Customs declaration. Each arriving traveler or head of family must provide the following information (only ONE declaration per family is required).
Date: 2015-10-07; view: 496.
WELCOME to the UNITED STATES
Imagine you are entering the U.S. and complete this form in English and in CAPITAL LETTERS.
1. Name:
last
first
middle
2. Date of Birth: 3. Airline/Flight.
4. Number of family members traveling with you
5. U.S. Address:
City: State:
6. I am a U.S. Citizen tick boxes
If No. Country:
yes no
7. I reside permanently in the U.S.
tick boxes
If No. Expected length of stay
 | |
yes no
8. the purpose of my trip is or was.
tick boxes
BUSINESS
PLEASURE
9. I am/we are bringing fruits, plants, meats, food, soil, birds, snails, other life yes no animals farm products, or I/we have been on a farm or reach outside the U.S.
10. I am/we are carrying currency
or monetary instruments over $ 10.000 U.S. or foreign equivalent yes no
| | |
11. The total value of goods I/we purchased or acquired abroad and I am/we are bringing to the
U.S. is (see the instruction under Merchandise on reverse side): U.S. Dollars
MOST MAJOR CREDIT CARDS ACCEPTED.
SIGN ON REVERSE SIDE AFTER YOU HAVE READ THIS WARNING.
(Don't write below this line)
Inspectors Name
Stamp area
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