CELEX: 31972R1769
Language: en
Date: 1972-07-26 00:00:00
Title: Regulation (EEC) No 1769/72 of the Commission of 26 July 1972 drawing up accompanying documents and determining the obligations of wine producers and traders other than retailers

Official Journal of the European Communities                                     909
 21.8.72                              Official Journal of the European Communities                            No L 191/ 1
                              REGULATION (EEC) No 1769/72 OF THE COMMISSION
                                                       of 26 July 1972
              drawing up accompanying documents and determining the obligations of wine producers
                                               and traders other than retailers
 THE    COMMISSION       OF     THE   EUROPEAN       COM­          the documents in the clearest possible way; whereas
 MUNITIES ,                                                        to this effect the rules adopted at Community level,
                                                                   or failing these, national provisions, should be used ;
 Having regard to the Treaty establishing the                      whereas to this effect provision should be made that
 European Economic Community;                                      the description should include the particulars listed in
                                                                   Commission Regulation (EEC) No 1699/703 of 25
 Having regard to Council Regulation (EEC) No                      August 1970 on the control of certain products in the
 816/70 1 of 28 April 1970 laying down additional                 wine sector and in Commission Regulation (EEC) No
 provisions for the common organization of the                     1700/704 of 25 August 1970 on the control of wines
 market in wine, as last amended by Regulation (EEC)               suitable for yielding table wines ; whereas,
 No 2722/71 ,2 and in particular Articles 29 (3 ) and 35           furthermore, the accompanying document must bear
 thereof;                                                         particulars concerning former processes to which the
                                                                   product has been subjected;
Whereas Article 29 (1 ) of Regulation (EEC) No
 816/70 provides for the establishment of an                       Whereas, where the products in question are
 accompanying document for products covered by the                 dispatched from one Member State to another, the
 common organization of the market in wine ;                       documents drawn up for this purpose should be used,
                                                                   and    whereas    the   reference   number     of    the
Whereas      accompanying         dpcuments     must     be        accompanying document for wine should be entered
 authentic; whereas to this end they must be drawn up             on the customs document in question and the
by a competent authority ; whereas, however, to                   reference numbers of the customs documents should
prevent such an obligation impeding trade in, or                   be entered on the accompanying document for wine ;
marketing of, products in this sector, provision must
be made for the competent authorities to delegate the             Whereas certain products may in certain cases be
task of drawing up these documents ;                              transported without an accompanying document;
                                                                  whereas, however, such exceptions should be limited
Whereas certain particulars provided for in this                  on the one hand to products whose method of
document should not be made compulsory, in                        putting up does not allow the possibility of any usage
particular the hours of departure and arrival of the              other than that for which they are generally intended,
                                                                  and on the other hand to cases where use of the
consignments ;
                                                                  compulsory       document     would     cause    certain
                                                                  inconvenience for the people concerned ;
Whereas, to ensure the effectiveness of this system of
accompanying documents, provision should be made                  Whereas Article 29 (2) of Regulation (EEC) No
for a method of informing the competent authorities ;             816/70 obliges wine producers, bottlers, processors
                                                                  and certain dealers to keep turnover records ;
Whereas the purpose of the accompanying                           whereas, however, amongst dealers, retailers other
documents must be, amongst others, to provide the                 than those receiving wine in bulk should be exempt
consignee with as much information as possible                    from that obligation ;
about the product he is receiving; whereas, to this
end, the transported products must be described on                Whereas, to prevent fraud, a precise record must be
                                                                  kept for each product or group of products and
                                                                  whereas certain procedures relating thereto must be
1 OJ No L 99, 5.5.1970, p. 1.
2 OJ No L' 282, 23.12.1971 , p. 1 .
3 OJ No L 190, 26.8.1970, p. 6.                                   4 OJ No L 190, 26.8.1970, p. 9.
 ---pagebreak--- 910                                  Official Journal of the European Communities
specified; whereas, however, in certain cases it is             Treaty, except for argol, shall require an
possible to simplify the system without detracting              accompanying wine document, hereinafter called an
from its .effectiveness ; whereas in particular the              'accompanying document'.           . ,
reverse side of the harvest declarations referred to in
Article 2 of Regulation No 1341 on the declaration of           2.     An accompanying document means :
wine harvests and stocks, and the reverse side of the
accompanying documents, as well as any other                     (a) a document drawn up 011 a V.A.I form used for
modern accounting methods may be used as records ;                    products of the Community with the exception
                                                                      of quality wines p.s.r. and wines fortified for
Whereas the entries on the records must faithfully                    distillation ;
represent the state of the products held ; whereas it is         (b) a document drawn up on a V.A.2 form used for
consequently necessary to note on these records the                   quality wines p.s.r.;
loss of various quantities as well as withdrawals by
the producers or the dealers for their own use and               (c) a document drawn up on a V.A.3 form used for
volume changes resulting from certain processes ;                     products from third countries in free circulation
                                                                      within the Community, with the exception of
Whereas accounting must cover certain processes ;                     wines fortified for distillation;
                                                                 ( d) a document drawn up on a V.A.4 form used for
Whereas the Member States must take the necessary                     wines fortified for distillation .
measures for guaranteeing the accuracy of the
declarations on the documents and turnover records               For circulation within their territory of Community
and whereas in particular these controls must be                 products other than wine, Member States may
introduced on a regular basis ;                                  provide for the use of a document drawn up on a
                                                                 V.A.5 form, on condition that the quality wines p.s.r.
Whereas the competent authority must be able to                  are specified in particular.
make certain spot checks ; whereas therefore the
representatives of that authority should be expressly            In the cases referred to in Article 10(3 ) and the cases
authorized to have access to the premises ; whereas,             to be provided for by Member States, in addition to
furthermore, since these checks may concern                      each of these documents one or more copies shall be
transactions effected some time in the past, provision           used for control purposes .
must be made for a minimum length of time for
keeping the accompanying documents and turnover                  The forms :
records ;
                                                                 — for the V.A.I , V.A.2, V.A.3 , V.A.4 and V.A.5
                                                                      documents ;
 Whereas the application of the measures provided for
in this Regulation presupposes a certain period in               — for the copies referred to in Article 10 (3 );
which the Member States may introduce the
 necessary means ;
                                                                 — for the other copies, with the exception, as
                                                                      regards these latter, of the indication of the
                                                                      intended use of the specification of their purpose,
Whereas the measures provided for in this Regulation
 are in accordance with the Opinion of the                     - are set out in the Annexes .
Management Committee for Wine;
                                                                 3 . Until 31 December 1974, for transportations
 HAS ADOPTED THIS REGULATION :
                                                                  within a Member State and for transportations by sea
                                                                 from one port to another within the same Member
                        TITLE I
                                                                  State, Member States may continue to use national
                                                                  accompanying documents bearing at the least the
                                                                  particulars on the accompanying document.
               Accompanying documents
                                                                  4. For the application of paragraphs 2 and 3 , the
                        Article 1
                                                                  Benelux shall be considered as a single Member State.
