INSTRUCTIONS
FOR USE
1. This declaration must be legibly prepared using pen, typewriter, or other permanent method. This declaration is required for ali articles which are to be landed by a crew
member, including any person traveling on board a vessel, vehicle, or aircraft engaged in international traffic who is returning from a trip on which the person was employed
as a crew member.
2. Include serial number wijh all articles subject to registration,
such as cameras,
radios, etc. List articles to remain on board separately
from those articles to be landed in the
Unijed States.
List separately
articles intended for sale, barter, exchange,
or carried by you as a accommodation
for someone
else
3. All articles acquired
abroad by the particular
officer or crew member
shall be declared on the declaration,
wijh the exception
of articles exclusively
for use on the voyage
which include only necessary
clothing, toiletries,
and purely personal effects, and not to exceed 1 open (seal broken) liter container
of alcoholic
beverages,
and 50 cigars, or
300 cigarettes,
or 2 kilos of smoking tobacco, or a proportionate
amount of each, and articles which have been previously
cleared through Customs and described in a proper
Customs receipt release form.
4. Articles in the possession of and exclusively for use by a crew member during the voyage, such as necessary clothing, toiletries, and purely personal effects, may be
brought ashore by the crew member on temporary shore or ground leave for use while in a port without a written declaration and entry and wijhout payment of duty or internal
revenue tax ONLY if the Port Director of Customs for the port is satisfied that the articles so landed are necessary and appropriate for the crew member's accommodation
while on temporary shore or ground leave; that they will be devoted solely to the crew member's bona fide personal use; that the quantities are reasonable, depending upon
the circumstances of each particular case; and that, in the case of tobacco products and alcoholic beverages, the container shall have been opened and the total quantity
brought ashore while the vessel is in port shali not exceed 50 cigars, 300 cigarettes, or 2 kilos of smoking tobacco, or a proportionate amount of each, and 1 liter of alcoholic
beverages. In the case of articles possessing substantial commercial value, such as cameras, watches, razors, and other articles not consumed through use, the Customs
officer concerned, before passing the articles free of duty, shall be assured beyond doubt that the article brought ashore is for the actual bona fide personal use of the crew
member while on shore or ground leave and is to be returned to the vessel or aircraft.
5. In the column headed "Cost, Or Value Of Gifts, Etc.", state in United States dollars the price actually paid for the articles, or fair value if not acquired by purchase, such as a
gift.
6. If additional space is needed to list all articles in column headed "Quantity and Description Of Goods", include them in another declaration form obtained from purser. Do
not a~er the preprinted serial number on the declaration. (If more than one form is needed by a crew member to list articles, all serial numbers of the forms used shall be
noted opposije the crew member's name on the Crew's Effects Declaration, Customs Form 1304, or the Crew List, Customs and Immigration Form 1-418).
7. If insufficient space on "Receipt for Duty And Release Slip" (lower perforated stub) to repeat the listing of all articles to be landed in the United States listed in the column
headed "Quantity And Description of Goods", continue list on reverse side of stub.
8. This form may be printed by private
parties (see footnote)
as a 2-part or 3-part set for use as both a vessel's or aircraft's
crew purchase manifest and the entry record for
articles landed in the Unijed States, when the vessel or aircraft is to clear directly foreign from the first port of arrival.
WARNING-PENAL
TIES
The transportation
of currency or monetary
instruments,
regardless
of the amount, is legal; however,
if you take out or bring into (or attempt to take out of or bring into) the
Unijed States more than $10,000 (U.S. or foreign equivalent,
or a combination
of the two) in coin, currency,
travelers
checks or bearer instruments
such as money orders,
checks, stocks or bonds, you are required by law to file a report on a Form 4790 with the U.S. Customs Service.
If you have someone else carry the currency or instruments
for you, you must also file the report. FAILURE
TO FILE THE REQUIRED
REPORT
OR FALSE STATEMENTS
ON THE REPORT
MAY LEAD TO SEIZURE
OF THE
CURRENCY
OR INSTRUMENTS
AND TO CIVIL PENALTIES
AND/OR CRIMINAL
PROSECUTION.
A claim for exemption
from duty on an article on the false ground that it is not intended for sale and acquired or carried by the declarant as an accommodation
for others will
subject the article to forfeiture.
Any article which is required to be manifested and which is not manifested is subject to forfeiture and the master of the vessel is subject to a penalty equal to the forfeijure
value (sec. 584, Tariff Act, 1930, as amended). If any article requiring a declaration and entry when brought into the Unijed States is landed wijhout being covered by a
release slip or other permit to unlade from the Port Director of Customs, the article is subject to forfeiture, the vessel master and any other person associated wijh the
unauthorized removal are subject to penalties equal to the forfeiture value, and if valued at $500 or over, the vessel itself is subject to forfeiture (sec. 453, Tariff Act, 1930).
This form may be printed by private parties, Blocks of serial numbers to be used on such forms will be furnished upon written request to the U.S. Customs
~ervice, Information Services Branch, Forms Manager, Washington, DC 20229. Request should state the quantity of serial numbers needed.
PAPERWORK
REDUCTION
ACT NOTICE:
This request is in accordance
wijh the Paperwork
Reduction
Notice of 1995.
We ask for the information
in order to carry out the
laws and regulations
administered
by the U.S. Customs Service, Agriculture,
and currency laws of the United States.
The form is used by crew members on board a vessel,
vehicles,
or aircraft engaged in international
traffic who is arriving in the Unijed States and was employed as a crew member. It is mandatory.
The estimated
average burden
associated
wijh the collection of information
is 3 minutes per respondent
depending
on individual circumstances.
Comments
concerning
the accuracy of this burden estimates
and suggestions
for reducing this burden should be directed to U.S. Customs Service, Reports Clearance
Officer, Information
Services Branch, Washington,
DC 20229, and
to the Office of Management
and Budget, Paperwork
Reduction
Project (1515-0063),
Washington,
DC 20503.
Customs Form 5129 (02/01)(Back)
Customs Form 5129 (02/01 )(Back)
""U.S. GOVERNMENT PRINTING OFFICE. 2003-534-562