Pro Forma Invoice Template

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PRO FORMA INVOICE
IMPORTERS STATEMENT OF VALUE OR THE PRICE PAID IN THE FORM OF AN INVOICE.
NAME
ADDRESS
SHIPPER
SELLER
PURCHASER
CONSIGNEE
The merchandise (has) (has not) been purchased or agreed to be purchased by me. The price or in the case
of consigned goods, the values given below are true and correct to the best of my knowledge and belief,
and are based upon:
A. (__) The price paid or agreed to be paid as per order dated: _______________________.
B. (__) Comparative value of shipments previously received dated: ___________________.
C. (__) Knowledge of the market in the country of exportation.
D. (__) Knowledge of the market in the U.S. (if U.S. value).
E. (__) Other: ____________________________________.
CASE/ ITEM
UNIT
TOTAL
MARKS &
QUANTITIES AND FULL DESCRIPTIONS
PRICE
PRICE
NUMBERS
US$
US$
DATE OF EXPORTATION: ____________.
NAME OF CURRENCY: _______________.
CARRIER:__________________.
B/L NO.: ____________________________.
SIGNATURE OF IMPORTER: ____________________________________. DATE: _______________
TITLE ______________________________________________.

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