Form 301 Customs Bond

OMB No. 1651-0050 Exp. 12-31-2010
Broker/
Filer
Code
Surety
Reference
Number

CBP USE ONLY BOND NUMBER
(Assigned by CBP)

DEPARTMENT OF HOMELAND SECURITY
U.S. CUSTOMS AND BORDER PROTECTION
CUSTOMS BOND
19 CFR PART 113

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 Untied States
in the amount or amounts, as set forth below.

Execution Date

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

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

Effective Date

Activity Name and Customs
Regulations in which conditions
codified

1

Importer or Broker

113.62

1a
2

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

3
3a
4

(Continuous bond only)
International Carrier
113.64
Instruments of International
Traffic (Continuous bond only) 113.66
Foreign Trade Zone
113.73
Operator (Continuous bond only)

5

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 CBP Regulations.

SECTION II--This bond includes the following agreements.
Activity
Code

Date of Transaction

Limit of Liability

(Check one box only, except that, 3a may be checked independently or with 3.)

Activity
Code

Activity Name and Customs
Regulations in which conditions
codified

Limit of Liability

10

Court Costs for
Condemned Goods
(Single Transaction)

11

Airport Security Bond 113 App A
(Continuous bond only)

12
13

International Trade Commission (ITC)
Exclusion Bond
TBD

14

TBD

15

Intellectual Property Rights (IPR)
(Continuous bond only)
Importer Security Filing (ISF) 113 App D

16

113.72

Public Gauger
113.67
Wool & Fur Products
113.68
Marine Terminal Operator
Labeling Acts Importation
6
17
(Continuous bond only)
(Single Transaction)
Bill of Lading
113.69
Dog & Cat Act
7
18
(Single Transaction)
Detention of Copyrighted 113.70
Other (TBD)
8
19
Material (Single Transaction)
113.71
Other (TBD)
9 Neutrality
20
(Single Transaction)
SECTION III---List below the complete name of all tradenames or unicorporated divisions that will be permitted to obligate this bond in the principal's name
including their CBP Identification Number(s). (If more space is need, use Section III (continuation) on back of form.)
Identification Number

Name

Identification Number

Name

CBP Form 301 (11/10)

CBP USE ONLY BOND NUMBER
(Assigned by CBP)

Page 2

SECTION III (Continued)
Identification Number

Name

Identification Number

Name

Total number of parties listed in Section III:
P
R
I
N
C
I
P
A
L

Name and Physical Address

AFFIX SEAL
OR

Identification Number

SIGNATURE

Check Box
By checking the above
box you agree that you
have a seal in
accordance with 19
CFR 113.25

Name and Physical Address
Identification Number
AFFIX SEAL
C
OR
SIGNATURE
O
P
R
I
Check Box
N
By
checking
the above
C
box you agree that you
I
have a seal in
P
accordance with 19
A
CFR 113.25
L
Principal and surety agree that any charge against the bond under any of the listed names is as
Mailing Address Requested by the Surety
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 CBP Regulations into this bond. If the surety fails to appoint an agent under Title
6, United State 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:

S
U
R
E
T
Y

Name and Physical Address

Surety Number
SIGNATURE

Agent Identification Number

AFFIX SEAL
OR
Check Box
By checking the
above box you
agree that you have
a seal in accordance
with 19 CFR 113.25

CBP Form 301 (11/10) (Back)