241x Filetype XLS File size 0.05 MB Source: www.expeditors.com
Sheet 1: US Customs Proforma
Customs Invoice | |||||||||
Exporter or Seller | |||||||||
Tel: | Fax: | ||||||||
Consignee | |||||||||
FOR CUSTOMS CLEARANCE NOTIFY: | |||||||||
Expeditors International of Washington, Inc. | |||||||||
Fed ID/IRS#: | |||||||||
Buyer (If other than Consignee) | Destination (Country): | Border crossing point: | |||||||
U.S.A. | |||||||||
Terms of Sale: FOB [ ] Plant [ ] Destination [ ] Other ________________________________ | |||||||||
U.S. Duty & Brokerage Charges For: | [ ] Shipper [ ] Consignee | ||||||||
[ ] Other: | |||||||||
Fed ID/IRS#: | Parties Are: [ ] Related | [ ] Not Related | |||||||
Local Carrier | (Local) Point of Lading | Duty & Brokerage Fees Included: | [ ] Yes [ ] No | ||||||
Discounts Included: [ ] No [ ] Yes; details attached | |||||||||
Exporting Carrier | B/L, AWB, TRUCKBILL Number | Invoice Date | Date of Sale | ||||||
Port of Entry | Shipper/consignee ref# | Exchange Rate | Currency of Sale | ||||||
Country/ | Shipment total: | ctns on | skids | Gross Weight | |||||
Province | |||||||||
of Origin | Description of Goods | H.S. Number | Quantity/Packaging | Unit Price | Invoice Total | ||||
$0.00 | |||||||||
$0.00 | |||||||||
$0.00 | |||||||||
$0.00 | |||||||||
$0.00 | |||||||||
$0.00 | |||||||||
$0.00 | |||||||||
$0.00 | |||||||||
$0.00 | |||||||||
$0.00 | |||||||||
$0.00 | |||||||||
$0.00 | |||||||||
$0.00 | |||||||||
$0.00 | |||||||||
$0.00 | |||||||||
$0.00 | |||||||||
$0.00 | |||||||||
$0.00 | |||||||||
$0.00 | |||||||||
$0.00 | |||||||||
If good not sold state reason for export | Export Permit No. | Total Invoice: | $0.00 | ||||||
Estimated Freight Charges | To be completed by Canadian Shipper ONLY when the goods described above are of U.S. | ||||||||
to Port of Exit $____________________ | to Destination $____________________________ | manufacture/growth. | |||||||
Mode of Transportation | Containerized | DECLARATION OF SHIPPER | |||||||
( ) Road ( ) Air ( ) Rail ( ) Other | ( ) Yes ( ) No | I _________________________________________________________________________ | |||||||
I hereby certify that the information given above and on the continuation sheet(s), if any, is | declare that the articles herein specified are to the best of my knowledge and belief the growth | ||||||||
true and complete in every respect. | produce or manufacture of the United States; that they were exported from the United States | ||||||||
Give Firm Name | from the Port of ________________________on or about _____________________________ | ||||||||
and Address if | that they are returned without having been advanced in value or improved in condition by | ||||||||
different from | any process of manufacture or other means. | ||||||||
Exporter Box above | |||||||||
Date: | Status | Signature ___________________________________________________________________ | |||||||
( ) ( ) | |||||||||
Signature ___________________________________________ | Owner Agent | Status _____________________________________________________________________ |
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