Term Project paper
ricardo.cova001
4673CBPForm7501completedsample.pdf
DEPARTMENT OF HOMELAND SECURITY U.S. Customs and Border Protection
3. Summary Date
4. Surety No. 7. Entry DateENTRY SUMMARY 9. Mode of Transport 10. Country of Origin 11. Import Date
12. B/L or AWB No. 13. Manufacturer ID 14. Exporting Country 15. Export Date
16. I.T. No. 17. I.T. Date 18. Missing Docs 19. Foreign Port of Lading 20. U.S. Port of Unlading
21. Location of Goods/G.O. No. 22. Consignee No. 23. Importer No. 24. Reference No.
25. Ultimate Consignee Name and Address 26. Importer of Record Name and Address
27. 28. Description of Merchandise 32. 33. 34.
29. 30. 31. Duty and I.R. Tax
Line No.
Dollars Cents
35. Total Entered Value CBP USE ONLY TOTALSOther Fee Summary for Block 39 A. LIQ CODE B. Ascertained Duty 37. Duty
REASON CODE C. Ascertained Tax 38. Tax
D. Ascertained Other 39. Other
E. Ascertained Total 40. Total
SIGNATURE DATE
42. Broker/Filer Information (Name, address, phone number) 43. Broker/Importer File No.
CBP Form 7501 (06/09)
8. Importing Carrier
TITLE41. DECLARANT NAME
1. Filer Code/Entry No. 2. Entry Type
36. DECLARATION OF IMPORTER OF RECORD (OWNER OR PURCHASER) OR AUTHORIZED AGENT
Form Approved OMB No. 1651-0022 EXP. 10-31-2017
City State Zip City State Zip
$ Total Other Fees
$
I declare that I am the
I also declare that the statements in the documents herein filed fully disclose to the best of my knowledge and belief the true prices, values, quantities, rebates, drawbacks, fees, commissions, and royalties and are true and correct, and that all goods or services provided to the seller of the merchandise either free or at reduced cost are fully disclosed.
Importer of record and that the actual owner,
was not obtained pursuant to a purchase or agreement to purchase and the statements in the invoices as to value or price are true to the best of my knowledge and belief.
I will immediately furnish to the appropriate CBP officer any information showing a different statement of facts.
or purchaser or agent thereof. purchaser, or consignee for CBP purposes is as shown above, owner
I further declare that the merchandise was obtained pursuant to a purchase or agreement to purchase and that the OR
ORprices set forth in the invoices are true,
5. Bond Type 6. Port Code
A. HTSUS No. B. ADA/CVD No.
A. Grossweight B. Manifest Qty.
Net Quantity in HTSUS Units
A. Entered Value B. CHGS C. Relationship
A. HTSUS Rate B. ADA/CVD Rate C. IRC Rate D. Visa No.
DEPARTMENT OF HOMELAND SECURITY U.S. Customs and Border Protection
ENTRY SUMMARY CONTINUATION SHEET OMB No. 1651-0022 EXP. 08-31-2014
1. Filer Code/Entry No.
28. Description of Merchandise 34.
CBP Form 7501 (06/09)
32. 33.
29. 30. 31.
27.
Net Quantity in HTSUS Units
A. Grossweight B. Manifest Qty.
A. HTSUS No. B. ADA/CVD No.
Line No.
CentsDollars
Duty and I.R. TaxA. HTSUS Rate B. ADA/CVD Rate C. IRC Rate D. Visa No.
A. Entered Value B. CHGS C. Relationship
DEPARTMENT OF HOMELAND SECURITY U.S. Customs and Border Protection
ENTRY SUMMARY CONTINUATION SHEET 1. Filer Code/Entry No.
28. Description of Merchandise 34.
CBP Form 7501 (06/09)
32. 33.
29. 30. 31.
27.
Net Quantity in HTSUS Units
A. Grossweight B. Manifest Qty.
A. HTSUS No. B. ADA/CVD No.
Line No.
CentsDollars
Duty and I.R. TaxA. HTSUS Rate B. ADA/CVD Rate C. IRC Rate D. Visa No.
A. Entered Value B. CHGS C. Relationship
OMB No. 1651-0022 EXP. 08-31-2014
DEPARTMENT OF HOMELAND SECURITY U.S. Customs and Border Protection
ENTRY SUMMARY CONTINUATION SHEET 1. Filer Code/Entry No.
