# Commission Implementing Regulation (EU) 2015/787 of 19 May 2015 imposing a provisional anti-dumping duty on imports of acesulfame potassium originating in the People's Republic of China as well as acesulfame potassium originating in the People's Republic of China contained in certain preparations and/or mixtures, Annex II: Declaration of Origin

Extent: E+W+S+N.I.

Seller: [insert full name and address of the seller of the preparations and/or mixtures containing acesulfame potassium]
Number and date of commercial invoice:
Packing No
Product description of the preparation and/or mixture containing acesulfame potassium
Quantity in kg of the acesulfame potassium contained in the product
Country of origin of the acesulfame potassium
(1)
(2)
(3)
(4)
Producer: [insert full name and address of the final producer of the preparations and/or mixtures containing acesulfame potassium if the producer is not identical to the seller]
The producer of these goods hereby declares:
that the origin declared in column 4 for the goods described in column 2 of this declaration has been determined by it in accordance with the provisions of Articles 23 and 24 of Council Regulation (EEC) No 2913/92,
its willingness to cooperate fully with the Commission of the European Union, or the customs authorities of the importing Member State when verifying the accuracy of this declaration.
Date
(Signature)
(Stamp of the signing producer company)
(Name and function of the authorised signatory)

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Source: https://www.legislation.gov.uk/eur/2015/787/annex/II (the official version)
Page: https://openlegislation.uk/eu-regulation-2015-787/annex-II
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.