COMPLETING U.S. CUSTOMS DOCUMENTS FORM 3299 PART I

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COMPLETING U.S. CUSTOMS DOCUMENTSFORM 3299PART IYou (the shipper) must complete the following sections of Part I of Form 3299 inorder for Hollander International to clear your shipment through U.S. Customs.1.2.3.4.5.6.7.8.Importer’s (your) name as it appears on your passport.Date of birth.Date of arrival (the date you arrived in the United States).U.S. address.Port of Arrival (the port at which you arrived in the United States).Name of the arriving vessel/airline and voyage/flight number.Name(s) of accompanying household member(s).Leave Blank.You are not required to complete section 9, Part I of the form.PART IIThe following section of Part II must be completed.9.10.Residency. This section is used to indicate your previous andpresent residency statusStatement(s) of eligibility for free entry of articles. You must declarethe items for which you seek duty-free entry.

PART IIIIf you are not a US Government employee or a member of the US ArmedForces moving under a Government Bill of Lading (GBL), you are not requiredto complete Part III.PART IVIn Part IV, you must mark all the applicable boxes and declare any of thefollowing items contained in your shipment:1.2.3.4.5.6.7.8.9.10.11.Articles for the account of other persons (ie., gifts).Articles for sale or commercial use.Firearms and/or ammunition.Alcoholic beverages of all types or tobacco products.Fruits, plants, seeds, meats, or birds.Fish, wildlife, or animal products.Foreign household effects acquired abroad and used less than oneyear.Foreign household effects acquired abroad and used more than oneyearPersonal affects acquired abroad.Foreign-made articles acquired in the United States and takenabroad on this trip or acquired abroad on another trip that waspreviously declared to U.S. Customs.Articles taken abroad which were altered or repaired overseas.Part IV, Section D, requires that you list any of the items declared in PartIV, Items 1-11, and then provide customs with a description and a value ofthis merchandise.PART VYou are not required to complete Part V.PART VIYou must sign the Form 3299 in Part VI, Section 2 and date the form in Part VI,Section 3.

