Hs-7 - Declaration - Importation Of Motor Vehicles And Motor Vehicle Equipment printable pdf download

— D E C L A R A T I O N —

OMB No. 2127-0002

Exp. 04-30-2017

Importation of Motor Vehicles and Motor Vehicle Equipment Subject to

US Department

Public Law 100—562,

of Transportation

National Highway

Federal Motor Vehicle Safety, Bumper and Theft Prevention Standards

49 USC Chap. 301

Traffic Safety

Administration

PORT OF ENTRY

CUSTOMS PORT CODE

CUSTOMS ENTRY NO

ENTRY DATE

MAKE OF VEHICLE

MODEL

YEAR

VEHICLE IDENTIFICATION NUMBER (VIN)

REGISTERED IMPORTER NAME AND NHTSA REGISTRATION NUMBER (Required when Box 3 is checked)

VEHICLE ELIGIBILITY NO. (Box 3)

DESCRIPTION OF MERCHANDISE IF MOTOR VEHICLE EQUIPMENT

The vehicle or equipment does not conform to all applicable Federal Motor Vehicle Safety and

The vehicle is 25 or more years old or the equipment item was manufactured on a date when no

Bumper Standards, but is being imported solely for the purpose of research, investigations,

applicable Federal Motor Vehicle Safety Standard or Theft Prevention Standard was in effect.

demonstrations or training, or competitive racing events, and I state that I will comply with the

applicable restrictions on importers of such merchandise as specified in 49 CFR 591.7 and I will

Date of manufacture:

[591.5(i)]

provide the Administrator with documentary proof of export or destruction not later than 30 days

following the end of the period for which the vehicle has been admitted into the United States.

2A. The vehicle or equipment item conforms to all applicable Federal Motor Vehicle Safety Standards

[591.5(j)]

(or the vehicle does not conform solely because readily attachable equipment items that will be

attached to it before it is offered for sale to the first purchaser for purposes other than resale are not

Attachment:

attached), and Bumper and Theft Prevention Standards, and bears a certification label or tag to that

a. Copy of NHTSA permission letter if the importer is not an original manufacturer of motor vehicles

effect permanently affixed by the original manufacturer to the vehicle or affixed by the manufacturer

(or a wholly owned subsidiary thereof) that are certified to conform to all applicable Federal Motor

to the equipment item or to its delivery container in accordance with applicable National Highway

Vehicle Safety Standards (FMVSS). Use on the public roads must be authorized specifically.

Traffic Safety Administration (NHTSA) regulations [591.5(b)];

[591.6(f )(1) or (2)];

b. Importer's statement describing the use to be made of the vehicle or equipment item if the

2B. The vehicle was certified by its original manufacturer as conforming to all applicable Canadian motor

vehicle safety standards and its original manufacturer confirms that the vehicle conforms to all

importer is an original manufacturer of motor vehicles (or a wholly owned subsidiary thereof) that

are certified to conform to all applicable FMVSS. If use on the public roads is an integral part of

applicable U.S. Federal Motor Vehicle Safety, Bumper, and Theft Prevention Standards (or that it

the purpose for which the vehicle or equipment item is imported, the statement shall describe the

conforms to all such standards except for the labeling requirements of Standards Nos. 101 and 110

purpose that makes such use necessary, state the estimated period of time during which use of

or 120, and/or the specifications of Standard No. 108 relating to daytime running lamps), and the

the vehicle or equipment item on the public roads is necessary, and state the intended means of

vehicle is not a salvage motor vehicle, a repaired salvage motor vehicle, or a reconstructed motor

final disposition (and disposition date) of the vehicle or equipment item after completion of the

vehicle, and I am importing it for personal use. [591.5(g)];

purpose for which it is imported. [591.6(f)(3)]

Attachment: Copy of manufacturer's confirmation letter.

