Cbp Form 3347 - Us Customs And Border Protection
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2OMB No. 1651-0093
DEPARTMENT OF HOMELAND SECURITY
Exp. 07-31-2016
U.S. Customs and Border Protection
DECLARATION OF OWNER
FOR MERCHANDISE OBTAINED (OTHERWISE THAN) IN PURSUANCE
OF A PURCHASE OR AGREEMENT TO PURCHASE
19 CFR 24.11(a)(1), 141.20
This declaration must be presented at the port of entry within 90 days after the date of entry in order to comply with Section 485(d), of the
Tariff Act of 1930. LINE OUT EACH PHRASE SHOWN IN ITALICS NOT APPLICABLE TO THIS DECLARATION.
1. NAME OF OWNER
2. ADDRESS OF OWNER (STREET, CITY, STATE, ZIP CODE)
3. SUPERSEDING BOND SURETY CODE
6. IMPORTER NUMBER OF AUTHORIZED AGENT
4. PORT OF ENTRY
5. PORT CODE
7. VESSEL/CARRIER ARRIVED FROM
(SHOW HYPHENS)
8. IMPORTER NUMBER OF OWNER
9. ENTRY NUMBER
10. DATE OF ENTRY
11. DATE OF ARRIVAL
(SHOW HYPHENS)
I, the undersigned, representing the above named owner in the capacity indicated herein, declare that they are the actual owners for CBP purposes of the
merchandise covered by the entry identified in Blocks 9 and 10 above, and that they will pay all additional and increased duties thereon pursuant to Section
485(d), of the Tariff Act of 1930, and that such entry exhibits a full and complete account of all the merchandise imported by them in the vessel identified in
the entry and obtained by them (otherwise than) in pursuance of a purchase, or an agreement to purchase, except as listed in columns 20-26 below.
I also declare to the best of my knowledge and belief that all statements appearing in the entry and in the invoice or invoices and other documents
presented therewith and in accordance with which the entry was made, are true and correct in every respect; that the entry and invoices set forth the true
prices, values, quantities, and all information as required by the law and the regulations made in pursuance thereof; that the invoices and other documents
are in the same state as when received; that I have not received and do not know of any other invoice, paper, letter, document, or information showing a
different currency, price, value, quantity, or description of the said merchandise; and that if any time hereafter I discover any information showing a different
state of facts, I will immediately make the same known to the Port Director of CBP at the port of entry.
I further declare, if the merchandise was entered by means of a seller's or shipper's invoice, that no CBP invoice for any of the merchandise covered by the
said seller's or shipper's invoice can be produced due to causes beyond my control, and that if entered by means of a statement of the value or the price
paid in the form of an invoice it is because neither seller's, shipper's, nor CBP invoice can be produced at this time.
12. EXCEPTIONS (IF ANY)
13. NOMINAL CONSIGNEE OR AUTHORIZED AGENT
FILED BY:
14. I REQUEST THAT:
BILLS, REFUNDS, AND NOTICES OF LIQUIDATION
BILLS ONLY
CHECKS FOR REFUNDS ONLY
NOTICES OF LIQUIDATION ONLY
BE ADDRESSED TO ME IN CARE OF THE AUTHORIZED AGENT WHOSE IMPORTER NUMBER IS SHOWN ABOVE.
15. SIGNATURE OF PRINCIPAL MEMBER OF FIRM
16. DATE
17. ADDRESS OF PRINCIPAL MEMBER OF FIRM (STREET, CITY,
STATE, ZIP CODE)
X
18. TITLE
5106
19. EXECUTE THIS PORTION ONLY IF OWNER DOES NOT HAVE AN IMPORT NUMBER (I.E., HAS NOT FILED CBP FORM
)
IRS EMPLOYER NUMBER OF FIRM OWNER
SUFFIX
NAME
OR IF NO EMPLOYER NUMBER: SSN OF INDIVIDUAL OWNER
ADDRESS (STREET, CITY, STATE, ZIP CODE)
OR IF NEITHER OF THE ABOVE NUMBERS: CUSTOMS SERIAL NUMBER
NOTE: IF OWNER HAS NO IRS OR SOCIAL SECURITY NUMBER OR
A CBP SERIAL NUMBER HAS NOT BEEN PREVIOUSLY ASSIGNED,
FILE AN ADDITIONAL COPY OF THIS FORM. THE COPY WILL BE
RETURNED TO OWNER WITH A CBP SERIAL NUMBER ASSIGNED.
SUCH NUMBER SHALL BE USED BY OWNER IN ALL FUTURE CBP
TRANSACTIONS REQUIRING THE IMPORTER NUMBER.
20.
21.
22.
23.
24.
25.
26.
NUMBER OF
SELLER OR
PLACE AND DATE
AMOUNT PAID OR TO BE
RATE OF
ENTERED VALUE
ENTERED VALUE
PACKAGES
SHIPPER
OF INVOICE
PAID IN FOREIGN CURRENCY
EXCHANGE
(FOREIGN CURRENCY)
(U.S. DOLLARS)
CBP Form 3347 (07/14)
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