DEPARTMENT OF HOMELAND SECURITYU.S. Customs and Border ProtectionDECLARATION FOR FREE ENTRYOF UNACCOMPANIED ARTICLES19 CFR 148.6, 148.52, 148.53, 148.77FORM APPROVED OMB NO. 1651-0014 Exp. 01-31-2010PAPERWORK REDUCTION ACT NOTICE: This request is in accordance withthe Paperwork Reduction Act. We ask for the information in order to carry outthe laws and regulations administered by CBP. These regulations and formsapply to importers to ensure that they are complying with the law and to allowus to figure, collect, or refund the right amount of duty and tax. It is mandatory.The estimated average burden associated with this collection of information is10 minutes per respondent depending on individual circumstances.Comments concerning the accuracy of this burden estimate and suggestionsfor reducing this burden should be directed to U.S. Customs and BorderProtection, Information Services Branch, Washington, DC 20229, and to theOffice of Management and Budget. Paperwork Reduction Reducation Project(1651-0014), Washington, DC 20503.PART I -- TO BE COMPLETED BY ALL PERSONS SEEKING FREE ENTRY OF ARTICLES (Please consult with the CBP official for additional information orassistance. REMEMBER--All of your statements are subject to verification. False declarations or failure to declare articles could result in penalties.)2. IMPORTER'S DATE OF BIRTH1. IMPORTER'S NAME (Last, first and middle)3. IMPORTER'S DATE OF ARRIVAL4. IMPORTER'S U.S. ADDRESS5. IMPORTER'S PORT OF ARRIVAL6. NAME OF ARRIVING VESSEL CARRIER AND FLIGHT/TRAIN7. NAME(S) OF ACCOMPANYING HOUSEHOLD MEMBERS (wife, husband, minor children, etc.)8. THE ARTICLES FOR WHICHA. DATEFREE ENTRY IS CLAIMEDBELONG TO ME AND/OR MYFAMILY AND WERE IMPORTEDE. NUMBER AND KINDS OF CONTAINERSB. NAME OF VESSEL/CARRIERC. FROM (Country)D. B/L OR AWB OR I.T. NO.F. MARKS AND NUMBERSPART II -- TO BE COMPLETED BY ALL PERSONS EXCEPT U.S. PERSONNEL AND EVACUEESA. NAME OF COUNTRY9. RESIDENCY ("X" appropriate box)iswasI declare that my place of residence abroadB. LENGTH OF TIMEYr.Mo.C. RESIDENCY STATUS UPON MY/OUR ARRIVAL ("X" One)a. Emigrating to the U.S.b. Visiting the U.S.(1) Returning resident of the U.S.(2) Nonresident:10. STATEMENT(S) OF ELIGIBILITY FOR FREE ENTRY OF ARTICLESI the undersigned further declare that ("X" all applicable items and submit packing list) :A. Applicable to RESIDENT and NONRESIDENTC. Applicable to NONRESIDENT ONLY(1) All household effects acquired abroad for which free entry is sought(1) All household effects acquired abroad for which free entry is soughtwere used abroad for at least one year by me or my family in awere used abroad for at least one year by me or my family in ahousehold of which I or my family was a resident member duringhousehold of which I or my family was a resident member during suchsuch period of use, and are not intended for any other person or forperiod of use, and are not intended for any other person or for sale.sale. (9804.00.05, HTSUSA)(9804.00.05, HTSUSA)(2) All instruments, implements, or tools of trade, occupation or employment,(2) Any vehicles, trailers, bicycles or other means of conveyance beingand all professional books for which free entry is sought were takenimported are for the transport of me and my family and such incidentalabroad by me or for my account or I am an emigrant who owned andcarriage of articles as are appropriate to my personal use of theused them abroad. (9804.00.10,9804.00.15, HTSUSA)conveyance. (9804.00.35, HTSUSA)B. Applicable to RESIDENT ONLYAll personal effects for which free entry is sought were taken abroad byme or for my account. (9804.00.45, HTSUSA)PART III -- TO BE COMPLETED BY U.S. PERSONNEL AND EVACUEES ONLYI, the undersigned, the owner, importer, or agent of the importer of the personal and household effects for which free enty is claimed, hereby certify that theywere in direct personal possession of the importer, or of a member of the importer's family residing with the importer, while abroad, and that they were importedinto the United States because of the termination of assignment to extended duty (as defined in section 148.74(d) of the Customs Regulations) at a post orstation outside the United States and the CBP Territory of the United States, or because of Government orders or instructions evacuating the importer to theUnited States; and that they are not imported for sale or for the account of any other person and that they do not include any alcoholic beverages or cigars.Free entry for these effects is claimed under Subheading No. 9805.00.50, Harmonized Tariff Schedule of the United States.1. DATE OF IMPORTER'S LAST DEPARTURE FROM THE U.S.2. A COPY OF THE IMPORTER'S TRAVEL ORDERS IS ATTACHED ANDTHE ORDERS WERE ISSUED ON:PART IV -- TO BE COMPLETED BY ALL PERSONS SEEKING FREE ENTRY OF ARTICLES (Certain articles may be subject to duty and/or otherrequirements and must be specifically declared herein. Please check all applicable items and list them separately in item D on the reverse.)A. For U.S. Personnel, Evacuees, Residents and Non-Residents(2) Articles for sale or(1) Articles for the accountcommercial use.of other person.(3) Firearms and/orammunition.(4) Alcoholic articles of alltypes or tobacco products.(5) Fruits, plants, seeds,meats, or birds.(6) Fish, wildlife, animalproducts thereof.B. For Residents and Non-Residents ONLY(7) Foreign household effects(8) Foreign household effects acquiredacquired abroad and used lessabroad and used more than onethan one year.year.C. For Resident ONLY(9) Personal effects acquired abroad.(10) Foreign made articles acquired in the United States and taken abroad on thistrip or acquired abroad on another trip that was previously declared to CBP.(11) Articles taken abroad for which alterations or repairs were performed abroad.CBP Form 3299 (10/95)