 1 . With the exception of provisions contrary to
 this Regulation, all transportation between two                                          Article 2
 places in the Community of the products referred to
 in Article 1 of Regulation (EEC) No 816/70 which                 1 . The forms referred to in the last subparagraph
 fulfil the conditions of Articles 9 and 10 of the                of Article 1 (2) shall be printed on white paper free
                                                                  of mechanical pulp, dressed for writing purposes and
                                                                  weighing at least 40 and no more than 60 grammes
 1 OJ No 111, 6.11.1962, p. 2604/62.                              per square metre.
 ---pagebreak---                                    Official Journal of the European Communities                                   911
 The size of the forms shall be 210X297 mm ; the line                                  Article 4
 spacing shall be 4-24 mm ( 1/6 of an inch); the layout
 of the forms must be strictly observed.                      Each    Member     State   shall  choose   one or more
                                                              competent agencies and inform the Commission of
2. The front page of the documents shall have a               the name and address thereof. The Commission shall
printed guilloch pattern background such as to reveal         publish this information in the Official journal of the
any falsification by mechanical or chemical means .           European Communities.
                                                              Each competent agency or the authority empowered
The guilloche pattern shall be in the following               to this effect shall issue the accompanying documents
colours :                                                      and any copies thereof stamped with its seal, and
— blue for V.A.I forms                                        shall keep a record on. the accompanying documents
                                                              and copies issued.
— green for V.A.2 forms
— red for V.A.3 forms                                         2. The accompanying documents and the copies
                                                              thereof shall be drawn up by the competent agency
— yellow for V.A.4 forms                                      or agencies of the Member State where
                                                              transportation begins or by the authority empowered
— grey for V.A.5 forms                                        to this effect according to the information submitted
                                                              by the consignor who shall be responsible for them.
3.     The bottom right-hand corner of the copies
shall be the same color as that of the guilloche              The competent agency or agencies of each Member
pattern on the documents .                                     State may authorize natural or legal persons
                                                              established within the Community to draw up
                                                              accompanying documents and copies thereof in their
4. Member States shall be responsible for printing            place or in place of the empowered authority. In this
the forms . These may also be printed by printers             case the accompanying documents and copies thereof
appointed by the Member State in which they are               shall be previously stamped with the seal of the
established, in which case each form shall make               competent agency or the empowered authority.
reference to the appointment.
Each form shall bear the name and address of the
                                                              3 . The accompanying document and any copies
                                                              thereof shall be deemed to have been drawn up when
printer or a mark enabling the printer to be                  they have been completed according to the
identified, and, save in the case of the copies, an           information required on the forms and the provisions
individual serial number.
                                                              of this Regulation.
This number shall be preceded by an initial or initials       The particulars on the accompanying documents and
according to the Member State which issues the                on any carbon copies thereof may not be amended
accompanying document : B for Belgium, D for                  after the documents have been drawn up.
Germany, F for France, I for Italy, L for Luxembourg
and     NL     for   the   Netherlands .   When     the       4.    Transportation must begin not later than the
accompanying documents are drawn up a delivery                tenth   day    following the       day   on  which the
number may be added.                                          accompanying documents are drawn up .
5.    When a copy is drawn up, it shall bear the same                                  Article 5
serial number as the corresponding accompanying
document.
                                                              1.    The accompanying document shall be valid for
                                                              only one transportation.
                        Article 3
                                                              2.    A single accompanying document may be
                                                              drawn up for several products transported together
1 . ■ The accompanying document forms and copies              from the same consignor to the same consignee.
thereof shall be printed and completed in one of the
official languages of the Community chosen by the             However, only the products for which this particular
competent authorities of the Member State where               document has been provided may be the subject of a
transportation begins.                                        single accompanying document.
2. The accompanying document forms and the                                             Article 6
copies thereof shall be completed in type or by hand;
in the latter case they shall be completed legibly in         1 . Member States may make optional mention of
ink using block capitals.                                     the hour of departure and the deadline for arrival.
 ---pagebreak--- 912                                 Official Journal of the European Communities
2.    When in ' intra-Community trade a . transporta­          density shall be substituted for mention of the total
tion begins or ends in a Member Stati where mention            alcoholic strength.
of the hour of departure and the deadline for arrival
are compulsory, these particulars shall solely                 5 . For grape must in fermentation and new wine
concern :                                                      still in fermentation, the total 'alcoholic strength shall
(a) in the Member State where transportation begins,           be the only alcoholic strength to be given.
     the journey from the place of loading to the
     Customs office where the required formalities for         6.      For wine vinegar, mention of the acetic content
     dispatching the product shall be completed ;              expressed in degrees, grammes or milli equivalents
                                                               per litre shall be substituted for mention of the actual
(b) in the Member State where transportation ends,             alcoholic strength. It shall be entered in Column 12
     the journey from the customs office where                 instead of the actual alcoholic strength.
     consignment under Customs supervision ends, to
     the place of unloading.                                   7.      For grapes, grape must, concentrated grape
                                                               must, wine lees and grape marc, the quantities shall
3 . The required particulars shall be entered by the           be given by volume or by net weight. For other
consignor in the case referred to under (a) and by the         products, the quantities shall be given by volume.
transporter in the case referred to under (b).
However Member States may specify the conditions               8 . For sparkling wine and semi-sparkling wine,
in which these particulars shall be entered.                   mention of the alcoholic strengths shall not be
                                                               obligatory.
4. The Member States may make optional mention
of the name and address of the transporter.
                                                                                       Article 9
                       Article 7
                                                               1. ,    In the case of:
1.    Where there is a change of transport, the                — grape must,
transporter shall then complete sections 25 to 27 of
the accompanying document.                                     — grape must in fermentation and
                                                               — new wine still in fermentation,
2. Where, as a result of an incident occurring
during transportation, the transporter is unable to            the figures 0, 1, 2, 3 or 4 shall be entered in column
comply with the date and where stated the hour of              14 of the accompanying document to indicate :
the deadline for arrival provided for in the
accompanying document, he shall then complete                  0 : that the product has not been enriched, acidified
section No 29 .                                                     or deacidified;
3.    Member States may provide that these entries             1 : that the product may not be enriched, acidified or
be certified by the competent authorities.                          deacidified;
                                                               2 : that the product may be enriched;
                       Article 8
                                                               3 : that the product may be acidified;
1 . The products shall be described on the                     4 : that the product may be deacidified.
accompanying document according to the rules
provided for to this effect by the Community                   Where the product may be enriched, acidified or
provisions, or failing these, as a temporary measure,          deacidified, or where it is a question of wine suitable
by national provisions.                                        for yielding table wine, the wine growing zone where
                                                               the fresh grapes used were harvested shall be entered
2. The description of the products subject to                  in column 15 .
control with respect to their use and which are listed
in Article 1 of Regulation (EEC) No 1699/70 shall              2. In the case of table wine, the figure 5 shall be
bear one of the statements listed in Article 2 of that         entered in column 14 of the accompanying document
Regulation.                                                    to indicate that the table wine has been sweetened.
