[Title 19 CFR 141.85]
[Code of Federal Regulations (annual edition) - April 1, 2002 Edition]
[Title 19 - CUSTOMS DUTIES]
[Chapter I - UNITED STATES CUSTOMS SERVICE, DEPARTMENT OF THE TREASURY]
[Part 141 - ENTRY OF MERCHANDISE]
[Subpart F - Invoices]
[Sec. 141.85 - Pro forma invoice.]
[From the U.S. Government Printing Office]
19CUSTOMS DUTIES22002-04-012002-04-01falsePro forma invoice.141.85Sec. 141.85CUSTOMS DUTIESUNITED STATES CUSTOMS SERVICE, DEPARTMENT OF THE TREASURYENTRY OF MERCHANDISEInvoices
Sec. 141.85 Pro forma invoice.
A pro forma invoice submitted in accordance with any provision of
this chapter shall be in substantially the following form:
Pro Forma Invoice
Importers Statement Of Value Or The Price Paid In The Form Of An Invoice
Not being in possession of a commercial seller's or shipper's
invoice I request that you accept the statement of value or the price
paid in the form of an invoice submitted below:
Name of shipper_________________________________________________________
address ------------------------
Name of seller__________________________________________________________
address ------------------------;.
Name of consignee_______________________________________________________
address ------------------------.
Name of purchaser_______________________________________________________
address ------------------------.
The merchandise (has) (has not) been purchased or agreed to be
purchased by me.
The prices, or in the case of consigned goods the values, given
below are true and correct to the best of my knowledge and belief, and
are based upon: (Check basis with an ``X'')
(a) The price paid or agreed to be paid (--) as per order dated ----
--------.
(b) Advices from exporter by letter (--) by cable (--) dated ------
------.
(c) Comparative values of shipments previously received (--) dated
------------.
(d) Knowledge of the market in the country of exportation (--) ----
--------.
(e) Knowledge of the market in the United States (if U.S. Value) (--
) ------------.
(f) Advices of the Port Director (--) ------------.
(g) Other (--) ------------.
----------------------------------------------------------------------------------------------------------------
B--Manufacturer's C--Quantities D--Unit E--Total F--Unit G--Total
A--Case marks item No. symbol or and full purchase price purchase price foreign foreign
numbers brand description (currency) (currency) value value
----------------------------------------------------------------------------------------------------------------
.................. ............... .............. .............. ............ ............
.................. ............... .............. .............. ............ ............
----------------------------------------------------------------------------------------------------------------
Check which of the charges below are, and which are not included in the prices listed in columns ``D'' and
``E'':
------------------------------------------------------------------------
Not
Amount Included included
------------------------------------------------------------------------
Packing........................................... ......... .........
Cartage........................................... ......... .........
Inlandfreight..................................... ......... .........
Wharfage and loading abroad....................... ......... .........
Lighterage........................................ ......... .........
Ocean freight..................................... ......... .........
U.S. duties....................................... ......... .........
Other charges (identify by name and amount)....... ......... .........
Total....................................... ......... .........
------------------------------------------------------------------------
Country of origin ------------------------.
If any other invoice is received, I will immediately file it with
the Port Director.
______________________________________________________________________
(Signature of person
making invoice)
______________________________________________________________________
(Title and firm name)
Date____________________________________________________________________
[T.D. 73-175, 38 FR 17447, July 2, 1973, as amended by T.D. 85-39, 50 FR
9612, Mar. 11, 1985]