28. Description of Merchandise 34.
CBP Form 7501 (06/09)
32. 33.
29. 30. 31.
27.
Net Quantity in HTSUS Units
A. Grossweight B. Manifest Qty.
A. HTSUS No. B. ADA/CVD No.
Line No.
CentsDollars
Duty and I.R. TaxA. HTSUS Rate B. ADA/CVD Rate C. IRC Rate D. Visa No.
A. Entered Value B. CHGS C. Relationship
OMB No. 1651-0022 EXP. 08-31-2014
DEPARTMENT OF HOMELAND SECURITY U.S. Customs and Border Protection
ENTRY SUMMARY CONTINUATION SHEET 1. Filer Code/Entry No.
28. Description of Merchandise 34.
CBP Form 7501 (06/09)
32. 33.
29. 30. 31.
27.
Net Quantity in HTSUS Units
A. Grossweight B. Manifest Qty.
A. HTSUS No. B. ADA/CVD No.
Line No.
CentsDollars
Duty and I.R. TaxA. HTSUS Rate B. ADA/CVD Rate C. IRC Rate D. Visa No.
A. Entered Value B. CHGS C. Relationship
OMB No. 1651-0022 EXP. 08-31-2014
cf- 7501- camera- copy.xdp
pward
Paperwork Reduction Act Notice: This information is needed to ensure that importers/exporters are complying with U S Customs and Border Protection Laws, to allow us to compute and collect the right amount of money, to enforce other agency requirements, and to collect accurate statistical information on imports. Your response is mandatory. Statement required by 5 C F R 1320.21. When this form is used for a formal entry, the estimated average burden associated with this collection of information is 10 minutes per respondent depending on individual circumstances. (When this form is used for an informal entry, the estimated burden is 5 minutes.) Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be directed to U S Customs and Border Protection, Information Services Branch, Washington, D C 20229, and to the Office of Management and Budget, Paperwork Reduction Project (1651-0022), Washington, D C 20503
DEPARTMENT OF HOMELAND SECURITYU.S. Customs and Border Protection
DEPARTMENT OF HOMELAND SECURITY U S Customs and Border Protection
3. Summary Date
4. Surety No.
4. Surety Number
7. Entry Date
ENTRY SUMMARY
9. Mode of Transport
10. Country of Origin
11. Import Date
12. B/L or AWB No.
12. B / L or. A. W B Number
13. Manufacturer ID
13. Manufacturer I D
14. Exporting Country
15. Export Date
16. I.T. No.
16. I T Number
17. I.T. Date
17. I T Date.
18. Missing Docs
19. Foreign Port of Lading
20. U.S. Port of Unlading
20. U S Port of Unlading
21. Location of Goods/G.O. No.
21. Location of Goods / G O Number
22. Consignee No.
22. Consignee Number
23. Importer No.
23. Importer Number
24. Reference No.
24. Reference Number
25. Ultimate Consignee Name and Address
26. Importer of Record Name and Address
27.
28. Description of Merchandise
32.
33.
34.
29.
30.
31.
Duty and I.R. Tax
Duty and I R Tax
Line
No.
Line Number
Dollars
Cents
35. Total Entered Value
CBP USE ONLY
TOTALS
Other Fee Summary for Block 39
Other Fee Summary for Block 39
A. LIQ CODE
A. L I Q CODE
B. Ascertained Duty
37. Duty
REASON CODE
C. Ascertained Tax
38. Tax
D. Ascertained Other
39. Other
E. Ascertained Total
40. Total
SIGNATURE
DATE
42. Broker/Filer Information (Name, address, phone number)
42. Broker/Filer Information (Name, address, phone number)
43. Broker/Importer File No.
43. Broker/Importer File Number
CBP Form 7501 (06/09)
8. Importing Carrier
TITLE
41. DECLARANT NAME
1. Filer Code/Entry No.
1. Filer Code / Entry Number
2. Entry Type
36. DECLARATION OF IMPORTER OF RECORD (OWNER OR PURCHASER) OR AUTHORIZED AGENT
36. DECLARATION OF IMPORTER OF RECORD (OWNER OR PURCHASER) OR AUTHORIZED AGENT
Form Approved OMB No. 1651-0022
EXP. 10-31-2017
City
State
Zip
City
State
Zip
$
Total Other Fees
$
I declare that I am the
I also declare that the statements in the documents herein filed fully disclose to the best
of my knowledge and belief the true prices, values, quantities, rebates, drawbacks, fees, commissions, and royalties and are true and correct, and that all goods or services provided to the seller of the merchandise either free or at reduced cost are fully disclosed.
of my knowledge and belief the true prices, values, quantities, rebates, drawbacks, fees, commissions, and royalties and are true and correct, and that all goods or services provided to the seller of the merchandise either free or at reduced cost are fully disclosed.
