CUSTOMS BOND DIRECT
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PLEASE ANSWER FOLLOWING QUESTIONS:
ABOUT YOUR COMPANY:
Company Style:
Individual
Partnership
Corporation
Sole Proprietorship
Your Company Name:
Company IRS# (or SSN):
Business Address:
(City)
(State)
(Zip Code)
Company Residing Address:
(leave blank if same with above)
(City)
(State)
(Zip Code)
Incorporated State:
Telephone:
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Fax:
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Describe Your Imported Merchandise
Country of Origin
1.
2.
3.
LAST CALENDAR YEAR
ESTIMATE NEXT CALENDAR YEAR
Value
Est. Duties
No. Shipments
Value
Est. Duties
No. Shipments
Existing Bond?:
With
Without
Bond Term Requested
1 Year
2 Year
3 Year
Bond Amount Requested:
$50,000
$100,000
Effective Date Requested:
With Any Default Claim?:
ABOUT YOURSELF:
Your Name:
(First Name)
(Last Name)
Title:
Telephone:
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