■ 수출용 원재료에 대한 관세 등 환급사무처리에 관한 고시 [별지 제3호의2서식]

환급금 계산 내역표(조견표)

①관련 자료제출요구 문서번호(연번) : XXX-XX-XXXXXX (XXX)

②제출번호	XXXXX-XX-XXXXXX (제출일자: YYYY-MM-DD)	④제출자	상호(통관고유부호) : 갑을병정-X-XX-X-XX-X
③관련 신청건(접수번호)	: XXX-XX-XXXXXXX (신청구분: ⊙ 환급, ○ 기납증)	⑤관세사	관세사부호 :XXXXX (XXXXXXXXXXXXXXXXXXXX)

⑥[XXXX]란/총[XXXX]란		⑦수출증빙번호(수출신고서-란-규격 등) : XXXXXXXXXXXXXXX-XXX-XX			⑧물품식별번호	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
⑨상세 물품식별번호	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX		⑩품명	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX			⑪생산물량(단위)	9,999,999,999.999 (XXX)

ⓐ행번호	ⓑ원재료식별번호	ⓒ(원재료구분) 신고(접수)번호-란-규격	ⓓ수입(매입)일자	ⓔ사용물량(단위)	ⓕ세액합계	ⓖ(구분)공제비율(%)
XXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	(XX) XXXXXXXXXXXXXXX-XXX-XX	YY-MM-DD	9,999,999,999,999.999 (XXX)	999,999,999,999,999,999	(X) 99.99
XXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	(XX) XXXXXXXXXXXXXXX-XXX-XX	YY-MM-DD	9,999,999,999,999.999 (XXX)	999,999,999,999,999,999	(X) 99.99
XXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	(XX) XXXXXXXXXXXXXXX-XXX-XX	YY-MM-DD	9,999,999,999,999.999 (XXX)	999,999,999,999,999,999	(X) 99.99

⑥[XXXX]란/총[XXXX]란		⑦수출증빙번호(수출신고서-란-규격 등) : XXXXXXXXXXXXXXX-XXX-XX			⑧물품식별번호	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
⑨상세 물품식별번호	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX		⑩품명	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX			⑪생산물량(단위)	9,999,999,999.999 (XXX)

ⓐ행번호	ⓑ원재료식별번호	ⓒ(원재료구분) 신고(접수)번호-란-규격	ⓓ수입(매입)일자	ⓔ사용물량(단위)	ⓕ세액합계	ⓖ(구분)공제비율(%)
XXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	(XX) XXXXXXXXXXXXXXX-XXX-XX	YY-MM-DD	9,999,999,999,999.999 (XXX)	999,999,999,999,999,999	(X) 99.99
XXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	(XX) XXXXXXXXXXXXXXX-XXX-XX	YY-MM-DD	9,999,999,999,999.999 (XXX)	999,99,999,999,999,999	(X) 99.99
XXXXX	XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX	(XX) XXXXXXXXXXXXXXX-XXX-XX	YY-MM-DD	9,999,999,999,999.999 (XXX)	999,999,999,999,999,999	(X) 99.99

99,999/총 99,999                                                  제출번호 : XXXXX-XX-XXXXXX