3.    The description of wine suitable for yielding            3 . For products other than those referred to in the
table wine shall include in addition the wine growing          first subparagraph of paragraph 1, the figures 6, 7, 8
zone and one of the statements listed in Article 1 (2)         or    9   shall   be  entered  in   column    14  of the
of Regulation (EEC) No 1700/70.                                accompanying document to indicate :
4. For grape must, concentrated grape must, grape              6 : that the product has not been enriched, acidified
juice and concentrated grape juice, mention of the                  or deacidified;
 ---pagebreak---                                    Official Journal of the European Communities                                  913
7: that the product has been enriched :                       informed of each dispatch and the competent agency
                                                              of the place of destination be informed of each
8 : that the product has been acidified;             n        delivery.
9 : that the product has been deacidified.
These particulars shall not be compulsory.                                           Article 11
                       Article 10
                                                              1 . For intra-Community trade and apart from the
                                                              cases provided for in Article 13 , section 8 of the
                                                              accompanying document shall refer to the customs
1 . Where the consignee is established within the             document issued for the dispatching of the products
Community, the accompanying document shall                    in question. To this document shall be added in the
accompany the products from their place of loading            appropriate section details of the nature of and the
to their place of unloading where it shall be delivered       serial number of the accompanying document.
to the consignee or his representative.
                                                              2. Customs authorities shall satisfy themselves that
2. If the consignee is established outside the                particulars which appear both on the customs
Community, the accompanying document shall                    document and on the accompanying document are
accompany the products from their place of loading            consistent. Where these are not consistent, Member
to the customs office where the formalities required          States shall take appropriate measures .
for their exportation shall be completed in the case
where actual exportation is guaranteed by customs
procedure. Where the reverse is true, the                                            Article 12
accompanying document shall accompany the
products to the customs office of exit from the               1 . Where, during transportation, any incident
Community.                                                    occurs causing either the breakage or the loss of part
                                                              or all of the consignment, the transporter shall in the
As soon as actual exportation is guaranteed or                shortest possible time notify the competent agency of
carried out, the customs office concerned shall return        the Member State where the incident took place. The
the document to the exporter or his agent after               competent agency shall take the necessary measures
entering one of the following particulars                     for arranging the completion of the transportation.
authenticated with its seal in section 23 : Exporte —
Ausgefuhrt — Esportato — Uitgevoerd. (Exported)
                                                              2. Where products are discovered to be moving
If such a statement appears in section 23 it shall be         without an accompanying document, the competent
the responsibility of the consignor to ensure that the        agency of the Member State in which they are
accompanying document reaches the consignee.                  discovered or any other authority responsible for
                                                              control shall take the necessary measures to
3 . For products subject to control with respect to           regularize and where appropriate to penalise this
their use and for wines suitable for yielding table           irregular transportation.
wines, in addition to the document, a copy shall be
drawn up for the purposes of control. This carbon                                    Article 13
copy shall be sent by the competent agency of the
place of loading to the competent agency of the place
of unloading not earlier than the first working day           1.    Accompanying documents shall not be drawn
following the day on which the document is drawn              up for the transportation of quantities of wine not
up. However Member States may authorize the                   exceeding 15 litres per dispatch and which are not to
natural or legal persons referred to in the second            be sold .
subparagraph of Article 4 (2), whom they empower
to draw up the copy in question, to take the place of         2. Member States may provide that the
the competent agency in the sending of this copy.             accompanying document shall not be established for
                                                              the transportation of grape juice, wine or wine
4. In the cases referred to in the preceding                  vinegar put up in non-returnable containers with a
paragraph, the competent agency of the place of               capacity not exceeding 5 litres, labelled and with a
unloading shall immediately return the copy to the            closing device approved by a competent agency and
issuing agency.                                               bearing the name and address or code number of the
                                                              organization responsible for putting up. Each
                                                              Member State shall supply the Commission with a
5. Without prejudice to the provisions of the                 detailed description of the approved closing devices .
preceding paragraph, Member States may in addition
lay down that for transportations between two places          The entry into force of this Regulation shall not
within their territory the transporting authority be          affect the movement without an accompanying
 ---pagebreak--- 914                                 Official Journal of the European Communities
document of products put up according to the rules                                      Article IS
existing before the date of entry into force.
                                                               1.      Records    shall   consist  of  fixed  leaves  in
Member States may not, for reasons concerning the              numerical order. Before use they shall be installed
closure of containers, either prohibit or impede the           by the competent body which shall check the page
movement without an accompanying document of                   numbering.
products put up in containers of a capacity not
exceeding 5 litres where the closing device has been           2.      The records shall be kept for each undertaking
approved by the Member State in which the products             at the place where the products are held.
were put up .
A container shall be deemed to be labelled when the                                      Article 16
particulars describing the product are shown on the
container and are in accordance with the relevant
                                                               1 . The persons specified in Article 14 shall keep,
Community provisions, or failing these, the relevant           on the records laid down in Article 15 , account of. the
national provisions .                                          products in the wine sector.
Member States may allow table wines and imported
wines conforming with the provisions of Article 28 of          Separate accounts must be kept for :
Regulation (EEC) No 816/70, put up and marketed
on their territory, to be put into circulation without          ( a) each category of products, except for argol, listed
an accompanying document in containers with a                        either in Annex II to Regulation (EEC) No
capacity not exceeding 5 litres only if the closing                  816/70 or in Article 2 of Council Regulation
device of the containers can be considered as not                     (EEC) No 948/701 of 26 May 1970 defining
re-usable .                                                          certain products falling within headings Nos
                                                                     20.07, 22.04 and 22.05 of the Common Customs
Competent agencies shall, in so far as the application               Tariff, and originating in third countries ;
of this paragraph necessitates, exercise a control over        (b) each quality wine p.s.r.
the closing devices and the labelling.
                                                               2.      Member States may in addition provide that
3.    The accompanying document may be dispensed               separate accounts be kept on the records for products
with for the transportation of grapes whether or not           they decide.
crushed or of grape must when the products are
transported from the producer to his wine-making
plant or to the wine-making establishment of which             3.      Member States may authorize :
he is a member in the case of a group of producers.            ( a) that the accounts referred to in paragraph 2 are
Member States shall determine the cases where an
                                                                     not kept on the records ;
accompanying document shall be drawn up.
                                                               (b) that the records consist of suitable modern
4. The accompanying document may be dispensed                        accounting methods on condition that they reveal
with for transportations taking place between two                    those particulars which must appear in the
or more plants of the same undertaking situated in                   records .
the same area. Member States shall determine the
cases where an accompanying document shall be                  4. Member States may make the competent agency
drawn up .                                                     in charge . of keeping some or all of the accounts
                                                               referred to in paragraphs 1 and 2.
