Sample Canada Customs Invoice Form
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1CANADA CUSTOMS INVOICE
FACTURE DES DOUANES CANADIENNES
FOR CUSTOMS CLEARANCE: Phone 604-538-1566 Fax 604-538-3984
No of Pages:
1. Vendor (name and address)
2. Date of Direct shipment Canada
Date shipment starts its continuous journey to Canada
Name
(yyyy-mm-dd)
Complete name and address of party
Company
selling or consigning the goods for export to Canada
Address 1
3. Other references (include purchaser's order number)
Address 2
Purchaser's Order Number
Bill of Lading
Other References
City
Prov / State
self explanatory
Country
Post / Zip Code
4. Consignee (name and address)
5. Purchaser name and address (if other than consignee)
Name
Name
Complete name and address of party
Complete name and address of party buying the
Company
Company
receiving the goods in Canada
goods and responsible for the Customs entry.
Address 1
Address 1
Complete only if different from consignee
Address 2
Address 2
City
Prov / State
City
Prov / State
Country
Post / Zip Code
Country
Post / Zip Code
8. Transportation: Give mode and place of direct shipment to Canada AND / OR
PARS Number
6. Country of transhipment
Carrier Name
IF SHIPMENT INCLUDES GOODS OF
Contact Info
7. Country of origin of goods
DIFFERENT ORIGINS ENTER ORIGINS
Country of growth or manufacture not point of shipment
Port of Entry
AGAINST ITEMS IN 12a
Date
Time
9. Conditions of sale and terms of payment (I.e. sale, consigment shipment, leased goods, etc.)
Indicate name of trucking company, airline, etc. If truck, provide drivers
Condition of Sale - indicate sale, loan, lease or other reason for
shipment. Indicate Incoterm if applicable and agreed upon terms
or dispatch phone number when known. Port of entry - completed with
of payment - such as Net 30 or 1% 10 days
border location the truck will cross at. Date is the the estimated time of
arrival at the border location. Affix PARS barcode in this field when
Indicate what currency the invoice total is
10. Currency of settlement
to be paid in.
applicable.
Selling price
12a.
Country
11. Number
12. Specification of commodities (kind of packages, marks and numbers, general
12b. HS Tariff Classification (if
13. Quantity
14. Unit price
15. Total
of Origin
of packages
description and characteristics, i.e., grade, quality)
known)
Indicate
Indicate type of package and complete
Use
self explanatory
Indicate
$0.00
Indicate
number
description of the goods. If not in new condition
this
the
$0.00
a unit
of
specify that here.
field
quantity
$0.00
price for
packages
if
and unit of
$0.00
all goods
different
measure
$0.00
shipped
than
the goods
$0.00
even
field
are being
$0.00
those
7
sold in
$0.00
not sold
above
$0.00
$0.00
16. Total weight - Poids total
17. Invoice Total
Invoice must be
18. If any of fields 1 to 17 are included
attached if you
on an attached commercial invoice,
Commercial Invoice No.
Weight Units
Net Weight
Gross Weight
$0.00
check this box
check this box
LBS, KGS, ETC
19. Exporter name and address (if other than vendor)
20. Originator (name and address)
Name
Name
Complete name and address of party
Indicate complete name and business address
Company
Company
shipping the goods if different from field 1 above
of person completing this document
Address 1
Address 1
Address 2
Address 2
City
Prov / State
City
Prov / State
Country
Post / Zip Code
Country
Post / Zip Code
Show Customs ruling number if applicable
21. Agency ruling (if applicable)
22. If fields 23 to 25 are not applicable, check this box:
23. If included in field 17 indicate amount:
24. If not included in field 17 indicate amount:
25. Check (if applicable):
(i) Transportation charges, expenses and insurance from the place of direct
(i) Transportation charges, expenses and insurance to the place of
(i) Royalty payments or subsequent proceeds are paid or payable by
shipment to Canada
direct shipment to Canada
the purchaser:
Self explanatory - show currency when completing
Self explanatory - show currency when completing
(ii) Costs for construction, erection and assembly incurred after importation into
(ii) Amounts for commissions other than buying commissions
(ii) The purchaser has supplied goods or services for use in the
Canada
production of these goods
Self explanatory - show currency when completing
Self explanatory - show currency when completing
(iii) Export packing
(iii) Export packing
Self explanatory - show currency when completing
Self explanatory - show currency when completing
Revised April 2, 2009
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