The vehicle was not manufactured primarily for use on the public roads and thus is not a motor

vehicle subject to the Federal Motor Vehicle Safety, Bumper, and Theft Prevention Standards or the

The vehicle does not conform to all applicable Federal Motor Vehicle Safety and Bumper Standards,

equipment item is not a system, part, or component of a motor vehicle and thus is not an item of

but does conform to applicable Federal Theft Prevention Standards, but I am eligible to import it

motor vehicle equipment subject to the Federal Motor Vehicle Safety Standards. [591.5(a)]

because NHTSA has determined that the model and model year of the vehicle to be imported is

eligible for importation into the United States, and the vehicle is not a salvage motor vehicle or a

Attachment: Importer’s statement substantiating that the vehicle was not manufactured for use on

reconstructed motor vehicle, and I have furnished a bond, which is attached to this declaration, in

the public roads, other than the equipment item was not manufactured for use on a motor vehicle or

an amount equal to 150 percent of the entered value of the vehicle as determined by the Secretary

is not an item of motor vehicle equipment. [591.6(a)]

of the Treasury. If the Administrator of NHTSA determines that the vehicle has not been brought into

conformity with all such standards within 120 days after importation, then I state that I will deliver

The vehicle or equipment item requires further manufacturing operations to perform its intended

such vehicle to the Secretary of Homeland Security for export, or abandon it to the United States

function, other that the addition of readily attachable equipment items such as mirrors, wipers, or tire

[591.8]; and that

and rim assemblies, or minor finishing operations such as painting, and any part of such vehicle that

is required to be marked by the Theft Prevention Standard is marked in accordance with that

a. I have registered with NHTSA pursuant to 49 CFR Part 592 and such registration is not

standard. [591.5(e)]

suspended and has not been revoked; or

b. I have executed a contract or other agreement, which is attached to this declaration, with an

Attachment: For a vehicle, a copy of the Incomplete Vehicle Document, issued by the incomplete

importer who has registered with NHTSA and whose registration is not suspended and has not

vehicle manufacturer, providing guidance on completing the vehicle so that it conforms to all

been revoked. [591.5(f)]

applicable Federal Motor Vehicle Safety Standards (FMVSS). For an equipment item, a statement

issued by the item’s manufacturer identifying the applicable FMVSS to which the item does not

Attachments: Copy of DOT Bond; and

conform and describing the further manufacturing required for the item to perform its intended

Copy of Contract with a Registered Importer, if applicable.

function. [591.6(b)].

The vehicle or equipment does not conform to all applicable Federal Motor Vehicle Safety, Bumper

10. The vehicle does not conform to all applicable Federal Motor Vehicle Safety and Bumper Standards

and Theft Prevention Standards, but is intended solely for export and is labeled for export on the

but is being imported solely for the purpose of show and display, and I state that I will comply with

vehicle or equipment item, and the outside of any container of the vehicle or equipment item bears

all applicable restrictions on importers of such vehicles as specified in 49 CFR 591.7. [591.5(j)].

a label or tag to that effect. [591.5(c)]

Attachment: Copy of NHTSA Permission Letter.

The vehicle or equipment does not conform to all applicable Federal Motor Vehicle Safety, Bumper

and Theft Prevention Standards, but I am eligible to import it because all of the following conditions

11. The equipment item is subject to the Theft Prevention Standard and is marked in accordance with

exist:

the requirements of 49 CFR Part 541. [591.5(k)]

a. I am a nonresident of the United States and the vehicle is registered in a country other than the

United States;

12. The vehicle does not conform to all applicable Federal Motor Vehicle Safety, Bumper, and Theft

b. I am temporarily importing the vehicle for personal use for a period not to exceed 1 year, and will

Prevention Standards, but I am eligible to import it because all of the following conditions exist:

not sell it during that time; and

a. I am a member of the armed forces of a foreign country on assignment in the United States;

c. I will export it not later than the end of 1 year after entry, and the declaration contains my passport

b. I am importing the vehicle on a temporary basis, and for my personal use;

number and country of issue. [591.5(d)]

c. I will not sell the vehicle to any person in the United States, other than a person eligible to import

a vehicle under this paragraph;

d. Passport No.

