Entry/immediate Delivery
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1
2DEPARTMENT OF HOMELAND SECURITY
OMB No. 1651-0024
Exp. 08-31-2018
U.S. Customs and Border Protection
ENTRY/IMMEDIATE DELIVERY
19 CFR 142.3, 142.16, 142.22, 142.24, 149.3
HEADER INFORMATION
1. PORT OF ENTRY:
2. BOND TYPE:
3. IMPORTER NUMBER:
4. IMPORTER NAME AND ADDRESS:
Single Transaction Bond
IRS
SSN
Continuous Bond
CBP Assigned
No Bond Required
5. ENTRY NUMBER:
6. BOND VALUE:
7. ENTRY VALUE:
8. CES:
9. ENTRY TYPE:
10. ORIGINATING WHSE ENTRY NUMBER (For Entry Type 22 Only):
11. SURETY CODE:
12. PORT OF UNLADING:
13. MODE OF TRANSPORTATION:
14. LOCATION OF GOODS (FIRMS):
Air
Ocean
Rail
Truck
Hand Carry
Pipeline
Other
15. G.O. NUMBER:
16. CONVEYANCE NAME/FTZ ZONE ID:
HEADER REFERENCE INFORMATION
17. REFERENCE ID CODE:
18. REFERENCE ID NUMBER (UP TO 50 CHARACTERS):
HEADER PARTIES (MUST APPLY TO ENTIRE ENTRY; IF NOT, SKIP TO LINE INFORMATION
19. HEADER PARTY TYPE:
20. HEADER PARTY TYPE NAME/ADDRESS
21. HEADER ID #, IF APPLICABLE
Manufacturer
Buying Party
IRS
SSN
CBP Assigned
Consignee
Selling Party
Manufacturer
Buying Party
IRS
SSN
CBP Assigned
Consignee
Selling Party
Manufacturer
Buying Party
IRS
SSN
CBP Assigned
Consignee
Selling Party
Manufacturer
Buying Party
IRS
SSN
CBP Assigned
Consignee
Selling Party
22. CERTIFICATION
23. CBP USE ONLY
I hereby make application for entry/immediate delivery. I certify that the
OTHER AGENCY ACTION REQUIRED, NAMELY:
above information is accurate, the bond is sufficient, valid, and current,
and that all requirements of 19 CFR Part 142 have been met.
SIGNATURE OF APPLICANT:
PHONE NUMBER:
DATE:
CBP EXAMINATION REQUIRED.
BROKER OR OTHER GOVT. AGENCY USE
ENTRY REJECTED, BECAUSE:
SIGNATURE:
DELIVERY
AUTHORIZED:
DATE:
Paperwork Reduction Act Statement: An agency may not conduct or sponsor an information collection and a person is not required to respond to this
information unless it displays a current valid OMB control number and an expiration date. The control number for this collection is 1651-0024. The
estimated average time to complete this application is 15 minutes. If you have any comments regarding the burden estimate you can write to U.S.
Customs and Border Protection, Office of Regulations and Rulings, 90 K Street, NE, Washington DC 20229.
CBP Form 3461 (02/16)
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