D. LIST OF ARTICLES(1) ITEM NUMBERCHECKED IN PARTIV, A., B., C.(2) DESCRIPTION OF MERCHANDISE(3) VALUE OFCOST OFREPAIRS(4) FOREIGN MERCHANDISE TAKEN ABROAD THISTRIP: State where in the U.S. the foreign merchandisewas acquired or when and where it was previouslydeclared to CBP.PART V -- CARRIER'S CERTIFICATE AND RELEASE ORDERThe undersigned carrier, to whom of upon whose order the articles described in PART I, 8., must be released, hereby certifies that the person named in Part I,1., is the owner or consignee of such articles within the purview of section 484(h), Tariff Act of 1930.In accordance with provisions of section 484(h), Tarriff Act of 1930, authority is hereby given to release the articles to such consignee.1. NAME OF CARRIER2. SIGNATURE OF AGENT (Print and sign)DatePART VI -- CERTIFICATION TO BE COMPLETED BY ALL PERSONS SEEKING FREE ENTRYI, the undersigned, certify that this declaration is correct and complete.1. "X" OneA. Authorized Agent* (From facts obtained from the importer)2. SIGNATUREB. Importer3. DATE*An Authorized Agent is defined as a person who has actual knowledge of the facts and who is specifically empowered under a power of attorney to execute thisdeclaration (see 19 CFR 141.19, 141.32, 141.33).PART VII -- CBP USE ONLY1. SIGNATURE OF CBP OFFICIAL2. DATE(Inspected and Released)CBP Form 3299 (10/95)

