Shipper'S Letter Of Instruction
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1Shipper’s Letter of Instruction
1a. EXPORTER (Name and address including ZIP code)
PLEASE BE SURE TO
COMPLETE ALL SHADED AREAS.
ZIP CODE
NOTE - UPON SIGNATURE IN THE APPROPRIATE BOX BELOW:
The shipper or his Authorized Agent hereby authorizes the above
b. EXPORTER`S EIN (IRS) NO.
c. PARTIES TO MTRANSACTION
named Company, in his name and on behalf, to prepare any
Related
Non-related
export documents, to sign and accept any documents relating to
4a. ULTIMATE CONSIGNEE/END USER
said shipment and forward this shipment in accordance with the
b. INTERMEDIATE CONSIGNEE
conditions of carriage and the tariffs of the carriers employed.
The shipper guarantees payment of all collect charges in the
5. FORWARDING AGENT
event the consignee refuses payment. Hereunder the sole
responsibility of the Company is to use reasonable care in the
selection of carriers, forwarders, agents and others to whom it
may entrust the shipment.
6. POINT (STATE) OF ORIGIN OR FTZ N
O
7. COUNTRY OF ULTIMATE DESTINATION
8. LOADING PIER
9. MODE of TRANSPORT
Exporter – please advise:
(Vessel only)
(Specify)
COLLECT
C.O.D. $ ___________________
PREPAID
10. EXPORTING CARRIER
11. PORT OF EXPORT
AIR
OCEAN
CONSOLIDATE
DIRECT
SHIPPER`S INSTRUCTIONS IN CASE OF INABILITY TO DELIVER CONSIGNMENT
12. PORT OF UNLOADING
13. CONTAINERIZED
(Vessel
(Vessel only)
AS ASSIGNET
ABANDON
RETURN TO SHIPPER
and air only)
Yes
No
DELIVER TO
Shipper Requests
-
No
Yes $
NON
HAZARDOUS MATERIAL
HAZARDOUS MATERIAL
Insurance (CIF or CIP)
14. SCHEDULE B DESCRIPTION OF COMMODITIES
SHIPPER´S REF. N
.
DATE
O
- - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - -
(Use columns 17-19)
VALUE
15. MARKS, NOS., AND KINDS OF PACKAGES
(U.S. dollars, omit cents)
(Selling price or cost if not
sold at US Port of Loading)
D/F
SCHEDULE B or HTSUS NUMBER
ECCN
QUANTITY –
SHIPPING
OR
Schedule B Unit (s)
WEIGHT (kg)
(16)
(17)
(20)
EAR99
(18)
(19)
SHIPPERS NOTE:
Please
contact
us
if
you
are
uncertain about your Schedule B or
HTSUS Number. We will assist you
in selecting a classification for the
Electronic Export Inforamtion.
WE HAVE FORWARDED TO YOU, THE
SHIPMENT DESCRIBED BELOW VIA:
YOUR TRUCK, OR
OTHER CARRIER
(LISTED BELOW)
TRUCK LINE NAME __________________
RECEIPT (PRO) NUMBER _____________
DECLARED VALUE FOR
CARRIAGE
$
21. VALIDATED LICENSE NO.
(When required)
If you are the authorized party per the Foreign Trade
22. LICENSE EXCEPTION
(When required)
Regulations, please sign under BOX 24.
23. Duly authorized officer or employee
The exporter authorizes the forwarder
DOCUMENTS ENCLOSED:
named above to act as forwarding agent
for
export
control
and
customs
purposes.
24.
I certify that all statements made and all information contained herein are
true and correct and that I have read and understand the instructions for
preparation of this document, set forth in the „CORRECT WAY TO FILL OUT
THE SHIPPER`S EXPORT DECLARATION:“ I understand that civil and
criminal penalties, including forfeiture and sale, may be imposed for making
false or fraudulent statements herein, falling to provide the requested
information or for violation of U.S. laws on exportation (13 U.S.C. Sec. 305; 22
U.S.C. Sec. 401; 18 U.S.C. Sec. 1001; 50 U.S.C. App. 2410).
SIGNATURE
CONFIDENTIAL – For use solely for
SPECIAL INSTRUCTIONS:
Sign only if you selected the forwarder
official puposes authorized by the Secre-
and a master Power of Attorney has not
tary of Commerce (13 U.S.C. 301 (g)).
Pursuant to Transportation Security Administration (TSA) regulations, I herby authorize
been issued.
consent to screen all cargo for air transportation tendered by our company. This consent to
TITLE
Export
shipments
are
subject
to
screen cargo authorization is valid for the above listed USPPI.
inspection by U.S.
Customs Service
and/or Office of Export Enforcement.
DATE
25. AUTHENTICATION (When required)
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