6. NAME AND ADDRESS OF IMPORTER OR OTHER PROTESTING PARTY

1. PROTEST NO. (Supplied by Customs)

PROTEST

Pursuant to Sections 514 & 514(a), Tariff Act of 1930 as amended, 19 CFR Part 174 et. seq.

2. DATE RECEIVED (Customs Use Only)

NOTE: If your protest is denied, in whole or in part, and you wish to CONTEST the denial, you may do so by bringing a civil action in the U.S. Court of International Trade within 180 days after the date of mailing of Notice of Denial.  You may obtain further information concerning the institution of an action by writing the Clerk of U.S. Court of International Trade, One Federal Plaza, New York NY 10007 (212-264-2800).

SECTION I - IMPORTER AND ENTRY IDENTIFICATION

3. PORT

4. IMPORTER NO.

5. ENTRY DETAILS

PORT
CODE

FILER
CODE

ENTRY NO.

DATE OF ENTRY

DATE OF

LIQUIDATION

CHECK
DIGIT

SECTION II - DETAILED REASONS FOR PROTEST

7. With respect to each category of merchandise, set forth, separately, (1) each decision protested, (2) the claim of the protesting party, and (3) the factual material and legal arguments which are believed to support the protest. All such material and arguments should be specific.  General statements of conclusions are not sufficient.

(Attach Additional Sheets if necessary.)

United States Customs Service

Form Approved OMB No. 1515-0056

(mm/dd/yyyy)

(mm/dd/yyyy)

(mm/dd/yyyy)

United States Customs Service PROTEST Pursuant to Sections 514 and 514(A.), Tariff Act of 1930 as amended, 19 C F R Part 174 and the following pages. Form Approved O M B Number 1 5 1 5 - 0 0 5 6 Any data typed after screen scrolls will not print. NOTE: If your protest is denied, in whole or in part, and you wish to CONTEST the denial, you may do so by bringing a civil action in the U S Court of International Trade within 180 days after the date of mailing of Notice of Denial. You may obtain further information concerning the institution of an action by writing the Clerk of U S Court of International Trade, One Federal Plaza, New York New York  1 0 0 0 7 (2 1 2-2 6 4-2 8 0 0) SECTION 1 - IMPORTER AND ENTRY IDENTIFICATION SECTION 2 - DETAILED REASONS FOR PROTEST 2. DATE RECEIVED (Customs Use Only). This is a protected field. 5. ENTRY DETAILS (Attach Additional Sheets if necessary.) 7. With respect to each category of merchandise, set forth, separately, (1) each decision protested, (2) the claim of the protesting party, and (3) the factual material and legal arguments which are believed to support the protest.

Customs Form 19 (120495)

Customs Form 19 (1 2 0 4 9 5) Form Assistant Page 1 of 5

Form Assistant
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Any data typed after screen scrolls will not print.