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Get CBP 7523 2009

DEPARTMENT OF HOMELAND SECURITY OMB No. 1651-0013 Exp. 12-31-2011 U.S. Customs and Border Protection 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 3. DATE 4. VESSEL OR OTHER CONVEYANCE MARKS AND NUMBERS DESCRIPTION AND QUANTITY OF MERCHANDISE 11. IMPORTER OF RECORD Name and Address 13. INSPECTED AND PASSED FREE OF DUTY BY 15. SIGNATURE Inspector 5. ARRIVAL DATE 6. COUNTRY OF EXPORTATION VALUE HTSUS HEADING NO. OR P. L* NO. 12. AGENT S SIGNATURE 14. OWNER PURCHASER OR CONSIGNEE If different from Importer of Record 16. DATE 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 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. 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 3. DATE 4. VESSEL OR OTHER CONVEYANCE MARKS AND NUMBERS DESCRIPTION AND QUANTITY OF MERCHANDISE 11. PORT CODE 3. DATE 4. VESSEL OR OTHER CONVEYANCE MARKS AND NUMBERS DESCRIPTION AND QUANTITY OF MERCHANDISE 11. IMPORTER OF RECORD Name and Address 13. INSPECTED AND PASSED FREE OF DUTY BY 15. SIGNATURE Inspector 5. IMPORTER OF RECORD Name and Address 13. INSPECTED AND PASSED FREE OF DUTY BY 15. SIGNATURE Inspector 5. ARRIVAL DATE 6. COUNTRY OF EXPORTATION VALUE HTSUS HEADING NO. OR P. L* NO. 12. AGENT S SIGNATURE 14. ARRIVAL DATE 6. COUNTRY OF EXPORTATION VALUE HTSUS HEADING NO. OR P. L* NO. 12. AGENT S SIGNATURE 14. OWNER PURCHASER OR CONSIGNEE If different from Importer of Record 16. DATE above as the importer is the owner purchaser or consignee of such articles within the purview of section 484 h Tariff Act of 1930. OWNER PURCHASER OR CONSIGNEE If different from Importer of Record 16. DATE 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. .

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