DEPARTMENT OF THE TREASURY

UNITED STATES CUSTOMS SERVICE

DECLARATION FOR FREE ENTRY

OF UNACCOMPANIED ARTICLES

19 CFR 148.6, 148.52, 148.53, 148.77

PART I – (Please consult with the Customs official for additional information or assistance. REMEMBER – All of your statements are subjects to verification. False declarations or failure to declare articles could result in penalties.)

1. IMPORTER´S NAME (Last, first and middle) 2. IMPORTER´S DATE OF BIRTH 3. IMPORTER´S DATE OF ARRIVAL

4. IMPORTER´S U.S. ADRESS 5. IMPORTER´S PORT OF ARRIVAL

6. NAME OF ARRIVING VESSEL/CARRIER AND FLIGHT/TRAIN

7. NAME(s) OF ACCOMPANYING HOUSEHOLD MEMBERS (wife, husband, minor children, etc.)

8. THE ARTICLES FOR WICH A. DATE B. NAME OF VESSEL/CARRIER C.FROM (Country) D. B/L OR AWB I.T. NO.

FREE ENTRY IS CLAIMED

BELONG TO ME AND/OR MY

FAMILY AND WERE IMPORTED

E. NUMBER AND KINDS OF CONTAINERS F. MARKS AND NUMBERS

PART II

9. RESIDENCY (“X” appropriate box) A. NAME OF COUNTRY B.LENGTH OF TIME

I declare that my place of residence abroad is was

Yr. Mo.

C. RESIDENCY STATUS UPON MY /OUR ARRIVAL (“x”One)

(1) Returning resident of the U.S. (2) Nonresident: a. Emigrating to the U.S. b. Visiting the U.S.

10. STATEMENT(S) OF ELIGIBILITY FOR FREE ENTRY OF ARTICLES

I the undersigned futher declare that (“X” all applicable items and submit packing list):

(1) All household effects acquired abroad for wich free entry is sought were used abroad for at least one year by me or my family in household of wich I or my family was a resident member during such period of use, and are not intented for any other person or for sale. (9804.00.05, HTSUSA).

(1) All (1) All articles of apparel, personal, adornment, toiletries and similar personal effects for wich free entry is sought were actually owned by me and in the possession of myself , or those members of my family who accompa nied Me, at the time of departure to the United States and that they are appropriate and are intented for our personal use and not for any other person no for sale. (9804.00.20 HTSUSA).

A. Applicable to RESIDENT AND NONRESIDENT C. Applicable to NONRESIDENT ONLY

(2) Any vehicles, trailers, bicycle or other jeans of conveyance being imported are for the transport of me and my family and such incidental carriage, of articles as are appropriate to my personal use of the conveyance. (9804.00.35, HTSUSA)

(2) All instruments, implements, or tools of trade, occupation or employment, and all professional books for wich free entry is sought were taken abroad by me or for my account or I am an emigrant who owned and used them abroad. (9804.00.10, 9804.00.15, THSUSA)

B. Applicable to RESIDENT ONLY

All personal effects for wich free entry is sought were taken abroad by me or for my account.

(9804.0045,HTSUSA)

PART III

I, the undersigned, the owner, importer, or agent of the importer of the personal and household effects for wich free entry is claimed, hereby certify that they were in direct personal possession of the importer, or of a member of the importer´s family residing with the importer, while abroad, and that they were imported into the United States because of the termination of assignment to extended duty (as defined in section 148.74 (d) of the Customs Regulations) at a post or station outside the United States and the Customs Territory of the United States, or because of Government orders or instructions evacuating the importer to the United States; and that they are not imported for sale or for the account of any other person and that they do not include any alcoholic beverages or cigars. Free entry for these effects is claimed under Subheading No.9805.0050, Harmonized Tariff Schedule of the United States.

1. DATE OF IMPORTER´S LAST DEPARTURE FROM THE U.S. 2. A COPY OF THE IMPORTER´S TRAVEL ORDERS IS ATTACHED AND THE ORDERS WERE ISSUED ON:

PART IV – (Certain articles may be subject to duty and/or other requirements and must be specifically declared herein. Please, check all applicable items and list them separately in item D on the reverse.)

A. For U.S. Personnel, Evacuees, Resident s and Non-Residents B. For Residents and Non-Residents ONLY

C. For Resident ONLY

(9) Personal effects acquired abroad.

(10) Foreign made articles acquired in the United States and taken abroad on this trip or acquired on another trip that was previously declared to U.S.Csutoms.

(11) Articles taken abroad for wich alteratioins or repairs were performed abroad..

		Customs Form 3299 (100695)

D. LIST OF ARTICLES

(1) ITEM NUMBER CHECKED IN PART IV, A, B,C.

(2) DESCRIPTION OF MERCHANDISE

(3) VALUE OR COST OF REPAIRS

(4) FOREIGN MERCHANDISE TAKEN ABROAD THIS TRIP: State where in the U.S. the foreign merchandise was acquired or when and where it was previously declared to U.S. Customs.

PART V

The undersigned carrier, to whom or upon whose order the articles described in PART I, 8, must be released, herebay certifies that the person named in Part I, 1., is the

owner or consignee of such articles within the purview of section 484(h), Tariff Act of 1930.

In accordance with the provisions of section 484 (h), Tariff Act of 1930, authority is hereby given to release the articles to such consignee.

1. NAME OF CARRIER 2. SIGNATURE OF AGENT (Print and sign) Date

XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

PART VI

I, the undersigned, certify that this declaration is correct and complete.

1.”X” One

A. Authorized Agent * (From facts obtained from the importer) B. Importer

2. SIGNATURE 3 DATE

* An Authorized Agent is defined as a person who has actual knowledge of the facts and who is specifically empowered under a power of attorney to execute this declaration (see 19 CFR 141.19, 141.32, 141.33)

Customs Form 3299 (100695)(Back)