Free cf- 7501- camera- copy.xdp - Federal

DEPARTMENT OF HOMELAND SECURITY

U.S. Customs and Border Protection ENTRY SUMMARY
8. Importing Carrier 12. B/L or AWB No. 16. I.T. No.

1. Filer Code/Entry No.

2. Entry Type

Form Approved OMB No. 1651-0022 EXP. 03-31-2012

3. Summary Date 7. Entry Date

4. Surety No. 5. Bond Type 6. Port Code 10. Country of Origin 14. Exporting Country

9. Mode of Transport 13. Manufacturer ID 17. I.T. Date 22. Consignee No.

11. Import Date 15. Export Date 20. U.S. Port of Unlading 24. Reference No.

18. Missing Docs 19. Foreign Port of Lading 23. Importer No.

21. Location of Goods/G.O. No.

25. Ultimate Consignee Name and Address

26. Importer of Record Name and Address

City 27. Line No.

State

Zip

City 32. A. Entered Value B. CHGS C. Relationship

State 33. A. HTSUS Rate B. ADA/CVD Rate C. IRC Rate D. Visa No.

Zip 34. Duty and I.R. Tax Dollars Cents

28. Description of Merchandise 29. 30. 31. A. HTSUS No. A. Grossweight Net Quantity in B. ADA/CVD No. B. Manifest Qty. HTSUS Units

Other Fee Summary for Block 39

35. Total Entered Value $ Total Other Fees $

A. LIQ CODE

CBP USE ONLY

TOTALS
37. Duty 38. Tax 39. Other 40. Total

B. Ascertained Duty

REASON CODE

C. Ascertained Tax D. Ascertained Other E. Ascertained Total

36. DECLARATION OF IMPORTER OF RECORD (OWNER OR PURCHASER) OR AUTHORIZED AGENT
I declare that I am the Importer of record and that the actual owner, owner purchaser, or consignee for CBP purposes is as shown above, OR or purchaser or agent thereof. I further declare that the merchandise

was obtained pursuant to a purchase or agreement to purchase and that the

prices set forth in the invoices are true, OR was not obtained pursuant to a purchase or agreement to purchase and the statements in the invoices as to value or price are true to the best of my knowledge and belief. I also declare that the statements in the documents herein filed fully disclose to the best of my knowledge and belief the true prices, values, quantities, rebates, drawbacks, fees, commissions, and royalties and are true and correct, and that all goods or services provided to the seller of the merchandise either free or at reduced cost are fully disclosed. I will immediately furnish to the appropriate CBP officer any information showing a different statement of facts.

41. DECLARANT NAME

TITLE

SIGNATURE 43. Broker/Importer File No.

DATE

42. Broker/Filer Information (Name, address, phone number)

Paperwork Reduction Act Notice CBP Form 7501 (06/09)

DEPARTMENT OF HOMELAND SECURITY ENTRY SUMMARY CONTINUATION SHEET

U.S. Customs and Border Protection

OMB No. 1651-0022 EXP. 03-31-2012

1. Filer Code/Entry No.

27. 29. Line No.

28. Description of Merchandise 30. A. Grossweight B. Manifest Qty. 31. Net Quantity in HTSUS Units A. HTSUS No. B. ADA/CVD No.

32. A. Entered Value B. CHGS C. Relationship

33. A. HTSUS Rate B. ADA/CVD Rate C. IRC Rate D. Visa No.

34. Duty and I.R. Tax Dollars Cents

CBP Form 7501 (06/09)

DEPARTMENT OF HOMELAND SECURITY ENTRY SUMMARY CONTINUATION SHEET

U.S. Customs and Border Protection

OMB No. 1651-0022 EXP. 03-31-2012

1. Filer Code/Entry No.

27. 29. Line No.

28. Description of Merchandise 30. A. Grossweight B. Manifest Qty. 31. Net Quantity in HTSUS Units A. HTSUS No. B. ADA/CVD No.

32. A. Entered Value B. CHGS C. Relationship

33. A. HTSUS Rate B. ADA/CVD Rate C. IRC Rate D. Visa No.

34. Duty and I.R. Tax Dollars Cents

CBP Form 7501 (06/09)

DEPARTMENT OF HOMELAND SECURITY ENTRY SUMMARY CONTINUATION SHEET

U.S. Customs and Border Protection

OMB No. 1651-0022 EXP. 03-31-2012

1. Filer Code/Entry No.

27. 29. Line No.

28. Description of Merchandise 30. A. Grossweight B. Manifest Qty. 31. Net Quantity in HTSUS Units A. HTSUS No. B. ADA/CVD No.

32. A. Entered Value B. CHGS C. Relationship

33. A. HTSUS Rate B. ADA/CVD Rate C. IRC Rate D. Visa No.

34. Duty and I.R. Tax Dollars Cents

CBP Form 7501 (06/09)

DEPARTMENT OF HOMELAND SECURITY ENTRY SUMMARY CONTINUATION SHEET

U.S. Customs and Border Protection

OMB No. 1651-0022 EXP. 03-31-2012

1. Filer Code/Entry No.

27. 29. Line No.

28. Description of Merchandise 30. A. Grossweight B. Manifest Qty. 31. Net Quantity in HTSUS Units A. HTSUS No. B. ADA/CVD No.

32. A. Entered Value B. CHGS C. Relationship

33. A. HTSUS Rate B. ADA/CVD Rate C. IRC Rate D. Visa No.

34. Duty and I.R. Tax Dollars Cents

CBP Form 7501 (06/09)