Cbp Form 214c - Application For Foreign-Trade Zone Admission And/or Status Designation

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Approved OMB No. 1651-0029 Exp. 10/31/2018
DEPARTMENT OF HOMELAND SECURITY
1. ZONE NO. AND LOCATION (Address)
Customs and Border Protection
U.S.
APPLICATION FOR
FOREIGN-TRADE ZONE ADMISSION
2. PORT CODE
AND/OR STATUS DESIGNATION
CONTINUATION SHEET
6. ZONE ADMISSION NO.
19 CFR 146.32, 146.40
15.
16.
17.
18.
19.
20.
NO. OF
DESCRIPTION OF MERCHANDISE
HTSUS NO.
QUANTITY
GROSS
SEPARATE
PACKAGES
(HTSUS)
WEIGHT
VALUE & AGGR
AND COUNTRY
CHGS.
OF ORIGIN CODE
(See back of form for Paperwork Reduction Act Notice.)
STATISTICAL COPY
CBP Form 214C (10/15)

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