15.
NO. OF
PACKAGES
AND COUNTRY
OF ORIGIN CODE

20.
SEPARATE
VALUE & AGGR
CHGS.

CONTINUATION SHEET

19 CFR 146.32, 146.40

2. PORT CODE

1. ZONE NO. AND LOCATION (Address)

OMB No. 1515-0086.

6. ZONE ADMISSION NO.

Any data typed after screen scrolls will not print.

17.
HTSUS NO.

16.
DESCRIPTION OF MERCHANDISE

18.
QUANTITY
(HTSUS)

19.
GROSS
WEIGHT

Customs Form 214C (08/00)

APPLICATION FOR 

FOREIGN-TRADE ZONE ADMISSION AND/OR STATUS DESIGNATION

DEPARTMENT OF THE TREASURY
United States Customs Service APPLICATION FOR 
FOREIGN-TRADE ZONE ADMISSION 
AND/OR STATUS DESIGNATION
CONTINUATION SHEET 19 C F R 146.32, 
146.40. O M B Number 1 5 1 5-0 0 8 6. Any data typed after screen scrolls will not print. Customs Form 214 C (08/00) Form Page 1 of 1

Form Page
1 of 1

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STATISTICAL COPY

DEPARTMENT OF THE TREASURY 

United States Customs Service