19 CFR 191

DEPARTMENT OF THE TREASURY 
United States Customs Service

DRAWBACK ENTRY

Any data typed after screen scrolls will not print.

DEPARTMENT OF THE TREASURY
United States Customs Service Drawback Entry
19 C F R 191 Any data typed after screen scrolls will not print.

Section I - Claim Header

5. Bond Type

3. Port Code

1. Drawback Entry Number

2. Entry Type Code

4. Surety Code

9. Total MPF Claimed

8. DBK Ruling Number

6. Claimant ID Number

7. Broker ID Number (CF4811)

12. Total I.R. Tax Claimed

11. Puerto Rico Drawback Claimed

10. Total Drawback Claimed

17. Drawback Section

15. ESP

16. Privilege Authorized

14. NAFTA DBK

13. Method of Filing

19. Contact Name, Address, Phone & Fax Numbers of Preparer

18. Name and Address of Claimant

OMB 1515-0213

Manual
Disk
ABI
Yes
Yes
No
No
Accelerated Payment
WPN
Section 1 - Claim Header 13. Method of Filing 14. NAFTA D B K 15. E S P 16. Privilege Authorized O M B Number 1515-0213

Customs Form 7551 (08/01)

Customs Form 7 5 5 1 (08/01) Form Assistant Page 1 of 5

Form Assistant
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