Free CBP Form 3347a - Declaration of Consignee When Entry is Made by an Agent - Federal


File Size: 346.0 kB
Pages: 2
Date: April 21, 2009
File Format: PDF
State: Federal
Category: Government
Word Count: 824 Words, 5,005 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://forms.cbp.gov/pdf/CBP_Form_3347A.pdf

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Preview CBP Form 3347a - Declaration of Consignee When Entry is Made by an Agent
DEPARTMENT OF HOMELAND SECURITY

U.S. Customs and Border Protection

DECLARATION OF CONSIGNEE WHEN ENTRY IS MADE BY AN AGENT
19 CFR 141.19(B)(2)

OMB No. 1651-0093 Exp. 03-31-2012

If this declaration is made by an agent who does not present with the entry the declaration of the consignee, or who does not have proper authority to execute such declaration for this principal, bond must be given to produce such declaration in accordance with Section 485(c), Tariff Act of 1930. THIS DECLARATION MUST BE PRESENTED TO THE PORT DIRECTOR OF CBP AT THE PORT OF ENTRY WITHIN SIX MONTHS AFTER THE DATE OF THE BOND GIVEN THEREFORE, UNLESS AN EXTENSION OF TIME IS GRANTED BY THE PORT DIRECTOR.
1. NAME OF CONSIGNEE 2. ADDRESS (STREET, CITY, STATE, ZIP CODE)

3. VESSEL/CARRIER ARRIVED FROM

4. NAME OF VESSEL/CARRIER 9. PLACE AND DATE OF INVOICE 10. AMOUNT PAID OR TO BE PAID IN FOREIGN CURRENCY 11. RATE OF EXCHANGE

5. ENTRY NUMBER

6. DATE 13. ENTERED VALUE (U.S. DOLLARS)

7. NUMBER OF PACKAGES

8. SELLER OR SHIPPER

12. ENTERED VALUE (FOREIGN CURRENCY)

SECTION I 14. NAME OF OWNER

COMPLETE SECTION I, OR SECTION II, OR SECTION III (CHECK ONE) AND SECTION IV. DECLARATION OF NOMINAL CONSIGNEE 15. ADDRESS (STREET, CITY, STATE, ZIP CODE)

I, the undersigned, herewith declare that the consignee in whose name the entry covering the merchandise described herein was made, is not the actual owner of the said merchandise, but that such entry exhibits a full and complete account of all the merchandise imported in the vessel indicated therein by the above name person who is the actual owner for CBP purposes of the said merchandise except as listed below.
SECTION II DECLARATION OF CONSIGNEE FOR MERCHANDISE OBTAINED IN PURSUANCE OF A PURCHASE OR AGREEMENT TO PURCHASE

I, the undersigned, representing the above name consignee, herewith declare that they are the consignees for CBP purposes of the merchandise described herein, that the entry covering the said merchandise exhibits a full and complete account of all the merchandise imported by them in the vessel indicated in the said entry and that the said merchandise was obtained by them in pursuance of a purchase or an agreement to purchase, except as listed below.
SECTION III DECLARATION OF CONSIGNEE FOR MERCHANDISE OBTAINED OTHERWISE THAN IN PURSUANCE OF A PURCHASE OR AGREEMENT TO PURCHASE

I, the undersigned, representing the above name consignee, herewith declare that they are the consignees for CBP purposes of the merchandise described herein, that the entry covering the said merchandise exhibits a full and complete account of all the merchandise imported by them in the vessel indicated in the said entry and that the said merchandise was obtained by them in pursuance of a purchase or an agreement to purchase, except as listed below.
16. EXCEPTIONS (IF ANY)

SECTION IV

GENERAL DECLARATION

I also declare, to the best of my knowledge and belief, that all statements appearing in the entry and in the invoice or invoices and other documents presented herewith and in accordance with which the entry is made, are true and correct in every respect; that the entry and invoices set forth the true prices, values, quantities, and all information as required by the law and the regulations made in pursuance thereof, that the invoices and other documents are in the same state as when received; that I have not received and do not know of any other invoices, paper, letter, document, or information showing a different currency, price, value, quantity, or description of the said merchandise, and that if at any time hereafter I discover any information showing a different state of facts, I will immediately make the same known to the port director of CBP at the port of entry.
17. SIGNATURE 20. TITLE (CHECK ONE) PRINCIPAL MEMBER OF THE FIRM PRINCIPAL OFFICER OF THE CORPORATION: TITLE AUTHORIZED AGENT 18. ADDRESS 19. DATE

CBP Form 3347A (12/02)

PAPERWORK REDUCTION ACT NOTICE: The Paperwork Reduction Act says we must tell you why we are collecting this information, how we will use it, and whether you have to give it to us. We ask for the information to carry out the U.S. Customs and Border Protection laws. We need it when an agent of the consignee has knowledge of the facts and is authorized by that consignee to execute the declarations on the entry or entry summary, in compliance with Section 484 of the Tariff Act of 1930, as amended. Your response is required to obtain a benefit. Statement required by 5 CFR 1320.21: The estimated average burden associated with this collection of information is 6 minutes per respondent or recordkeeper depending on individual circumstances. Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be directed to U.S. Customs and Border Protection, Information Services Branch, Washington DC 20229, and to the Office of Management and Budget, Paperwork Reduction Project (1651-0093), Washington, DC 20503.

CBP Form 3347A (Back)(12/02)