Free Document/Payment Transmittal (7501) Test - Federal


File Size: 318.4 kB
Pages: 1
Date: May 27, 2009
File Format: PDF
State: Federal
Category: Government
Word Count: 100 Words, 628 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://forms.cbp.gov/pdf/CBP_Form_7501_TEST.pdf

Download Document/Payment Transmittal (7501) Test ( 318.4 kB)


Preview Document/Payment Transmittal (7501) Test
DEPARTMENT OF HOMELAND SECURITY

U.S. Customs and Border Protection

DOCUMENT/PAYMENT TRANSMITTAL
(7501) Importer of Record Number

Entry Summary Number and/or Action Number Entry Date 05/27/2009

Summary Date Team Number

This form is in "Test" status for a specified time to collect comments for further action. It is for testing purposes only and not to be reproduced at this time. The final product could have a 2D Barcode in this field for data collection.

Code (001) Duty (499) MPF (501) HMF ( ) ( ) ( ) ( ) Comments:

COLLECTION INFORMATION (Complete only if payment attached) Amount

TOTAL

CBP Form 7501 TEST (04/09)