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Get CBP 434 2011

AME AND ADDRESS 2. BLANKET PERIOD FROM TO TAX IDENTIFICATION NUMBER: 3. PRODUCER NAME AND ADDRESS 4. IMPORTER NAME AND ADDRESS TAX IDENTIFICATION NUMBER: TAX IDENTIFICATION NUMBER: 6. 7. 8. 9. HS TARIFF PREFERENCE CLASSIFICATION PRODUCER NET COST CRITERION NUMBER 5. DESCRIPTION OF GOOD(S) 10. COUNTRY OF ORIGIN I CERTIFY THAT: • THE INFORMATION ON THIS DOCUMENT IS TRUE AND ACCURATE AND I ASSUME THE RESPONSIBILITY FOR PROVING SUCH REPRESENTATIONS. I UNDERSTAND THAT I AM LIABLE FOR ANY FA.

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