                        TITLE II
                                                                                        Article 17
                        Records
                                                               1.      For every entry or withdrawal of the products
                                                               there shall be stated on the records :
                       Article 14
                                                               — the date of the transaction,
Natural or legal persons, other than retailers, who, in        —- the quality involved,
order to pursue their profession or trade, hold one of
the products referred to in Article 1 of this                  — the product concerned, described in accordance
Regulation, shall be obliged to keep records.                        with the rules laid down for this purpose,
However, Member States may oblige retailers to keep
records if they receive wine put up in containers with
a capacity exceeding 60 litres.                                1 OJ No L 114, 27.5.1970, p . 6.
 ---pagebreak---                                     Official Journal of the European Communities                                    915
 — the reference number of the document supporting            — processing by distillation
    the entry or withdrawal, the quantity lost or the
    processing. Member States shall determine the              — processing into aromatized wine
    nature of the documents to be used for reference           — the coupage of wines.
    and the nature of the particulars concerning these
    in cases where no accompanying document is
    drawn up.                                                  Such persons shall enter the nature and quantities of
                                                               the products used in each operation and the products
                                                               obtained, the number of the vats concerned and the
2.    The entries in records must be made not later
                                                               day of the operation. Specific accounts shall be kept
than on the day following receipt and the third day            for any sugar, alcohol or spirits used.
following dispatch of consignments.
However, Member States may authorize longer                    2. Persons referred to in Article 14 who engage in
periods for individual cases, particularly where use is        the bottling of wine shall keep a turnover record on
made of the provisions of Article 16 (3 ).                     which shall be entered the nature and quantities of
                                                               the products used, the number of the vats concerned,
                                                               the number of bottles filled and their capacity, the
                      Article 18                               date of the operation, the number of the
                                                               accompanying document or an other supporting
                                                               document.
1.    Member States may authorize producers to use
the reverse side of the declaration of stocks and
harvests as records .                                          Member States may authorize already existing
                                                               records to be adapted for this purpose.
2.    Member States may authorize dealers who are
not engaged in any of the processes listed in Article          3 . For the records referred to in the preceding
19 to use the totality of their accompanying                   paragraphs, the provisions of Articles 15 and 16 (3 )
documents or, where these are not drawn up, of their           shall also apply.
invoices as records .
3.    Whatever the form of the records, Member                                         Article 20
States shall determine the method of entering :
                                                                1.    Persons referred to in Article 14 shall enter in
— the personal consumption of the producer or                  the relevant records the actual losses sustained by a
    dealer                                                     product during warehousing and those resulting from
                                                               the various processing operations which it has
— any changes in volume of the product, including               undergone. Member States shall determine the maxi­
    those brought about by natural causes.                      mum percentages of losses resulting from evapora­
                                                               tion, warehousing and the various processing methods.
                      Article 19
                                                                2.    Member States shall take all measures necessary
                                                                to control the application of paragraph 1 . Whatever
 1.   Persons referred to in Article 14 who engage in           the form of the records, they shall determine the
certain processing activities as regards products               method of entering the actual losses .
covered by Article 1 shall keep a record for each
process on which all details shall be entered.
                                                                                       Article 21
The processes are as follows :
                                                                1 . The competent bodies shall verify at least twice
— the production of sparkling wine                             yearly the accuracy both of the particulars on the
— the production of aerated sparkling wine                      accompanying documents and of those contained in
                                                               the records, and the consistency of these particulars
— the production of semi-sparkling wine                        with the operations carried out.
— the production of aerated semi-sparkling wine
                                                                2.    Persons referred to in Article 14 shall at all
— the production of liqueur wine
                                                                times facilitate the verification provided for in
— the production of wines fortified for distillation            paragraph 1 and permit access to their wine-making
— other cases involving the addition of alcohol                 plants and professional and trading premises by the
                                                                representatives of the authorities responsible for these
— the production of vinegar                                     verifications or their duly authorized representatives .
 ---pagebreak--- 916                                 Official Journal of the European Communities
                       Article 22                              3.    Where on a record one or more accounts have
                                                               not been exhausted and refer to insignificant
Member States may formulate stricter requirements              quantities of wine, these accounts may be entered on
for keeping and controlling records .                          another record and the statement of this entry made
                                                               on the original record.
                        TITLE III                              In this case, the period of 5 years referred to in
                                                               paragraph 2 shall begin the day of this entry.
           Transitional and general provisions
                                                                                      Article 26
                        Article 23
Up to 31 August 1973 Member States may make the                1 . For the purposes of this Regulation, 'producer'
producers or dealers responsible for the duties                means the natural or legal persons as defined in
assigned to the Member States in Article 2 and to the          Article 3 of Regulation No 134.
competent agencies in Article 4.
                                                               2.    For the purposes of this Regulation, 'retailer'
                       Article 24
                                                               means a wine merchant as defined in Article 4 of
                                                               Regulation No 134.
Each Member State may, for the application of its
legislation or of national procedures answering other
purposes, require particulars other than those                                        Article 27
mentioned on the accompanying document. In this
case these particulars shall be entered in Section 23 .        Member States shall communicate to the Commission
                                                               without delay the measures taken for the application
                                                               of this Regulation.
                        Article 25
1.    The accompanying documents must be kept for                                     Article 28
at least 5 years.
                                                               This Regulation shall enter into force on the third
2. The records provided for in this Regulation and             day following its publication in the Official Journal
the document concerning the operations entered                 of the European Communities.
therein must be kept for at least 5 years after the
stocks to which they refer have been, exhausted.               It shall apply from 1 January 1973 .
              This Regulation shall be binding in its entirety and directly applicable in all Member
              States.
              Done at Brussels, 26 July 1972.
                                                                                   For the Commission
                                                                                      The President
                                                                                    S. L. MANSHOLT
 ---pagebreak---                                    To accompany the products and to              THE EUROPEAN COMMUNITIES                                 +          No A 000000
  V.A.1                               be delivered to the consignee
                                   1 Consignor ( name and address in full )                               5 Competent agency
                       (Λ
                       Φ
                       C
                       £
      UI               73
      —                ω
      £                -:
                       (/)         2 Consignee ( name and address in full )                               6 Service or local office to which the consignor is responsible
     oc                ri.
