7512-A Continuation Sheet

OMB No. 1651-0003

U.S. DEPARTMENT OF HOMELAND SECURITY

Bureau of Customs and Border Protection
TRANSPORTATION ENTRY AND MANIFEST OF GOODS
SUBJECT TO CBP INSPECTION AND PERMIT
Entry No.

CONTINUATION SHEET

Class of Entry
(I.T.) (Wd. T.) (Wd. Ex.) (T.E.) (Drawback, etc.)

Marks and
Numbers
of Packages

Description and Quantity of Merchandise,
Number and Kind of Packages
(Describe fully as per shipping papers)

Gross Weight
in Pounds

Value
(Dollars only)

Rate

Duty

THIS FORM MAY BE PRINTED BY PRIVATE PARTIES PROVIDED IT CONFORMS TO THE OFFICIAL FORM IN SIZE, WORDING, COLOR, AND ARRANGEMENT.

See CBP Form 7512 for Paperwork Reduction Act Notice

CBP Form 7512A (02/04)

INSPECTOR'S REPORT OF DISCHARGE AT DESTINATION
Port

Station

Date

To the Port Director of CBP: Delivering Line

Car No.

Initial

Arrived

Of Seals

Of Packages

Date of Delivery to
Importer or General
Order

Condition of Car

Packages

No. and Kind of Entry or
General Order

Bonded Truck or
Lighter No.

Conditions, Etc.

I certify that the above report is correct.
Inspector's Name:

Signature: X

CBP Form 7512A (02/04) (Back)