PLICANT'S NAME AND ADDRESS (Principal Office) (Indicate fictitious name, if applicable) 19 U.S.C. 1641; 19 CFR 111.12 INSTRUCTIONS: Applicants must be United States citizens. Pursuant to the requirements of 19CFR 111.12 (b) the information contained in Blocks 1,2,3,22 and 23 may be released to the public and posted by appropriate electronic means. Submit application in duplicate to the Port Director of the Port name in Block 3. All additional continuation sheets, if required, and attachments s.
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How to fill out the CBP 3124 online
Filling out the CBP 3124 form is a crucial step in applying for a customs broker license. This guide offers detailed instructions to help you successfully complete the form online, making the process as smooth as possible.
Follow the steps to fill out the CBP 3124 online effectively.
- Click ‘Get Form’ button to access the CBP 3124 form and open it in the online editor.
- Begin by entering your name and address in Block 1. If applicable, indicate any fictitious business name.
- In Block 2, select the type of license you are applying for: individual, corporation, partnership, or association.
- Specify the CBP port in Block 3 where you intend to submit your application.
- Answer the question in Block 4 regarding any previous applications for a customs broker's license.
- Proceed to Block 5 and indicate whether any officers or members have had a license suspended, refused, revoked, or canceled.
- Enter the applicant's date of birth in Block 7, and provide citizenship details in Block 12.
- Provide the social security number in Block 9 and contact numbers in Blocks 10 and 11.
- In Block 13, describe any arrests, charges, or convictions. Refer to the instructions for exclusions.
- Complete your current residence address in Block 14 if it differs from Block 1.
- Answer the question in Block 15 concerning bankruptcy or legal judgments from the past five years.
- Detail your intended business engagement in the customs broker field in Block 16.
- List the names and contact details of six references in Block 17.
- Provide any additional remarks in Block 18, as necessary.
- For associations, corporations, or partnerships, complete Blocks 19 to 23 as required.
- Conclude the form by certifying its accuracy in the certification section and signing in Block 25.
- Once finished, you can save your changes, download, print, or share the completed form as needed.
Take the next step and complete your CBP 3124 form online today.
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