     O                 W
    u.                 Φ
                       c
     H                "> c
     2 quality wines
    S
     DOCUMENT qual     co ~
                             ity
    3                  2-2
    O
    S
    Q
                      than for     3 Transporter ( name and address in full )                                                          7 Document drawn up
    O                  other <1>
                                                                                                                                          on                              I
    s -I                                                                                                                                  No
    *2 prSi            oducts­                                                                                 !    stamp    ;
     AC OMPANYING      S
     Q.               Ό
     Ξ i
    °O ¿r
                       £           4 Means of transportation on departure :                                                                     ( Signature of consignor)
     O                Έ
                                     type ( lorry, railway wagon , boat, aeroplane etc. ) :               8 Customs document if any
     < I                                                                                                     form
                       ε
                       o
                      O              number :                                                                 No                           of
                                     or name :                                                               from customs office
                                                                                 9 TRANSPORTED PRODUCTS
                                                                                              1 2 Actual
                                                                                                             1 3 Total
  1 0 Number and                                                                              alcoholic                                1 5 Wine­
                   nature of               11 Description according to the relevant                          alcoholic    14 Special                   1 6 Quantity
                                                                                              strength                                 growing
                                                provisions                                                   strength     particulars                      ( in figures)
                  packages                                                                    Acetic                                   zone
                                                                                              content
                                                                                                             Density
                                           I:
  1 7 Total quantity                                                                                                                       18                                I
                  ( in words)                                                                                                            Totals
                                           kg :
                                                                                                                                                                            kg
  19 Transportation departed                               To be completed only for intra-Community trade                                 22 Date and hour of the deadline
                  on                                       20 Date and hour , of the deadline     21 Transportation departed
                                                                                                                                             for arrival at the following
                                                                                                                                             place of unloading
                              at I      I hr I                for arrival at the following           on    I        I
                                                              customs office of departure
                                                                                                           at            hr
                  from the following place of
                                                                                                     from the following customs
                  loading                                                                            office of destination                   on
                                                              on
                                                                                                                                                    at              hr
                                                                                  hr
  23 RESERVED FOR THE COMPETENT AUTHORITIES
See notes overleaf
+ Space for indication of issuing Member State (see Article 2 (4)).
 ---pagebreak---                                             24 ANY CHANGES IN MEANS OF TRANSPORTATION
25 Date                26 New means of transportation                   27 New transporter ( name and address in full )
                       Type :
                       No or name :
                       Type :
                       No or name :
                       Type :
                       No or name :
                       Type:
                       No or name :
                                               28 ANY INCIDENTS DURING TRANSPORTATION
29 Statement of the facts and the measures taken                                          30 Visa of the competent authorities
                                                                       NOTES
   Dates shall be entered in the following order : the day, represented by a number 01 to 31 , the month by a number 01 to 12 and the year
   by the last two figures of the year in question ( 72 etc.). Hours shall be entered in the following order : the hour, represented by a number
   00 to 24, and the minutes by a number 00 to 60.
 ---pagebreak---   VAI
  V.A.1                                       Control Copy                     THE EUROPEAN COMMUNITIES                              +            No A 000000
                                                                                                                                                  No A 000000
                                1   Consianor ( name and address in fullt                             5 Comoetent aaencv
                     (/)
                     0)                                                                                                                                                   0
                      C
                   wines
     LU            -Q
     5               ë
                     w          2 Consignee ( name and address in full )                              6 Service or local office to which the consignor is responsible
    oc               ¿
    O                IO
    IL               <D
                     C
    H-             '> c
    z                ςs
    S                CD ~
    D                = .to
    u
    ® JS o                      3 Transporter ( name and address in full )                                                         7 Document drawn up
    AC OMPANYI G ί ω                                                                                       ;               j         on                I                I
    Ml
    2               J» 11"
                                                                                                           !
                                                                                                           :    stamp
                                                                                                                           I          Νο
    2 =
    Q-             products
                                                                                                           !               !                                     '
    2                2
    Q                Q-                                                                                    ί                ·
    O                >■         4 Means of transportation on departure :                                                                     ( Signature of consignor)
    g §              C
                                    type (lorry, railway wagon, boat, aeroplane etc.) :               8 Customs document if any
                     I                                                                                   form
                   o                number :                                                              No                           of              |
                                    ornarne :                                                            from customs office
                                                                               9 TRANSPORTED PRODUCTS
                                                                                          12 Actual
                                                                                                         1 3 Total
  10 Number and                                                                           alcoholic                                15 Wine­
                nature of                11 Description according to the relevant                        alcoholic     1 4 Special                   1 6 Quantity
                                                                                          strength                                 growing
                                              provisions                                                 strength      particulars                       ( in figures )
                packages                                                                  Acetic                                   zone
                                                                                          content
                                                                                                         Density
                                         I:
  1 7 Total quantity                                                                                                                   18                                    I
                ( in words )                                                                                                        Totals
                                         kg :
                                                                                                                                                                            kg
  19 Transportation departed                             To be completed only for intra-Community trade                              22 Date and hour of the deadline
                on          I     i         I            20 Date and hour of the deadline     21 Transportation departed
                                                                                                                                          for arrival at the following
                                                                                                                                          place of unloading
                             at         hr                  for arrival at the following         on    I
                                                            customs office of departure
                from the following place of                                                            at             hr
                                                                                                 from the following customs
                loading                                                                          office of destination                    on
                                                            on
                                                                                                                                                  at               hr
                                                                                hr
  23 RESERVED FOR THE COMPETENT AUTHORITIES
See notes overleaf
+ Space for indication of issuing Member State (see Article 2 (4)).
 ---pagebreak---  ---pagebreak---                                                         To accompany the products and to             THE EUROPEAN COMMUNITIES                                        +                 No A 000000
 V . A.2                                                  be delivered to the consignee
                                                        1 Consignor ( name and address in full )                                 5 Competent agency
   ACCOMPANYING DOCUMENT FOR WINE
                                                        2 Consignee ( name and address in full )                                 6 Service or local office to which the consignor is responsible
                                          .p.s.r
                                         wines
                                                        3 Transporter ( name and address in full )                                                                  7 Document drawn up
                                         Quality
                                                                                                                                                                      on |
                                                                                                                                                                     . No
                                                                                                                                             stamp
                                                        4 Means of transportation on departure :                                                                                   ( Signature. of consignor )
                                                          type (lorry, railway wagon , boat, aeroplane etc .)                    8 Customs document if any
                                                                                                                                      form
                                                             number :                                                                 No                                 of
                                                             or name :                                                                from customs office
                                                                                                     9 TRANSPORTED PRODUCTS
                                                                                                                   12 Actual
                                                                                                                                      1 3 Total
  10 Number and                                                                                                    alcoholic                                        15 Wine­
                                                                 11 Description according to the relevant                             alcoholic       14 Special                         1 6 Quantity
     nature of                                                                                                     strength                                         growing
                                                                    provisions                                                        strength        particulars                            ( in figures )
                                    packages                                                                       Acetic                                           zone
                                                                                                                   content
                                                                                                                                      Density
                                                                 I:
  17 Total quantity                                                                                                                                                    18                                        I
                                    ( in words)                                                                                                                      Totals
                                                                 kg :
                                                                                                                                                                                                                 kg
  19 Transportation departed                                                   To be completed only for intra-Community trade                                         22 Date and hour of the deadline
                                    on             i     i                      20 Date and hour of the deadline      21 Transportation departed                            for arrival at the following
                                                                                                                                                                            place of unloading
                                                   at           hr
                                                                                   for arrival at the following             on    I
                                                                                   customs office of departure
                                                                                                                                  at                 hr
                                    from the following place of
                                                                                                                            from the following customs
                                    loading                                                                                 office of destination                             on                I
                                                                                   on
                                                                                                     hr
                                                                                                                                                                                      at j           i hr ¡
  23 RESERVED FOR THE COMPETENT AUTHORITIES
See notes overleaf
+ Space for indication of issuing Member State (see Article 2 (4)).
