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Ounting document number Choose Legal size (8.5" x 14") Importer's name Cargo control number CBSA stamp Country of origin Importer's address Country of export Landed immigrant / Permanent resident Port of entry Date of landing IMM 5292 No. Item Description of goods (include serial numbers, if applicable) Value (CDN Dollars) 1 2 3 4 5 6 7 8 All conveyances MUST be eligible for importation in accordance with Transport Canada requirements. Vehicle import registration fees may also appl.

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