United States Customs Service

OMB No. 1515-0050

19 CFR 141.19(B)(2)

If this declaration is made by an agent who does not present with the entry the declaration of the consignee, or who does not have proper authority to execute such declaration for this principal, bond must be given to produce such declaration in accordance with Section 485(c), Tariff Act of 1930.

THIS DECLARATION MUST BE PRESENTED TO THE PORT DIRECTOR OF CUSTOMS AT THE PORT OF ENTRY WITHIN SIX MONTHS AFTER THE DATE OF THE BOND GIVEN THEREFORE, UNLESS AN EXTENSION OF TIME IS GRANTED BY THE PORT DIRECTOR.

1. NAME OF CONSIGNEE

2. ADDRESS (STREET, CITY, STATE, ZIP CODE)

3. VESSEL/CARRIER ARRIVED FROM

4. NAME OF VESSEL/CARRIER

5. ENTRY NUMBER

6. DATE

DECLARATION OF CONSIGNEE 

WHEN ENTRY IS MADE BY AN AGENT

7.
NUMBER
OF
PACKAGES

8.
SELLER OR SHIPPER

9.
PLACE AND DATE
OF INVOICE

10.
AMOUNT PAID
OR TO BE PAID
IN FOREIGN
CURRENCY

11.
RATE OF
EXCHANGE

12.
ENTERED VALUE
(FOREIGN
CURRENCY)

13.
ENTERED
VALUE (U.S.
DOLLARS)

(mm/dd/yyyy)

(mm/dd/yyyy)

(This is a mandatory field)

United States Customs Service Declaration of Consignee when Entry is made by an Agent.
19 C F R 141.19 (B)(2) O M B Number 15 15-00 5 0 Any data typed after screen scrolls will not print. If this declaration is made by an agent who does not present with the entry the declaration of the consignee, or who does not have proper authority to execute such declaration for this principal,

Any data typed after screen scrolls will not print.

bond must be given to produce such declaration in accordance with Section 4 8 5 (c), Tariff Act of 19 30. This Declaration must be presented to the Port Director of Customs at the port of entry within six months after the date of the bond given therefore, unless an extension of time is granted by the port director.

Customs Form 3347A (12/02)

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