APPLICATION TO PORT DIRECTOR U.S. CUSTOMS SERVICE
TO FILE C.F. 301 — CONTINUOUS
Bond Serial No:
CHB Name:
Importer Name:
Importer Number:
Street:
City:
State:
Zip:
Describe Merchandise (Attach additional sheet if necessary)
Country of Origin
1.
2.
3.
4.
5.
6.
Last Calendar Year
Estimate Next Calendar Year
Type Merchandise
Value
Est. Duties
No. Entries
Value
Est. Duties
No. Entries
Dutiable
Conditionally Free
Unconditional Free
$0.00
$0.00
0
$0.00
$0.00
Total
0
Total amount of Penalties & Liquidation Damages assessed:
Total number of cases:
Importer requests that customs approve the filing of C.F. 301
Continuous in an amount determined by Customs to be effective on:
Activity
Activity Name and Customs Regulation in
Bond Amount
Activity
Activity Name and Customs Regulation
Bond Amount
Code
which conditions codified
Requested
Approved
Code
in which conditions codified
Requested Approved
1
Importer or Broker………….....113.62
3
International Carrier…………113.64
1a
Drawback Payment Refunds.. 113.65
3a
Instrument of International
Traffic…………………………113.66
2
Custodian of Bonded
4
Foreign Trade Zone
Merchandise …………………..113.63
Operator……………………...113.73
(Includes bonded carriers, freight
5
Public Gauger………………..113.67
forwarders, cartmen and lightermen,
all classes of warehouses, container
station operators)
U.S. Customs district where bond is to be filed:
Other districts through which I will import:
LIST CURRENT ANNUAL BONDS (Attach additional sheet if necessary)
BOND TYPE
BOND AMOUNT
EFFECTIVE DATE
SURETY
WHERE FILED
1.
2.
3.
4.
5.
State of Incorporation:
Years in
Business
Local district additional information:
Proprietorship
Partnership
Corporation
Individual
CERTIFICATION
I certify that the factual information contained in this application is true and accurate and any information provided which is based upon estimates is
based upon the best information available on the date of this application.
BY:
TITLE:
DATE:
_______________________________________________
(Signature)
Template provided by: Roanoke Trade Services, Inc. 3/02