Cbp Form 4457 Department Of Homeland Security U.s. Customs And Border Protection - Certificate Of Registration For Personal Effects Taken Abroad

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OMB No. 1651-0010
DEPARTMENT OF HOMELAND SECURITY
Number
U.S. Customs and Border Protection
CERTIFICATE OF REGISTRATION
FOR PERSONAL EFFECTS TAKEN ABROAD
19 CFR 148.1
Name of Owner
Address of Owner
Description of Articles
Signature of Owner
I certify that the information shown hereon
is true and correct to the best of my
knowledge and belief.
Signature of CBP Official
Port
Date
►
◄
Certifying officer shall draw lines through all unused spaces with ink.
CBP Form 4457 (06/92)

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