Form 3347A Form 3347A Declaration of Importer when Entry is Made by an Agent

DEPARTMENT OF HOMELAND SECURITY
OMB No. 1651-0093
Exp. 02-28-2009

U.S. Customs and Border Protection
DECLARATION OF CONSIGNEE
WHEN ENTRY IS MADE BY AN AGENT
19 CFR 141.19(B)(2)

If this declaration is made by an agent who does not present with the entry the declaration of the consignee, or who does not have proper
authority to execute such declaration for this principal, bond must be given to produce such declaration in accordance with Section 485(c),
Tariff Act of 1930.
THIS DECLARATION MUST BE PRESENTED TO THE PORT DIRECTOR OF CBP AT THE PORT OF ENTRY WITHIN SIX MONTHS
AFTER THE DATE OF THE BOND GIVEN THEREFORE, UNLESS AN EXTENSION OF TIME IS GRANTED BY THE PORT DIRECTOR.
1. NAME OF CONSIGNEE

2. ADDRESS (STREET, CITY, STATE, ZIP CODE)

3. VESSEL/CARRIER ARRIVED FROM

7.
NUMBER
OF
PACKAGES

8.
SELLER OR SHIPPER

4. NAME OF VESSEL/CARRIER

9.
PLACE AND DATE
OF INVOICE

10.
AMOUNT PAID
OR TO BE PAID
IN FOREIGN
CURRENCY

5. ENTRY NUMBER

11.
RATE OF
EXCHANGE

12.
ENTERED VALUE
(FOREIGN
CURRENCY)

6. DATE

13.
ENTERED
VALUE (U.S.
DOLLARS)

COMPLETE SECTION I, OR SECTION II, OR SECTION III (CHECK ONE) AND SECTION IV.
DECLARATION OF NOMINAL CONSIGNEE

SECTION I

15. ADDRESS (STREET, CITY, STATE, ZIP CODE)

14. NAME OF OWNER

I, the undersigned, herewith declare that the consignee in whose name the entry covering the merchandise described herein was made, is
not the actual owner of the said merchandise, but that such entry exhibits a full and complete account of all the merchandise imported in the
vessel indicated therein by the above name person who is the actual owner for CBP purposes of the said merchandise except as listed
below.
DECLARATION OF CONSIGNEE FOR MERCHANDISE OBTAINED IN PURSUANCE
OF A PURCHASE OR AGREEMENT TO PURCHASE

SECTION II

I, the undersigned, representing the above name consignee, herewith declare that they are the consignees for CBP purposes of the
merchandise described herein, that the entry covering the said merchandise exhibits a full and complete account of all the merchandise
imported by them in the vessel indicated in the said entry and that the said merchandise was obtained by them in pursuance of a purchase
or an agreement to purchase, except as listed below.
DECLARATION OF CONSIGNEE FOR MERCHANDISE OBTAINED OTHERWISE THAN IN
PURSUANCE OF A PURCHASE OR AGREEMENT TO PURCHASE

SECTION III

I, the undersigned, representing the above name consignee, herewith declare that they are the consignees for CBP purposes of the
merchandise described herein, that the entry covering the said merchandise exhibits a full and complete account of all the merchandise
imported by them in the vessel indicated in the said entry and that the said merchandise was obtained by them in pursuance of a purchase
or an agreement to purchase, except as listed below.
16. EXCEPTIONS (IF ANY)

GENERAL DECLARATION

SECTION IV

I also declare, to the best of my knowledge and belief, that all statements appearing in the entry and in the invoice or invoices and other
documents presented herewith and in accordance with which the entry is made, are true and correct in every respect; that the entry and
invoices set forth the true prices, values, quantities, and all information as required by the law and the regulations made in pursuance
thereof, that the invoices and other documents are in the same state as when received; that I have not received and do not know of any
other invoices, paper, letter, document, or information showing a different currency, price, value, quantity, or description of the said
merchandise, and that if at any time hereafter I discover any information showing a different state of facts, I will immediately make the same
known to the port director of CBP at the port of entry.
17. SIGNATURE

18. ADDRESS

19. DATE

20. TITLE (CHECK ONE)
PRINCIPAL

MEMBER OF THE FIRM

PRINCIPAL OFFICER OF THE CORPORATION: TITLE

AUTHORIZED AGENT

CBP Form 3347A (12/02)

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 U.S. Customs and Border Protection laws. We
need it when an agent of the consignee has knowledge of the facts and is authorized by that consignee to execute the declarations on the
entry or entry summary, in compliance with Section 484 of the Tariff Act of 1930, as amended. Your response is required to obtain a benefit.

Statement required by 5 CFR 1320.21: The estimated average burden associated with this collection of information is 6 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 (1651-0093), Washington, DC 20503.

CBP Form 3347A (Back)(12/02)