Importer of record and that the actual owner,
was not obtained pursuant to a purchase or agreement to purchase and the statements in the invoices as
to value or price are true to the best of my knowledge and belief.
I will immediately furnish to the appropriate CBP officer any information showing a different statement of facts.
or purchaser or agent thereof.
purchaser, or consignee for CBP purposes is as shown above,
purchaser, or consignee for C B P purposes is as shown above,
owner
I further declare that the merchandise
was obtained pursuant to a purchase or agreement to purchase and that the
OR
OR
prices set forth in the invoices are true,
5. Bond Type
6. Port Code
A. HTSUS No.
B. ADA/CVD No.
A. H T S U S Number. B. A. D. A. / C V D Number
A. Grossweight
B. Manifest Qty.
A. Grossweight B. Manifest Quantity
Net Quantity in
HTSUS Units
Net Quantity in H T S U S Units
A. Entered Value
B. CHGS
C. Relationship
A. Entered Value. B. C H G S C. Relationship
A. HTSUS Rate
B. ADA/CVD Rate
C. IRC Rate
D. Visa No.
A. H T S U S Rate B. A. D. A. / C V D Rate C. I R C Rate D. Visa Number.
DEPARTMENT OF HOMELAND SECURITYU.S. Customs and Border Protection
DEPARTMENT OF HOMELAND SECURITY U S Customs and Border Protection
ENTRY SUMMARY CONTINUATION SHEET
ENTRY SUMMARY CONTINUATION SHEET
OMB No. 1651-0022
EXP. 08-31-2014
1. Filer Code/Entry No.
1. Filer Code/Entry Number
28. Description of Merchandise
28. Description of Merchandise
34.
CBP Form 7501 (06/09)
32.
33.
29.
30.
31.
27.
Net Quantity in
HTSUS Units
Net Quantity in H T S U S Units
A. Grossweight
B. Manifest Qty.
A. Grossweight B. Manifest Quantity
A. HTSUS No.
B. ADA/CVD No.
A. H T S U S Number. B. A. D. A. / C V D Number
Line
No.
Line Number
Cents
Dollars
Duty and I.R. Tax
Duty and I R Tax
A. HTSUS Rate
B. ADA/CVD Rate
C. IRC Rate
D. Visa No.
A. H T S U S Rate B. A. D. A. / C V D Rate C. I R C Rate D. Visa Number.
A. Entered Value
B. CHGS
C. Relationship
A. Entered Value. B. C H G S C. Relationship
DEPARTMENT OF HOMELAND SECURITYU.S. Customs and Border Protection
DEPARTMENT OF HOMELAND SECURITY U S Customs and Border Protection
ENTRY SUMMARY CONTINUATION SHEET
ENTRY SUMMARY CONTINUATION SHEET
1. Filer Code/Entry No.
1. Filer Code/Entry Number
28. Description of Merchandise
28. Description of Merchandise
34.
CBP Form 7501 (06/09)
32.
33.
29.
30.
31.
27.
Net Quantity in
HTSUS Units
Net Quantity in H T S U S Units
A. Grossweight
B. Manifest Qty.
A. Grossweight B. Manifest Quantity
A. HTSUS No.
B. ADA/CVD No.
A. H T S U S Number. B. A. D. A. / C V D Number
Line
No.
