			④관세사 부호: XXXXX

2. 신청인
①상호	XXXXXXXXXX	③사업자번호		XXX-XX-XXXXX	⑤통관고유부호		가가가가-X-XX-X-XX-X
②성명	XXXXXXXXXX	④주소		XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX		⑥연락처		XXXXXXXXXXXXXXX

3. 세액사항	관 세	999,999,999,999,999,999
	개별소비세	999,999,999,999,999,999
	교 통 세	999,999,999,999,999,999
	주 세	999,999,999,999,999,999
	교 육 세	999,999,999,999,999,999
	농 특 세	999,999,999,999,999,999
	합 계	999,999,999,999,999,999

4. 신청처리 내역(세관 기재사항)

세관 (증명일자)	(XXX) XXXXXXXXXXXXXXX YYYY-MM-DD	결재 사항	담당	주무	과장	세관장
담당자	(999999) XXXX

5. 증명인

평균세액증명서 (증명물품, 을)

접수번호 : XXX-XX-XXXXXXX

ⓐ연번	ⓑ물품식별번호	ⓒ품명규격	ⓓ품목번호	ⓕ물량 (단위)	ⓖ단위당 평균세액	ⓗ관 세	ⓘ개별소비세	ⓙ교 통 세	ⓝ세액합계
			ⓔ원자재단가			ⓚ주 세	ⓛ교 육 세	ⓜ농 특 세
XXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	XXXX.XX-XXXX	9,999,999,999,999.999(XXX)	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999
			999,999,999,999,999,999			999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999
XXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	XXXX.XX-XXXX	9,999,999,999,999.999(XXX)	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999
			999,999,999,999,999,999			999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999
XXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	XXXX.XX-XXXX	9,999,999,999,999.999(XXX)	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999
			999,999,999,999,999,999			999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999
XXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	XXXX.XX-XXXX	9,999,999,999,999.999(XXX)	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999
			999,999,999,999,999,999			999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999
XXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	XXXX.XX-XXXX	9,999,999,999,999.999(XXX)	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999
			999,999,999,999,999,999			999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999
XXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	XXXX.XX-XXXX	9,999,999,999,999.999(XXX)	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999
			999,999,999,999,999,999			999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999
XXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	XXXX.XX-XXXX	9,999,999,999,999.999(XXX)	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999
			999,999,999,999,999,999			999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999

99,999/총 99,999

평균세액증명서 (수입원재료, 병)

접수번호 : XXX-XX-XXXXXXX

ⓐ연번	ⓑ물품식별번호	ⓒ원재료식별번호	ⓓ구분	ⓔ(원재료구분)신고번호-란-규격		ⓗ수입 (매입)가격	ⓘ물량 (단위)	ⓙ관 세	ⓚ개 소 세	ⓛ교 통 세	ⓟ세액합계	ⓠ 비고
				ⓕ수입(매입)일자	ⓖ품목번호			ⓜ주 세	ⓝ교 육 세	ⓞ농 특 세
XXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	X	(XX) XXXXXXXXXXXXXXX-XXX-XX		999,999,999,999,999,999	9,999,999,999,999.999(XXX)	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	99.9
				YYYY-MM-DD	XXXX.XX-XXXX			999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999
XXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	X	(XX) XXXXXXXXXXXXXXX-XXX-XX		999,999,999,999,999,999	9,999,999,999,999.999(XXX)	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	99.9
				YYYY-MM-DD	XXXX.XX-XXXX			999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999
XXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	X	(XX) XXXXXXXXXXXXXXX-XXX-XX		999,999,999,999,999,999	9,999,999,999,999.999(XXX)	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	99.9
				YYYY-MM-DD	XXXX.XX-XXXX			999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999
XXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	X	(XX) XXXXXXXXXXXXXXX-XXX-XX		999,999,999,999,999,999	9,999,999,999,999.999(XXX)	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	99.9
				YYYY-MM-DD	XXXX.XX-XXXX			999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999
XXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	X	(XX) XXXXXXXXXXXXXXX-XXX-XX		999,999,999,999,999,999	9,999,999,999,999.999(XXX)	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	99.9
				YYYY-MM-DD	XXXX.XX-XXXX			999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999
XXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	X	(XX) XXXXXXXXXXXXXXX-XXX-XX		999,999,999,999,999,999	9,999,999,999,999.999(XXX)	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	99.9
				YYYY-MM-DD	XXXX.XX-XXXX			999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999
XXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	X	(XX) XXXXXXXXXXXXXXX-XXX-XX				999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	99.9
						999,999,999,999,999,999	9,999,999,999,999.999(XXX)
				YYYY-MM-DD	XXXX.XX-XXXX			999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999
XXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	X	(XX) XXXXXXXXXXXXXXX-XXX-XX				999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	99.9
						999,999,999,999,999,999	9,999,999,999,999.999(XXX)
				YYYY-MM-DD	XXXX.XX-XXXX			999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999
XXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	X	(XX) XXXXXXXXXXXXXXX-XXX-XX				999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999	99.9
						999,999,999,999,999,999	9,999,999,999,999.999(XXX)
				YYYY-MM-DD	XXXX.XX-XXXX			999,999,999,999,999,999	999,999,999,999,999,999	999,999,999,999,999,999

99,999/총 99,999