HS 7a Box 10a Importers Application HS 7a Box 10a

Application for Determination That a Motor Vehicle
is Eligible for Show or Display
1.

APPLICANT (owner)
Name: ______________________________________________________
Address: ____________________________________________________
____________________________________________________________
____________________________________________________________
Phone: ____________________

2.

FAX: ____________________

VEHICLE IDENTIFICATION
Years: ______________
Make: _______________________ Model: _______________________

3.

BASIS FOR APPLICATION
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4.

The vehicle is of technological significance.
The vehicle is of historical significance.
The vehicle is of exceptional significance (if total production exceeded 500 units)

DOCUMENTS ATTACHED
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HS-7A (Box 10a)

Photographs
Production Verification
Documentation to support historical or technological significance