 ---pagebreak---                                             24 ANY CHANGES IN MEANS OF TRANSPORTATION
25 Date                26 New means of transportation                    27 New transporter ( name and address in full )
                       Type :
                       No or name :
                       Type:
                       No or name :
                       Type :
                       No or name :
                       Type :
                       No or name :
                                              28 ANY INCIDENTS DURING TRANSPORTATION
29 Statement of the facts and the measures taken                                           30 Visa of the competent authorities
                                   0
          9
                                                                       NOTES .
   Dates shall be entered in the following order : the day, represented by a number 01 to 31 , the month by a number 01 to 12 and the year
   by the last two figures of the year in question ( 72 etc .). Hours shall be entered in the following order : the hour, represented by a number
   00 to 24, and the minutes by a number 00 to 60 .
 ---pagebreak---                                                                               Control Copy                    THE EUROPEAN COMMUNITIES                                        +               No A 000000
 V.A.2
                                                           1 Consignor ( name and address in full )                                       5 Competent agency
   ACCOMPANYING DOCUMENT FOR WINE
                                                           2 Consignee ( name and address in full )                                       6 Service or local office to which the consignor is responsible
                                          .p.s.r
                                         wines
                                                           3 Transporter ( name and address in full )                                                                        7 Document drawn up
                                         Quality
                                                                                                                                                                               on I               i        T
                                                                                                                                                                               No
                                                                                                                                                      stamp
                                                           4 Means of transportation on departure :                                                                                     ( Signature of consignor )
                                                             type ( lorry, railway wagon , boat, aeroplane etc .)                         8 Customs document if any
                                                                                                                                               form
                                                                 number :                                                                      No                                 of
                                                                 or name :                                                                     from customs office
                                                                                                             9 TRANSPORTED PRODUCTS
                                                                                                                            1 2 Actual
                                                                                                                                               1 3 Total
  10 Number and                                                                                                             alcoholic                                        15 Wine­
                                                                     1 1 Description according to the relevant                                 alcoholic       14 Special                       1 6 Quantity
                                    nature of                                                                               strength                                         growing
                                                                         provisions                                                            strength        particulars                          ( in figures )
                                    packages                                                                                Acetic
                                                                                                                            content
                                                                                                                                               Density
                                                                     I:
  17 Total quantity                                                                                                                                                             18                                    I
                                    ( in words)                                                                                                                               Totals
                                                                     kg :
                                                                                                                                                                                                                      kg
  19 Transportation departed                                                            To be completed only for intra-Community trade                                        22 Date and hour of the deadline
                                    on             II       iI            I             20 Date and hour of the deadline       21 Transportation departed
                                                                                                                                                                                    for arrival at the following
                                                                                             for arrival at the following
                                                                                                                                                                                    place of unloading
                                                    at I           Ihr I                                                             on    I          I            i
                                                                                             customs office of departure
                                                                                                                                           at                 hr
                                    from the following place of
                                                                                                                                     from the following customs
                                    loading
                                                                                             on
                                                                                                                                     office of destination                             on I            j          j
                                                                                                                                                                                           at                hr
                                                                                                              hr
  23 RESERVED FOR THE COMPETENT AUTHORITIES
See notes overleaf
+ Space for indication of issuing Member State (see Article 2 (4)).
 ---pagebreak---  ---pagebreak---                                                                                                            To accompany the products and to                THE EUROPEAN COMMUNITIES                                       +                 No A 000000
 V.A.3                                                                                                        be delivered to the consignee
                                                                                                           1 Consignor (name and address in full )                                     5 Competent agency
                                      Imported products other than wines fortified for distillation
   ACCOMPANYING DOCUMENT FOR WINE
                                                                                                           2 Consignee ( name and address in full )                                    6 Service or local office to which the consignor . is responsible
                                                                                                           3 Transporter ( name and address in full )                                                                    7 Document drawn up
                                                                                                                                                                                                                           on I                   i        T
                                                                                                                                                                                                                           No
                                                                                                                                                                                                   stamp
                                                                                                           4 Means of transportation on departure :                                                                                     ( Signature of consignor )
                                                                                                                type ( lorry, railway wagon , boat, aeroplane etc .) :                 8 Customs document if any
                                                                                                                                                                                            form
                                                                                                                number : .                                                                  No                                of
                                                                                                                or name :                                                                   from customs office
                                                                                                                                                           9 TRANSPORTED PRODUCTS
                                                                                                                                                                         12 Actual
                                                                                                                                                                                            1 3 Total
  10 Number and                                                                                                                                                          alcoholic                                       15 Wine­
                                    nature of                                                                       11 Description according to the relevant                                alcoholic      14 Special                           1 6 Quantity
                                                                                                                                                                         strength                          particulars   growing
                                                                                                                       provisions                                                           strength                                                ( in figures)
                                    packages                                                                                                                             Acetic                                          zone
                                                                                                                                                                         content
                                                                                                                                                                                            Density
                                                                                                                     I:
  17 Total quantity                                                                                                                                                                                                         18                                       I
                                    ( in words)                                                                                                                                                                           Totals
                                                                                                                     kg :
                                                                                                                                                                                                                                                                     kg
  19 Transportation departed                                                                                                         To be completed only for intra-Community trade                                        22 Date and hour of the deadline
                                                                                                                                                                                                                                for arrival at the following
                                    on I                                                                    j             j           20 Date and hour of the deadline      21 Transportation departed
                                                                                                                                                                                                                                place of unloading
                                                                                                      at            hr
                                                                                                                                         for arrival at the following             on    I          II        i
                                                                                                                                         customs office of departure
                                    from the following place of                                                                                                                         at I            | hr I
                                                                                                                                                                                  from the following customs
                                    loading                                                                                                                                       office of destination                            on
                                                                                                                                         on
                                                                                                                                                                                                                                           at               hr
                                                                                                                                                            hr
  23 RESERVED FOR THE COMPETENT AUTHORITIES
See notes overleaf
+ Space for indication of issuing Member State (see Article 2 (4)).
 ---pagebreak---                                             24 ANY CHANGES IN MEANS OF TRANSPORTATION
25 Date                26 New means of transportation                  27 New transporter (name and address in full )
                       Type :
                       No or name :
                       Type :
                       No or name :
                       Type :
                       No or name :
                       Type :
                       No or name :
                                               28 ANY INCIDENTS DURING TRANSPORTATION
29 Statement of the facts and the measures taken                                         30 Visa of the competent authorities
                                                                      NOTES
   Dates shall be entered in the following order : the day, represented by a number 01 to 31 , the month by a number 01 to 12 and the year
   by the last two figures of the year in question (72 etc.)- Hours shall be entered in the following order : the hour, represented by a number
   00 to 24, and the minutes by a number 00 to 60.
