Form CBP-7523 Entry and Manifest of Merchandise Free of Duty

OMB No. 1651-0013
Exp. 10-31-2008

DEPARTMENT OF HOMELAND SECURITY

U.S. Customs and Border Protection
ENTRY AND MANIFEST OF MERCHANDISE FREE OF DUTY,
CARRIER'S CERTIFICATE AND RELEASE
1. NO.
19 U.S.C. 1433, 1484, 1498; 19 CFR 123.4, 143.23

The undersigned, as the importer of merchandise described below, which arrived at the port or station identified, hereby claims free entry therefore
under the provisions of the applicable law indicated.
2. PORT CODE

3. DATE

4. VESSEL OR OTHER CONVEYANCE

7.
MARKS AND NUMBERS

8.
DESCRIPTION AND QUANTITY OF MERCHANDISE

11. IMPORTER OF RECORD (Name and Address)

13. INSPECTED AND PASSED FREE OF DUTY BY:

15. SIGNATURE (Inspector)

5. ARRIVAL DATE

6. COUNTRY OF EXPORTATION

9.
VALUE

10.
HTSUS HEADING NO. OR P.L. NO.

12. AGENT'S SIGNATURE

14. OWNER, PURCHASER, OR CONSIGNEE (If different from Importer of Record)

16. DATE

CARRIER'S CERTIFICATE AND RELEASE ORDER
The undersigned carrier, to whom or upon whose order the articles described above must be released, hereby certifies that the person or firm named
above as the importer is the owner purchaser, or consignee of such articles within the purview of section 484(h), Tariff Act of 1930. In accordance
with the provisions of section 484(j), Tariff Act of 1930, authority is hereby given to release the articles to such consignee.
17. CARRIER

18. AGENT'S SIGNATURE

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 the information to carry out the customs laws of the United States. This form is used by carriers and importers as
a manifest for the entry of merchandise free of duty under certain conditions and by CBP to authorize the entry of such merchandise. It is also used by the
carrier to show that the articles being imported are to be released to the importer or consignee. It is mandatory. The estimated average burden associated with
this collection of information is 5 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 U.S. Customs and Border Protection, Information Services Branch, Washington,
DC 20229, and to the Office of Management and Budget, Paperwork Reduction Project (1651-0013), Washington DC 20503.

CBP Form 7523 (05/96)