Ps Form 3602-Ez - Postage Statement - Usps Marketing Mail - Easy Nonautomation Letters Or Flats

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United States Postal Service
Post Office: Note Mail Arrival
Date & Time (Do Not Round-Stamp)
Postage Statement—USPS Marketing Mail—
Easy Nonautomation Letters, Cards, or Flats
This form may be used only for a single nonautomation price mailing of identical-weight pieces. Use PS Form 3602-R
for all other regular USPS Marketing Mail mailings. Checklists and other tools for mailers are available on the Postal
Explorer website at .
Permit Holder
Federal Agency Cost Code
Statement Seq. No.
Weight of a Single Piece
Name, Address, Email, Telephone
Total Pieces
Total Weight
0.
pounds
Permit No.
Mailpiece is a
product sample
CRID
Post Office of Mailing
Mailer’s Mailing Date
Processing Category
No. & Type
of Containers
Letters
Flats
Sacks
Type of Postage
Move Update Method
Letter-size or flat mailpiece contains DVD/CD or other disk
Alternative Method
Trays
Permit Imprint
Ancillary Service
Multiple
Endorsement
Precanceled Stamps
OneCode ACS
This is a Political Campaign Mailing
Yes
No
Pallets
NCOA
Link
Metered
n/a Alternative
ACS
This is Official Election Mail
Yes
No
Address Format
Total Postage (Add parts totals)
Price at Which Postage Affixed (Check one).
Correct
Lowest
Neither
Postage Affixed
=
.
pcs. x $
Complete if mailing includes pieces bearing metered/PC Postage or precanceled stamps.
Permit #
Net Postage Due (Subtract postage affixed from total postage)
Additional Postage Payment (State reason)
For postage affixed, add additional payment to net postage due;
Total Adjusted Postage Affixed
for permit imprint, add additional payment to total postage.
Postmaster: Report Total Postage in AIC 130
Total Adjusted Postage Permit Imprint
(Permit Imprint Only)
The mailer’s signature certifies acceptance of liability for and agreement to pay any revenue deficiencies assessed on this mailing, subject to appeal. If an agent signs this form,
the agent certifies that he or she is authorized to sign on behalf of the mailer and that the mailer is bound by the certification and agrees to pay any deficiencies. In addition,
agents may be liable for any deficiencies resulting from matters within their responsibility, knowledge, or control. The mailer hereby certifies that all information furnished on this
form is accurate, truthful, and complete; that the mail and the supporting documentation comply with all postal standards and that the mailing qualifies for the prices and fees
claimed; and that the mailing does not contain any matter prohibited by law or postal regulation. I understand that anyone who furnishes false or misleading information on this
form or who omits information requested on this form may be subject to criminal and/or civil penalties, including fines and imprisonment.
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Signature of Mailer or Agent
Printed Name of Mailer or Agent Signing Form
Telephone
Weight of a Single Piece
Total Weight
Are postage figures at left adjusted from mailer’s entries?
Round Stamp (Required)
Payment Date
.
Yes
No If yes, reason:
pounds
Total Pieces
Total Postage
Presort Verification Performed? (If required)
Yes
No
I CERTIFY that this mailing has been inspected for
Date Mailer Notified
Contact
each item below if required:
(1) eligibility for postage prices claimed;
(2) proper preparation (and presort where required);
By (Initials)
Time
AM
(3) proper completion of postage statement;
PM
(4) payment of annual fee; and
(5) sufficient funds on deposit (if required)
USPS Employee’s Signature
Print USPS Employee’s Name
PS Form 3602-EZ, January 2018 (Page 1 of 2) PSN 7530-07-000-6221
This form and mailing standards are available on Postal Explorer at .

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