 ---pagebreak---  Λ/ Δ3                              Control Copy                     THE EUROPEAN COMMUNITIES                             +           No A 000000
                    1   Consianor ( name and address in full )                            5 ComDetent aaencv
           c
           o
          ♦S
   tu     —
   S      S
   ^      T3
           j=       2 Consignee (name and address in full )                               6 Service or local office to which the consignor is responsible
   te     a
   0      -o
   U.      ω
          »H
   H      Έ
   Z       o
   UJ     —
    *-     w
   ¡ .f
    a      5
   §       g        3 Transporter (name and address in full)                                                            7 Document drawn up
   « f                                                                                          !               !          on I          I         I      I
   1>· Io                                                                                       j      .
                                                                                                                j          No
    Z      w                                                                                    i    stamP      i
    <     t3                                                                                    i
          -S                                                                                    !               )
    2      o
    O     ή         4 Means of transportation on departure :                                                                     (Signature of consignor)
    § t                 type (lorry, railway wagon, boat, aeroplane etc.) :                8 Custops document if any ·
           p-                                                                                 form
          ~             number :                                                               No                           of           |
                        ornarne :                                                             from customs office
                                                                     9 TRANSPORTED PRODUCTS
                                                                               1 2 Actual
                                                                                              1 3 Total
  10 Number and                                                                alcoholic                                15 W ne­
       nature of             1 1 Description according to the relevant                        alcoholic     14 Special                 1 6 Quantity
                                                                               strength                     particulars growing
                                   provisions                                                 strength                                     ( in figures)
       packages                                                                Acetic                                   zone
                                                                               content
                                                                                              Density
                              I:
  17 Total quantity                                                                                                         18                               I
       (in words)                                                                                                        Totals
                              kg :
                                                                                                                                                            kg
  19 Transportation departed                  To be completed only for intra-Community trade                              22 Date and hour of the deadline
       on     I       I          I            20 Date and hour of the deadline     21 Transportation departed                 for arrival at the following
                                                                                                                              place of unloading
              at            hr                    for arrival at the following        on    I        I        j
                                                  customs office of departure
       from the following place of                                                          at             hr
                                                                                      from the following customs
       loading                                                                        office of destination                   on
                                                  on
                                                                                                                                    at               hr
                                                                      hr
  23 RESERVED FOR THE COMPETENT AUTHORITIES
See notes overleaf
+ Space for indication of issuing Member State (see Article 2 (4)).
 ---pagebreak---  ---pagebreak---                                                                                  To accompany the products and to                THE EUROPEAN COMMUNITIES                                       +              No A 000000
 V.A.4                                                                                be delivered to the consignee
                                                                                 1 Consignor ( name and address in full )                                   5 Competent agency
   ACCOMPANYING DOCUMENT FOR WINE
                                                                                 2 Consignee ( name and address in full )                                   6 Service or local office to which the consignor is responsible
                                         Wines fortified for distillation
                                                                                 3 Transporter ( name and address in full )                                                                    7 Document drawn up
                                                                                                                                                                                                 on I                I        T
                                                                                                                                                                                                 No
                                                                                                                                                                         stamp
                                                                                 4 Means of transportation on departure :                                                                                  ( Signature of consignor)
                                                                                      type ( lorry, railway wagon , boat, aeroplane etc .)                  8 Customs document if any
                                                                                                                                                                  form
                                                                                      number :                                                                    No                              of
                                                                                      or name :                                                                   from customs office
                                                                                                                                9 TRANSPORTED PRODUCTS
                                                                                                                                              1 2 Actual
                                                                                                                                                                  13 Total
  1 0 Number and                                                                                                                              alcoholic                                        1 5 Wine­
                                    nature of                                             11 Description according to the relevant                                alcoholic      14 Special                        1 6 Quantity
                                                                                                                                              strength                                         growing
                                                                                             provisions                                                           strength       particulars                           ( in figures)
                                    packages                                                                                                  Acetic                                           zone
                                                                                                                                              content
                                                                                                                                                                  Density
                                                                                           I:
  17 Total quantity                                                                                                                                                                               18                                   I
     ( in words)                                                                                                                                                                                Totals
                                                                                           kg :
                                                                                                                                                                                                                                       kg
  19 Transportation departed                                                                               To be completed only for intra-Community trade                                        22 Date and hour of the deadline
                                    on                                      I     I                        20 Date and hour of the deadline                                                           for arrival at the following
                                                                                                                                                 21 Transportation departed
                                                                                                                                                                                                      place of unloading
                                                                            at           hr
                                                                                                              for arrival at the following             on    II          Ii       i
                                                                                                              customs office of departure
                                    from the following place of                                                                                              at I             Ihr I
                                                                                                                                                       from the following customs
                                    loading                                                                                                            office of destination              '           on
                                                                                                               on
                                                                                                                                                                                                              at               hr
                                                                                                                                 hr
  23 RESERVED FOR THE COMPETENT AUTHORITIES
See notes overleaf
+ Space for indication of issuing Member State (see Article 2 (4)).
 ---pagebreak---                                                  24 ANY CHANGES IN MEANS OF TRANSPORTATION
25 Date                    26 New means of transportation                    27 New transporter ( name and address in full )
                           Type:
                           No or name :
                           Type :
                            No or name :
                           Type :
                           No or name :
 • -is-afeé                Type :
                           No or name :                                 \
                                                   28 ANY INCIDENTS DURING TRANSPORTATION
29 Statement of the facts and the measures taken                                               30 Visa of the competent authorities
                                                                                               ■
                                                                            NOTES
        Dates shall be entered in the following order : the day, represented by a number 01 to 31 , the month by a number 01 to 12 and the year
        by the last two figures of the year in question ( 72 etc.). Hours shall be entered in the following order : the hour, represented by a number
       00 to 24, and the minutes by a number 00 to 60.
 ---pagebreak---                                    Control Copy                      THE EUROPEAN COMMUNITIES                             +          No A 000000
 V. A. 4
                     1 Consignor ( name and address in full )                              5 Competent agency
   U1
   2
   i
   oc
                     2 Consignee ( name and address in full)                               6 Service or local office to which the consignor is responsible
   ε s
   ë i
   z i           .
   S
   O       s
          H­
   O      -O
                    3 Transporter ( name and address in full )                                                          7 Document drawn up
   Q      £
   O       ^                                                                                                               on
   T»
   Z       °
          ··­
   c       w
                                                                                                                           No
   >       a>
   Z      .E                                                                                    !    stamp      ¡
   2 *
   Έ
   O
   o                4 Means of transportation on departure :                                                                     (Signature of consignor)
   o
   <                    type ( lorry, railway wagon , boat, aeroplane etc. ) :             8 Customs doõument if any
                                                                                              form                                                      i
                        number :                                                              No                            of           I
                        or name :                                                             from customs office
                                                                     9 TRANSPORTED PRODUCTS
                                                                               1 2 Actual
                                                                                              13 Total
  10 Number and                                                                alcoholic                                15 Wine­
      nature of              1 1 Description according to the relevant                        alcoholic     14 Special                 1 6 Quantity
                                  provisions                                   strength       strength      particulars growing
                                                                                                                                           ( in figures)
      packages                                                                 Acetic                                   zone
                                                                               content
                                                                                              Density
                              I:
  17 Total quantity                                                                                                         18                                1
      ( in words)                                                                                                        Totals
                              kg :
                                                                                                                                                           i kg
  19 Transportation departed                  To be completed only for intra-Community trade                              22 Date and hour of the deadline
      on              I                       20 Date and hour of the deadline     21 Transportation departed
                                                                                                                              for arrival at the following
                                                                                                                              place of unloading
                                                  for arrival at the following
              at            hr
                                                  customs office of departure
                                                                                      on    I        i
      from the following place of                                                           at j           hr I
                                                                                      from the following customs
      loading                          ,                                              office of destination                   on               I
                                                  on
                                                                                                                                    at             | hr
                                                                      hr
  23 RESERVED FOR THE COMPETENT AUTHORITIES
                                                               •i
See notes overleaf
+ Space for indication of issuing Member State (see Article 2 (4)).