Line Number
Cents
Dollars
Duty and I.R. Tax
Duty and I R Tax
A. HTSUS Rate
B. ADA/CVD Rate
C. IRC Rate
D. Visa No.
A. H T S U S Rate B. A. D. A. / C V D Rate C. I R C Rate D. Visa Number.
A. Entered Value
B. CHGS
C. Relationship
A. Entered Value. B. C H G S C. Relationship
OMB No. 1651-0022
EXP. 08-31-2014
DEPARTMENT OF HOMELAND SECURITYU.S. Customs and Border Protection
DEPARTMENT OF HOMELAND SECURITY U S Customs and Border Protection
ENTRY SUMMARY CONTINUATION SHEET
ENTRY SUMMARY CONTINUATION SHEET
1. Filer Code/Entry No.
1. Filer Code/Entry Number
28. Description of Merchandise
28. Description of Merchandise
34.
CBP Form 7501 (06/09)
32.
33.
29.
30.
31.
27.
Net Quantity in
HTSUS Units
Net Quantity in H T S U S Units
A. Grossweight
B. Manifest Qty.
A. Grossweight B. Manifest Quantity
A. HTSUS No.
B. ADA/CVD No.
A. H T S U S Number. B. A. D. A. / C V D Number
Line
No.
Line Number
Cents
Dollars
Duty and I.R. Tax
Duty and I R Tax
A. HTSUS Rate
B. ADA/CVD Rate
C. IRC Rate
D. Visa No.
A. H T S U S Rate B. A. D. A. / C V D Rate C. I R C Rate D. Visa Number.
A. Entered Value
B. CHGS
C. Relationship
A. Entered Value. B. C H G S C. Relationship
OMB No. 1651-0022
EXP. 08-31-2014
DEPARTMENT OF HOMELAND SECURITYU.S. Customs and Border Protection
DEPARTMENT OF HOMELAND SECURITY U S Customs and Border Protection
ENTRY SUMMARY CONTINUATION SHEET
ENTRY SUMMARY CONTINUATION SHEET
1. Filer Code/Entry No.
1. Filer Code/Entry Number
28. Description of Merchandise
28. Description of Merchandise
34.
CBP Form 7501 (06/09)
32.
33.
29.
30.
31.
27.
Net Quantity in
HTSUS Units
Net Quantity in H T S U S Units
A. Grossweight
B. Manifest Qty.
A. Grossweight B. Manifest Quantity
A. HTSUS No.
B. ADA/CVD No.
A. H T S U S Number. B. A. D. A. / C V D Number
Line
No.
Line Number
Cents
Dollars
Duty and I.R. Tax
Duty and I R Tax
A. HTSUS Rate
B. ADA/CVD Rate
C. IRC Rate
D. Visa No.
A. H T S U S Rate B. A. D. A. / C V D Rate C. I R C Rate D. Visa Number.
A. Entered Value
B. CHGS
C. Relationship
A. Entered Value. B. C H G S C. Relationship
OMB No. 1651-0022
EXP. 08-31-2014
- filercode:
- entrytype: e.g. "01"
- summaryDate:
- suretyno:
- bondtype: e.g."8"
- portcode: e.g. 5201
- entryDate: 2018-11-14
- impcarrier: e.g., UPS
- mode: e.g., "Vessel"
- country: Canada
- importDate:
- bl: 1234567 (make up number)
- manid:
- expcounatry: Canada
- exportDate:
- itno:
- itdate:
- missdoc:
- foreignport:
- usport:
- location:
- consignno:
- importerno:
- refno:
- ultimateaddress1: Melbourne Enterprises, LLC
- city1: Miami
- state1: FL
- zip1: 33199
- zip2:
- state2:
- city2:
- importeraddress2:
- other:
- total35: 967.70000000
- totalotherfees:
- box1: 0
- box2: 0
- box3: 0
- box4: 0
- liqcode:
- ascertainedduty:
- ascertainedtax:
- ascertainedother:
- ascertainedtotal:
- duty37: 0.00000000
- tax38:
- other39:
- total40: 0.00000000
- decname: Louis Melbourne
- title: CEO
- sig:
- lstdate:
- brokerinfo:
- brokernumber:
- reasoncode:
- descriptiona1: 2-Liter plastic bottles 50 cases 3923.30.0090
- lineno1:
- descriptionb1: 967.70 (i.e., the invoice price based on the Incoterm you've chosen; in this case it's CIF)
- descriptionc1: 0% ((note: if your product has a duty (e.g, 3%), enter that duty here))
- amount1: 0.00 (i.e., amount in Block 32 x amount in Block 33)
- Button1:
- descriptionC1:
- descriptionB1:
- descriptionA1: No need to complete this sheet
- lineno:
