Proforma Invoice Form
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1
2ProForma Invoice
US CUSTOMS
Customs Clearance by:
Exporter Reference Number:
Exporter:
Number of invoice pages:
Page _____
of
_______
Tax ID:
_____
__ of
Number:
Consignee:
Buyer, if other than consignee:
Tax ID:
Tax ID Number:
Number:
Local Carrier:
Terms of Sale – Delivery – Payment:
Exporting Carrier:
Parties to this transaction are:
Related
Not Related
Port of Lading (country/province):
Invoice value includes:
Brokerage fee
Freight
Duty & Tax
US Port of Entry:
Total freight:
charges:
Destination (country/state):
Bill Customs charges to:
Exporter
Consignee
Buyer
Marks and Numbers:
Numbers and Kind of Packages:
Currency of Sale:
Gross Weight:
LB
KG
Country
of Origin
Unit Net
Total Net
Invoice Item Description
HTS Number
(MFGR)
Weight
Weight
Quantity
Unit Price
Total
$ 0.00
0
0
$ 0.00
0
$ 0.00
0
$ 0.00
0
$ 0.00
0
$ 0.00
0
$ 0.00
0
$ 0.00
0
$ 0.00
0
$ 0.00
$ 0.00
0
For Customs Clearance in: ______________________
Ttl Net
Ttl Qty
-
Phone: ____________________ Fax: _____________________
0
0
$ 0.00
Ttl All Items
If goods are not sold, state reason for export (loan, repair, processing, etc.)
Mode of Transportation from point of exit:
Export Permit Number
Packaging
Road
Rail
Ocean
Air
Other
Ocean / Int’l
Freight /
Transportation
I HEREBY CERTIFY THAT THE INFORMATION GIVEN ABOVE AND ON THE CONTINUATION SHEET(S), IF ANY, IS
Domestic
TRUE AND COMPLETE IN EVERY RESPECT.
Freight Chg
Name & Address, if different from Exporter box above:
Insurance
Misc. Transp.
Commission
Container
Assists
Shipper Signature: ________________________________________ Date: ________________________
TOTAL
$ 0.00
Status:
Owner
Agent
INVOICE
February 24, 2012
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Parent category: Legal