 ---pagebreak---  ---pagebreak---                                                                                                                 To accompany the products and to             THE EUROPEAN COMMUNITIES                                        +              No A 000000
 V.A.5                                                                                                            be delivered to the consignee
                                                                                                                1 Consignor ( name and address in full )                                 5 Competent agency
                                          Community products other than wines fortified for distillation
    ACCOMPANYING DOCUMENT FOR WINE
                                                                                                                2 Consignee ( name and address in full )                                 6 Service or local office to which the consignor is responsible
                                                                                                                3 Transporter ( name and address in full )                                                                  7 Document drawn up
                                                                                                                                                                                                                              on I                i        T
                                                                                                                                                                                                                              No
                                                                                                                                                                                                      stamp
                                                                                                                4 Means of transportation on departure :                                                                                ( Signature of consignor)
                                                                                                                  type ( lorry, railway wagon , boat, aeroplane etc .)                   8 Customs document if any
                                                                                                                                                                                               form
                                                                                                                     number :      :                                                           No                                of
                                                                                                                     or name :                                                                 from customs office
                                                                                                                                                             9 TRANSPORTED PRODUCTS
                                                                                                                                                                           12 Actual
                                                                                                                                                                                               1 3 Total
  1 0 Number and                                                                                                                                                           alcoholic                                        15 Wine­
      nature of                                                                                                          11 Description according to the relevant                              alcoholic      14 Special                        1 6 Quantity
                                                                                                                                                                           strength                                         growing
                                                                                                                            provisions                                                         strength       particulars                           ( in figures)
                                     packages                                                                                                                              Acetic                                           zone
                                                                                                                                                                           content
                                                                                                                                                                                               Density
                                                                                                                         I:
  17 Total quantity                                                                                                                                                                                                            18                                   I
     ( in words )                                                                                                                                                                                                            Totals
                                                                                                                         kg :
                                                                                                                                                                                                                                                                    kg
  19 Transportation departed                                                                                                            To be completed only for intra-Community trade                                       22 Date and hour of the deadline
                                     on                                                                    I     I            I         20 Date and hour of the deadline                                                           for arrival at the following
                                                                                                                                                                              21 Transportation departed
                                                                                                                                                                                                                                   place of unloading
                                                                                                           at           hr
                                                                                                                                          • for arrival at the following            on    II          Ii        i
                                                                                                                                            customs office of departure
                                 from the following place of                                                                                                                              at j             | hr I
                                                                                                                                                                                    from the following customs
                                     loading                                                                                                                                        office of destination                          on
                                                                                                                                           on
                                                                                                                                                                                                                                           at               hr
                                                                                                                                                             hr
  23 RESERVED FOR THE COMPETENT AUTHORITIES
See notes overleaf
+ Space for indication of issuing Member State (see Article 2 (4)).
 ---pagebreak---                                             24 ANY CHANGES IN MEANS OF TRANSPORTATION
25 Date                26 New means of transportation                  27 New transporter ( name and address in full )
                      Type :
                       No or name :
                      Type :
                       No or name :
                      Type :
                       No or name :
                      Type :
                       No or name :
                                               28 ANY INCIDENTS DURING TRANSPORTATION
29 Statement of the facts and the measures taken                                         30 Visa of the competent authorities
                                                                       NOTES
   Dates shall be entered in the following order : the day, represented by a number 01 to 31 , the month by a number 01 to 12 and the year
   by the last two figures of the year in question (72 etc.). Hours shall be entered in the following order : the hour, represented by a number
   00 to 24, and the minutes by a number 00 to 60 .
 ---pagebreak---   VA                                 5                Control Copy                     THE EUROPEAN COMMUNITIES                                +           No
                                                                                                                                                           NO AA 000000000000
  V.A.5
                                       1 Consianor fname and address in fiilis                               R finmpfitent agency
                         c
                         o
                      distil ation
                        (O
     LU             ~
     Z              distil ation
     1 "Z                                        ;                                                                                                                :
                    £                  2 Consignee ( name and address in full )                              6 Service or local office to which the consignor is responsible
     O              "S
     u-             E
     £
     Z                  o
                   DOCUMENT
    fortif ed §
    §g 5I                              3 Transporter (name and address in full)
                                                                                                                                           , 7 Document drawn up
     O                 ®                                                                                          !                !            on            I                I
    p S                                                                                                           I                !            No
    2 %                                                                                                           j    stamP       j
    ACCOMPANYING products
     O.            products
    s                  2
    Q                                                                                                                              !
     O                                 4 Means of transportation on departure :                                                                       (Signature of consignor)
    % I                                   type (lorry, railway wagon, boat, aeroplane etc.) :                8 Customs document if any
                      E                                                                            :            form
                      o                       ,                                                                                                               i
                  o                       number :                                                              No                               of           |
                                          ornarne :                                                             from customs office
                                                                                      9 TRANSPORTED PRODUCTS
                                                                                                 12 Actual
                                                                                                                1 3 Total
   10 Number and                                                                                 alcoholic                                   15 W ne­
              nature of                       11 Description according to the relevant                          alcoholic      14 Special                   1 6 Quantity
                                                     provisions                                  strength                                    growing
              packages                                                                           Acetic
                                                                                                                strength       particulars   zone
                                                                                                                                                                ( in figures)
                                                                                                 content
                                                                                                                Density
                                               I :
  17 Total quantity                                                                                                                              18                               I
             ( in words)                                                                                                                      Totals
                                              kg :
                                                                                                                                                                                 kg
  19 Transportation departed                                    To be completed only for intra-Community trade                                 22 Date and hour of the deadline
             on                    I    i          I            20 Date and hour of the deadline     21 Transportation departed                    for arrival at the following
                                                                   for arrival at the following                                                    place of unloading
                                   at        hr
                                                                   customs office of departure
                                                                                                        on    I        i
             from the following place of                                                                      at I         | hr I
             loading                                                                                    from the following customs
                                                                                                        office of destination                      on
                                                                   on
                                                                                                                                                         at              hr
                                                                                       hr
  23 RESERVED FOR THE COMPETENT AUTHORITIES
See notes overleaf
+ Space for indication of issuing Member State (see Article 2 (4)).