Cbp Form 3485 - Lien Notice
Download a blank fillable Cbp Form 3485 - Lien Notice in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Cbp Form 3485 - Lien Notice with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2Form Approved OMB No. 1651-0012. Expires 07-31-2009
DEPARTMENT OF HOMELAND SECURITY
1. PORT
2. CBP ASSIGNED NO.
U.S. Customs and Border Protection
LIEN NOTICE
3. DATE OF NOTICE
4. DATE OF ARRIVAL
19 U.S.C. 66, 1564; 19 CFR 141.112
6. NAME OF CARRIER
7. B/L NO. OR CBP 7512 NO.
5. NAME OF CONSIGNEE/IMPORTER
8. LOCATION OF GOODS
S903 World Trade Distribution
9. MARKS AND NUMBERS
10. NO. OF PACKAGES
11. REMARKS
A. Freight
B. Charges
C. Contributions to General Average D. Total
12.
AMOUNTS
CLAIMED
14. NAME AND ADDRESS OF LIENHOLDER
13. STATEMENT OF AGENT
I, the Undersigned, agent of the above named carrier, certify that the carrier has a lien on
the above listed merchandise in accordance with Sections 564 and 613 of the Tariff Act of
1930. I further certify that the information set forth in this notice is true to the best of my
knowledge and belief, and that the sum claimed is due and unpaid and was a subsisting
lien upon the goods described at the time they passed into U.S. Customs and Border
15. SIGNATURE AND TITLE OF
Date
Protection (CBP) custody. I understand that sale of this merchandise by the Government
LEINHOLDER
for any reason does not entitle claimants to advance notice in the absence of a written
request identifying the goods with this notice. I also, agree, upon the discharge or
satisfaction of this lien, to promptly notify the CBP office at the above-named port by filing
16. STATEMENT OF CLAIMANT
a written release or receipt showing payment of the claim in full.
The amounts claimed as due and unpaid have been satisfied.
SIGNATURE OF AGENT
Date
SIGNATURE OF CLAIMANT
Date
DISPOSITION (CBP Use Only)
17. NAME OF CBP OFFICER
18. SIGNATURE OF CBP OFFICER
19. DATE
CBP Form 3485 (08/90)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Cbp Form 7512 - Transportation Entry And Manifest Of Goods Subject To Cbp Inspection And Permit - U.s. Customs And Border Protection
Legal
Form 12277 - Application For Withdrawal Of Filed Form 668 (y), Notice Of Federal Tax Lien - Department Of The Treasury
Financial
Form 668-f - Notice Of Federal Tax Lien Under Internal Revenue Laws - Department Of The Treasury
Legal
Form 668-h - Notice Of Federal Estate Tax Lien Under Internal Revenue Laws - Department Of The Treasury
Legal
Related Categories
Parent category: Legal