Country of Issue

d. I will export the vehicle upon departing the United States at the conclusion of my tour of duty; and

e. I have attached a copy of my official orders. [591.5(h)(2)]

The vehicle does not conform to all applicable Federal Motor Vehicle Safety, Bumper, and Theft

Prevention Standards, but I am eligible to import it because all of the following conditions exist:

Attachment: Copy of Official Orders.

a. I am a member of a foreign government on assignment in the United States, or a member of the

13. The vehicle does not conform to all applicable Federal Motor Vehicle Safety and Bumper Standards,

Secretariat of a public international organization so designated under the International Organiza-

but does conform to applicable Federal Theft Prevention Standards, and I am eligible to import it

tions Immunities Act, and within the class of persons for whom free entry of motor vehicles has

been authorized by the Department of State;

because I am registered with NHTSA pursuant to 49 CFR Part 592 and such registration is not

suspended and has not been revoked, I have informed NHTSA that I intend to petition, or I have

b. I am importing the vehicle on a temporary basis for my personal use, and will register it through

petitioned, that agency to decide that the vehicle to be imported is eligible for importation, and

the Office of Foreign Missions of the Department of State;

NHTSA has granted me permission in writing to import the vehicle for that purpose. If the Administra-

c. I will not sell the vehicle to any person in the United States, other than a person eligible to import

tor of NHTSA dismisses my petition, or decides that the vehicle is not eligible for importation, or if I

a vehicle under this paragraph;

withdraw my petition or I fail to submit a petition covering the vehicle within 180 days from the date

d. I will obtain from the Office of Foreign Missions of the State Department, before departing the

of entry, then I state that I will deliver such vehicle, unless it is destroyed, to the Secretary of

United States at the conclusion of a tour of duty, an ownership title to the vehicle good for export

Homeland Security for export, or abandon it to the United States, within 30 days from the date of the

only; and

dismissal, denial, or withdrawal of my petition, as appropriate, or within 210 days from the date of

e. I have attached a copy of my official orders. [591.5(h)(1)]

entry if I fail to submit a petition covering the vehicle. If the Administrator of NHTSA grants my

petition, then I state that within 15 days from the date that I am notified of that decision, I will furnish

Name of Embassy:

a bond, in an amount equal to 150 percent of the entered value of the vehicle as determined by the

Secretary of the Treasury, unless the vehicle is destroyed, to ensure that I will bring the vehicle into

Attachment: Copy of Official Orders.

conformity with all applicable Federal Motor Vehicle Safety and Bumper standards within 120 days

from the date the petition is granted, or will deliver the vehicle to the Secretary of Homeland Security

for export, or abandon it to the United States. If the vehicle is destroyed, then I state that I will furnish

NHTSA with documentary proof of that destruction within 15 days from the date that it occurs.

Attachment: Copy of NHTSA permission letter.

NAME OF IMPORTER

IMPORTER'S ADDRESS

(Please type)

(Street, City, State, Zip Code)

NAME OF DECLARANT

(Please type)

DECLARANT'S ADDRESS

DECLARANT'S CAPACITY

DECLARANT'S SIGNATURE

DATE SIGNED

EPA Requirements: Importers of motor vehicles/engines and nonroad vehicles/engines/equipment must also submit EPA form 3520-1 or 3520-21 to U.S. Customs and Border Protection to identify the basis for

importation into the United States and U.S. territories under the laws administered by the United States Environmental Protection Agency. For more information, please see

PAPERWORK REDUCTION ACT STATEMENT: A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with, a collection of

information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current valid OMB Control Number. The OMB Control Number for this information collection is 2127-0002.

The information collected on this form is necessary to import a motor vehicle or motor vehicle equipment into the United States. We estimate that it will take approximately 5 minutes to complete the form. The information

collected is mandatory under 49 CFR 591.5. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection

Clearance Officer, National Highway Traffic Safety Administration, 1200 New Jersey Ave, S.E., Room W45-205, Washington, DC, 20590.

OVER

HS-7 (Rev. 07-2014)

75124 –M34d