Free CBP Form 7523 - Entry and Manifest of Merchandise Free of Duty, Carrier's Certificate and Release - Federal


File Size: 280.7 kB
Pages: 1
Date: June 22, 2009
File Format: PDF
State: Federal
Category: Government
Word Count: 299 Words, 1,938 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://forms.cbp.gov/pdf/CBP_Form_7523.pdf

Download CBP Form 7523 - Entry and Manifest of Merchandise Free of Duty, Carrier's Certificate and Release ( 280.7 kB)


Preview CBP Form 7523 - Entry and Manifest of Merchandise Free of Duty, Carrier's Certificate and Release
DEPARTMENT OF HOMELAND SECURITY

U.S. Customs and Border Protection

OMB No. 1651-0013 Exp. 12-31-2011

ENTRY AND MANIFEST OF MERCHANDISE FREE OF DUTY, CARRIER'S CERTIFICATE AND RELEASE 1. NO.
19 U.S.C. 1433, 1484, 1498; 19 CFR 123.4, 143.23
The undersigned, as the importer of merchandise described below, which arrived at the port or station identified, hereby claims free entry therefore under the provisions of the applicable law indicated. 2. PORT CODE 4. VESSEL OR OTHER CONVEYANCE 5. ARRIVAL DATE 3. DATE 6. COUNTRY OF EXPORTATION

7. MARKS AND NUMBERS

8. DESCRIPTION AND QUANTITY OF MERCHANDISE

9. VALUE

10. HTSUS HEADING NO. OR P.L. NO.

11. IMPORTER OF RECORD (Name and Address)

12. AGENT'S SIGNATURE

13. INSPECTED AND PASSED FREE OF DUTY BY:

14. OWNER, PURCHASER, OR CONSIGNEE (If different from Importer of Record)

15. SIGNATURE (Inspector)

16. DATE

The undersigned carrier, to whom or upon whose order the articles described above must be released, hereby certifies that the person or firm named above as the importer is the owner purchaser, or consignee of such articles within the purview of section 484(h), Tariff Act of 1930. In accordance with the provisions of section 484(j), Tariff Act of 1930, authority is hereby given to release the articles to such consignee. 17. CARRIER 18. AGENT'S SIGNATURE

CARRIER'S CERTIFICATE AND RELEASE ORDER

Paperwork Reduction Act Statement: An agency may not conduct or sponsor an information collection and a person is not required to respond to this information unless it displays a current valid OMB control number and an expiration date. The control number for this collection is 1651-0013. The estimated average time to complete this application is 5 minutes. If you have any comments regarding the burden estimate you can write to U.S. Customs and Border Protection, Office of Regulations and Rulings, 799 9th Street, NW., Washington DC 20229.

CBP Form 7523 (06/09)