Appendix ANNEX B Long-term supplier’s declaration for goods which have undergone working or processing in the European Union, Algeria, Morocco or Tunisia without having obtained preferential originating status

The long-term supplier’s declaration, the text of which is given below, must be made out in accordance with the footnotes. However, the footnotes do not have to be reproduced.

I, the undersigned, supplier of the goods covered by this document, which are regularly supplied to …^f1 declare that:

1. 1..

   The following materials which do not originate in the European Union, Algeria, Morocco, or Tunisia have been used in the European Union, Algeria, Morocco or Tunisia to produce these goods:

   When the invoice, delivery note or other commercial document to which the declaration is annexed relates to different kinds of goods, or to goods which do not incorporate non-originating materials to the same extent, the supplier must clearly differentiate them. Example: The document relates to different models of electric motor of heading 8501 to be used in the manufacture of washing machines of heading 8450. The nature and value of the non-originating materials used in the manufacture of these motors differ from one model to another. The models must therefore be differentiated in the first column and the indications in the other columns must be provided separately for each of the models to make it possible for the manufacturer of washing machines to make a correct assessment of the originating status of his products depending on which model of electrical motor he uses.
   The indications requested in these columns should only be given if they are necessary. Examples: The rule for garments of ex Chapter 62 says that non-originating yarn may be used. If a manufacturer of such garments in Algeria uses fabric imported from the European Union which has been obtained there by weaving non-originating yarn, it is sufficient for the European Union supplier to describe in his declaration the non-originating material used as yarn, without it being necessary to indicate the heading and value of such yarn. A producer of iron of heading 7217 who has produced it from non-originating iron bars should indicate in the second column ‘bars of iron’. Where this wire is to be used in the production of a machine, for which the rule contains a limitation for all non-originating materials used to a certain percentage value, it is necessary to indicate in the third column the value of non-originating bars.
   ‘Value of materials’ means the customs value at the time of importation of the non-originating materials used, or, if this is not known and cannot be ascertained, the first ascertainable price paid for the materials in the European Union, Algeria, Morocco or Tunisia. The exact value for each non-originating material used be given per unit of the goods specified in the first column.
   Description of the goods suppliedf2	Description of non-originating materials used	Heading of non-originating materials usedf3	Value of non-originating materials used f4
   Total

2. 2..

   All the other materials used in the European Union, Algeria, Morocco or Tunisia to produce these goods originate in the European Union, Algeria, Morocco or Tunisia;

3. 3..

   The following goods have undergone working or processing outside the European Union, Algeria, Morocco or Tunisia in accordance with Article 11 of Appendix I to the Regional Convention on pan-Euro-Mediterranean preferential rules of origin and have acquired the following total added value there:

   ‘Total added value’ means all costs accumulated outside the European Union, Algeria, Morocco or Tunisia, including the value of all materials added there. The exact total added value acquired outside the European Union, Algeria, Morocco or Tunisia must be given per unit of the goods specified in the first column.
   Description of the goods supplied	Total added value acquired outside the European Union, Algeria, Morocco or Tunisiaf5

This declaration is valid for all subsequent consignments of these goods dispatched

from …

to …^f6

I undertake to inform … immediately if this declaration is no longer valid.

…

(Place and date)

…

…

…

(Address and signature of the supplier; in addition the name of the person signing the declaration has to be indicated in clear script)