CBP New Security Filing Date Requirements 10+2


1. Importer of Record

2. Buyer

Name: Name:
Address 1: Address 1:
Address 2: Address 2:
City: City:
State: State:
Postal Code: Postal Code:
Country: Country:
Tel: Tel:
IRS #: IRS #:


3. Ship To

4. Manufacturer / Supplier

Name: Name:
Address 1: Address 1:
Address 2: Address 2:
City: City:
State: State:
Postal Code: Postal Code:
Country: Country:
Tel: Tel:
IRS #:


5. Seller

6. Consolidator

Name: Name:
Address 1: Address 1:
Address 2: Address 2:
City: City:
State: State:
Postal Code: Postal Code:
Country: Country:
Tel: Tel:


7. Container Stuffing Location

8. Consignee

Name: Name:
Address 1: Address 1:
Address 2: Address 2:
City: City:
State: State:
Postal Code: Postal Code:
Country: Country:
Tel: Tel:
IRS #:




9. - 10. Details

Description Description
Country of Origin: Country of Origin:
Commodity Code (HTS): Commodity Code (HTS):


Description Description
Country of Origin: Country of Origin:
Commodity Code (HTS): Commodity Code (HTS):


Description Description
Country of Origin: Country of Origin:
Commodity Code (HTS): Commodity Code (HTS):


Description Description
Country of Origin: Country of Origin:
Commodity Code (HTS): Commodity Code (HTS):


Description Description
Country of Origin: Country of Origin:
Commodity Code (HTS): Commodity Code (HTS):


Description Description
Country of Origin: Country of Origin:
Commodity Code (HTS): Commodity Code (HTS):


Description Description
Country of Origin: Country of Origin:
Commodity Code (HTS): Commodity Code (HTS):


Notations



Your Name: Today's Date:
Your Email: Your Title:
Your Phone: