Form CBP Form 301 CBP Form 301 Customs Bond

OMB No. 1651-0050

U.S. DEPARTMENT OF HOMELAND SECURITY

BOND NUMBER 1 (Assigned by CBP)

Bureau of Customs and Border Protection
CUSTOMS BOND

CBP
USE
ONLY

FILE REFERENCE

19 CFR Part 113
Execution Date

In order to secure payment of any duty, tax or charge and compliance with law or regulation as a result of activity covered by any condition referenced
below, we, the below named principal(s) and surety(ies), bind ourselves to the United States in the amount or amounts, as set forth below.

SECTION I--Select Single Transaction OR Continuous Bond (not both) and fill in the applicable blank spaces.
SINGLE
TRANSACTION
BOND

Identification of transaction secured by this bond (e.g., entry no., seizure no., etc.)

Activity
Code

1a

Activity Name and Customs Regulations
in which conditions codified

Limit of Liability

Drawback Payments Refunds . . . . . . . . . 113.65
Custodian of bonded merchandise. . . . . . . . .113.63
(Includes bonded carriers, freight forwarders,
cartmen and lightermen, all classes of warehouse,
container station operators)

2

International Carrier. . . . . . . . . . . . . . . . . . . . 113.64

3
3a
4

This bond includes the following agreements. 2 (Check one box only, except that, 1a may be checked independently or with 1, and 3a may be checked
independently or with 3. Line out all other parts of this section that are not used.

Importer or broker . . . . . . . . . . . . . . . . . . . . . 113.62

1

Port code

This bond remains in force for one year beginning with the effective date and for each succeeding annual period, or until
terminated. This bond constitutes a separate bond for each period in the amounts listed below for liabilities that accrue in
each period. The intention to terminate this bond must be conveyed within the period and manner prescribed in the
Customs Regulations.

Effective date

CONTINUOUS
BOND
SECTION II--

Date of transaction

Instruments of International Traffic . . . . . .113.66
Foreign Trade Zone Operator. . . . . . . . . . . . .113.73

Activity
Code

Activity Name and Customs Regulations
in which conditions codified

Limit of Liability

5

Public Gauger. . . . . . . . . . . . . . . . . . . . . . . . .113.67

6

Wool & Fur Products Labeling Acts
Importation (Single Entry Only) . . . . . . . . . . . 113.68

7

Bill of Lading (Single Entry Only) . . . . . . . . . 113.69

8

Detention of Copyrighted Material
(Single Entry Only). . . . . . . . . . . . . . . . . . . . . 113.70

9

Neutrality (Single Entry Only) . . . . . . . . . . . . 113.71

10

Court Costs for Condemned Goods
(Single Entry Only) . . . . . . . . . . . . . . . . . . . . . 113.72

SECTION III-- List below all tradenames or unincorporated divisions that will be permitted to obligate this bond in the principal's name including their CBP identification Number(s). 3
(If more space is needed, use Section III (Continuation) on back of form.)
Importer Number
Importer Name

Importer Number

Importer Name

Total number of importer names listed in Section III:
Principal and surely agree that any charge against
the bond under any of the listed names is as though
it was made by the principal(s).
Principal and surety agree that they are bound to
the same extent as if they executed a separate bond
covering each set of conditions incorporated by
reference to the Customs Regulations into this bond.

If the surety fails to appoint an agent under Title
6, United States Code, Section 7, surety consents to
service on the Clerk of any United States District
Court or the U.S. Court of International Trade, where
suit is brought on this bond. That clerk is to send
notice of the service to the surety at:

Name and Address

Importer No. 3

SIGNATURE 5

Name and Address

SEAL

Importer No. 3

SIGNATURE 5

Name and Address 6

SEAL

Surety No. 7

SIGNATURE 5

SEAL

Surety No. 7

Name and Address 6

SIGNATURE 5

SURETY Name 8
AGENTS

Mailing Address Requested by the Surety

Identification No. 9

PART 1 - CBP, PART 2 - SURETY, PART 3 - PRINCIPAL

Name 8

SEAL

Identification No. 9

CBP Form 301 (05/98)

Note: Turn carbons over before writing on back of form.

SECTION III (Continuation)
Importer Number

WITNESSES

Importer Name

Importer Number

SIGNED, SEALED, and DELIVERED in the PRESENCE OF:
Name and Address of Witness for the Principal

Two witnesses are required to
authenticate the signature of
any person who signs as an
individual or partner; however
a witness may authenticate
SIGNATURE:
the signatures of both such
Name and Address of Witness for the Principal
non-corporate principals and
sureties. No witness is needed
to authenticate the signature
of a corporate official or agent
who signs for the corporation.

Importer Name

Name and Address of Witness for the Surety

SIGNATURE:
Name and Address of Witness for the Surety

SIGNATURE:

SIGNATURE:

EXPLANATIONS AND FOOTNOTES
1
2
3

4
5

The CBP Bond Number is a control number assigned by CBP to the bond
contract when the bond is approved by an authorized CBP official.
For all bond coverage available and the language of the bond conditions refer
to Part 113, subpart G, Customs Regulations.
The Importer Number is the CBP identification number filed pursuant to section
24.5, Customs Regulations. When the Internal Revenue Service employer
identification number is used the two-digit suffix code must be shown.
If the principal or surety is a corporation, the name of the State in which
incorporated must be shown.
See witness requirement above.

6

7

8
9

Surety Name, if a corporation, shall be the company's name as it is spelled in the
Surety Companies Annual List published in the Federal Register by the Department
of the Treasury (Treasury Department Circular 570).
Surety Number is the three digit identification code assigned by CBP to a surety
company at the time the surety company initially gives notice to CBP that the
company will be writing CBP bonds.
Surety Agent is the individual granted a Corporate Surety Power of Attorney, CBP
5297, by the surety company executing the bond.
Agent Identification No. shall be the individual's Social Security number as shown
on the Corporate Surety Power of Attorney, CBP 5297, filed by the surety granting
such power of attorney.

Paperwork Reduction Act Notice: The Paperwork Reduction Act says we must tell you why we are collecting this information, how we will use it, and whether you have to give it to us.
We ask for this information to carry out the Bureau of Customs and Border Protection laws and regulations of the United States. We need it to ensure that persons transacting
business with CBP have the proper bond coverage to secure their transactions as required by law and regulation. Your response is required to enter into any transaction in which a
bond is a prerequisite under the Tariff Act of 1930, as amended. The estimated average burden associated with this collection of information is 15 minutes per respondent or
recordkeeper depending on individual circumstances. Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be directed to
Bureau of Customs and Border Protection, Information Services Branch, Washington, DC 20229, and to the Office of Management and Budget, Paperwork Reduction Project
(1651-0050), Washington, DC 20503.
Privacy Act Statement: The following notice is given pursuant to section 7(b) of the Privacy Act of 1974 (5 U.S.C. 552a). Furnishing the information of this form, including the Social
Security Number, is mandatory. The primary use of the Social Security Number is to verify, in the CBP Automated System, at the time an agent submits a CBP bond for approval that
the individual was granted a Corporate Surety Power of Attorney by the surety company. Section 7 of Act of July 30, 1947, chapter 390, 61 Stat. 646, authorizes the collection of this
information.

CBP Form 301 (05/98)(Back)