Free CBP Form 7512A - Transportation Entry and Manifest of Goods Subject to CBP Inspection and Permit - Federal

DEPARTMENT OF HOMELAND SECURITY

OMB No. 1651-0003 Exp. 12-31-2010

U. S. Customs and Border Protection TRANSPORTATION ENTRY AND MANIFEST OF GOODS SUBJECT TO CBP INSPECTION AND PERMIT
Entry No. Class of Entry (I.T.) (Wd. T.) (Wd. Ex.) (T.E.) (Drawback, etc.) Marks and Numbers of Packages Description and Quantity of Merchandise, Number and Kind of Packages (Describe fully as per shipping papers) Gross Weight in Pounds Value (Dollars only) Rate Duty

CONTINUATION SHEET

THIS FORM MAY BE PRINTED BY PRIVATE PARTIES PROVIDED IT CONFORMS TO THE OFFICIAL FORM IN SIZE, WORDING, COLOR, AND ARRANGEMENT.

See CBP Form 7512 for Paperwork Reduction Act Notice

CBP Form 7512A (03/08)

INSPECTOR'S REPORT OF DISCHARGE AT DESTINATION
Port Station Date

To the Port Director of CBP: Delivering Line

Car No.

Initial

Arrived

Condition of Car

Of Seals

Of Packages

Date of Delivery to Importer or General Order

Packages

No. and Kind of Entry or General Order

Bonded Truck or Lighter No.

Conditions, Etc.

I certify that the above report is correct.
Inspector's Name: Signature: X

CBP Form 7512A (03/08)(Back)