CUSTOMSPOWER OF ATTORNEYfor IndividualsDepartment of the TreasuryU.S. Customs Service19 CFR 141.32Check appropriate box: Individual Partnership Corporation Sole ProprietorshipIndividual’s Social Security Number (if available) KNOW ALL MEN BY THESE PRESENTS: That, an individual residing at(Print Full Name of importer/owner of goods ) (Print City, State and Country of Residence for importer/owner of goods ), hereby constitutes and appoints each of the following persons:(Print Name of U.S. Customhouse Broker for whom this Power of Attorney is being granted)and/or its subsidiaries, licensed customhouse brokers, who may exercise the within power through their officers and authorized employees withpowers to grant power of attorney on behalf of the principal to licensed brokers in other customs districts. Each agent designated may actthrough any of its licensed officers or any employees with Power of Attorney on file with this licensed broker as required by the RegionalCommission of Customs;as a true and lawful agent and attorney of the grantor named above forand in the name, place, and stead of said grantor from this date and inALL Customs Districts and in no other name, to make, endorse, sign,declare, or swear to any entry, withdrawal, declaration, certificate, bill oflading, or other document required by law or regulation in connection withthe importation, transportation, or exportation of any merchandise shippedor consigned by or to said grantor; to perform any act or condition whichmay be required by law or regulation in connection with such merchandise;to receive any merchandise deliverable to said grantor.To make endorsements on bills of lading conferring authority to makeentry and collect drawback, and to make, sign, declare, or swear to anystatement, supplemental statement, schedule, supplemental schedule,certificate of delivery, certificate of manufacture, certificate of manufactureand delivery, abstract of manufacture records, declaration of proprietor ondrawback entry, declaration of exporter on drawback entry, or any otheraffidavit or document which may be required by law or regulation fordrawback purposes, regardless of whether such bill of lading, swornstatement, schedule, certificate, abstract, declaration, or other affidavit ordocument is intended for filing in said district or in any other customsdistrict.To sign, seal and deliver for and as the act of said grantor any bondrequired by law or regulation in connection with the entry or withdrawal ofimported merchandise or merchandise exported with or without benefit ofdrawback, or in connection with the entry, clearance, lading, unlading ornavigation of any vessel or other means of conveyance owned or operatedby said grantor, and any and all bonds whichIN WITNESS WHEREOF, the saidmay be voluntarily given and accepted under applicable laws andregulations, consignee’s and owner’s declarations provided for in a section485, Tariff Act of 1930, as amended, or affidavits in connection with theentry of merchandise.Per CFR 19 Part 111.36 the importer waives their right to a direct invoicewhen brokers charges are collected by or through the forwarder.To sign and swear to any document and to perform any act that may benecessary or required by law or regulation in connection with the entering,clearing, lading, unlading, or operation of any vessel or other means ofconveyance owned or operated by said grantor.And generally to transact at the customhouses in said district any and allcustoms business, including making, signing, and filing of protests undersection 514 of the Tariff Act of 1930, in which said grantor is or may beconcerned or interested and which may properly be transacted orperformed by an agent and attorney, giving to said agent and attorney fullpower and authority to do anything whatever requisite and necessary to bedone in the premises as fully as said grantor could do if present and acting,hereby ratifying and confirming all that the said agent and attorney shalllawfully do by virtue of these presents; the foregoing power of attorney toremain in full force and effect until REVOKED (month/day/year), oruntil notice of revocation in writing is duly given to and receivedby the District Director of Customs of the district aforesaid. If the donorof this power of attorney is a partnership, the said power shall in no casehave any force or effect after the expiration of 2 years from the date of itsreceipt in the office of the District Director of Customs of the said district. (Print Full Name of importer/owner of goods )has caused these presents to be sealed and signed: (Signature) (Signature of importer / owner of goods or authorized representative)(Capacity) (Print description of the person that signed this document, i.e. Owner, Spouse, etc)WITNESS: (Signature of witness)(Date) (Today’s Date)N/A(Corporate seal)*(Optional)Pursuant to the Customs regulations 111.29(b), if you are the importer of record, payment to the broker will not relieve you of liability for Customs charges (duties,taxes, or other debts owed to Customs) in the event that charges are not paid by the broker. Therefore, if you make payment by check, Customs charges may be paidwith a separate check made payable to “U.S. Customs and Border Protection” which shall be delivered to CBP by the broker.THIRD PARTY BILLING WAIVER: Grantor hereby waives receipt of the Customs entry & invoices from the grantee and directs that copies of your bills forservices and copies of Customs entries be transmitted to The MI Group, Inc. dba TheMIGroup.Pursuant to CFR 111.24 – Records Confidential: This record referred to in this part and pertaining to the business of the clients serviced by the broker are to beconsidered confidential, and the broker must not disclose their contents or any information connected with the records to any persons other than those clients, theirsurety on a particular entry, and the Field Director, Office of International Trade, Regulatory Audit, the special agent in charge, the port director, or other dulyaccredited officers or agents of the United States, except on subpoena by a court of competent jurisdiction.Customs Form 5291 (120195Customs Form –Rev. 08/17

SUPPLEMENTAL DECLARATION TO CF 3299FOR UNACCOMPANIED ND HOUSEHOLD EFFECTSOWNER OF HOUSEHOLD GOODS1. (LAST NAME, FIRST AND MIDDLE)2. DATE OF BIRTH:3. CITIZEN OF:4. PASSPORT NUMBER:5. SOCIAL SECURITY NUMBER:6. RESIDENT ALIEN NUMBER:7. U.S. ADDRESS:8. FOREIGN ADDRESS;9. REASON FOR MOVING:10. EMPLOYER:11. POSITION WITH COMPANY:12. LENGTH OF EMPLOYMENT:13. NATURE OF BUSINESS:14. NAME AND TELEPHONE NUMBER OF COMPANY OFFICE FOR VERIFICATION OF ABOVE:15. NAME AND ADDRESS OF FREIGHT FORWARDER/PACKERS/SHIPPING AGENT;16. SHIPPING ITINERARY:17. CERTIFICATION OF: (Check one)18. SIGNATURE:COPY OF ORIGINALU.S. CUSTOMS FORMIIRC159(386)(A) AUTHORIZED AGENT(B) IMPORTER

Customs Form 5291 (120195 Customs Form –Rev. 08/17 CUSTOMS POWER OF ATTORNEY for Individuals Department of the Treasury Check appropriate box: U.S. Customs Service Individual. 19 CFR 141.32 Partnership Corporation Sole Proprietorship

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