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documents/travel/customs_declaration/customs_jiang_xianlu.jpg
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documents/travel/customs_declaration/customs_jiang_xianlu.md
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---
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type: travel document
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category: customs declaration form
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person: Jiang Xianlu
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date:
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source: customs_jiang_xianlu.jpg
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---
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# 海关申报单 (U.S. Customs Declaration - Chinese Version)
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**U.S. Customs and Border Protection**
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19 CFR 122.27, 148.12, 148.13, 148.110, 148.111, 1498; 31 CFR 5316
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批准表格 OMB NO. 1651-0009
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每位入境旅客或家庭负责人必须提供以下资料(每个家庭只需填写一份申报单):
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| # | Field (Chinese) | Value |
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|---|---|---|
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| 1 | 姓 | Jiang |
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| | 名 | Xianlu |
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| | 中间名 | — |
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| 2 | 出生日期 | 日 28 月 01 年 68 |
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| 3 | 随行家庭成员人数 | 2 |
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| 4(a) | 在美国的地址街名(旅馆名称/目的地) | 1652 W 6th Street Apt. R |
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| 4(b) | 市 | Austin |
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| 4(c) | 州 | Texas |
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| 5 | 发照地(国家) | China |
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| 6 | 护照号码 | E38284127 |
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| 7 | 居住国 | China |
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| 8 | 这次抵达美国之前曾去过的国家 | China |
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| 9 | 航空公司/班机号码或船名 | HU 495 |
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## 申报问题
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| # | Question | Answer |
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|---|---|---|
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| 10 | 这次旅行的主要目的是业务出差 | 否 X |
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| 11(a) | 水果、蔬菜、植物、种子、食品、昆虫 | 否 X |
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| 11(b) | 肉类、动物、动物/野生动物产品 | 否 X |
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| 11(c) | 疾病媒体、细胞培养体、蜗牛 | 否 X |
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| 11(d) | 土壤或曾经到过农场/牧场/饲养场 | 否 X |
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| 12 | 曾经非常接近(如摸过或者处理过)牲畜 | 否 X |
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| 13 | 携带超过 10,000 美元或相等数额的外国货币的现金或代金 | 否 X |
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| 14 | 携带商品(可供销售的物品、用于招揽订单的样品、或不属于个人用品的物品) | 否 X |
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## 申报价值
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| Category | Value |
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|---|---|
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| 15. 居民 — 总价值 | $ — |
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| 来访者 — 将留在美国的所有物品(包括商品)的总价值 | $ 500 |
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请阅读本申报单背面的说明。空白处供您列出所有必须申报的物品。
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本人已经读过本申报单背面的重要说明,並且已如实申报。
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**签名:** *(signed)*
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**日期:** —
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documents/travel/customs_declaration/customs_xue_fengqin.jpg
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documents/travel/customs_declaration/customs_xue_fengqin.jpg
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documents/travel/customs_declaration/customs_xue_fengqin.md
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documents/travel/customs_declaration/customs_xue_fengqin.md
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---
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type: travel document
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category: customs declaration form
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person: Xue Fengqin
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date:
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source: customs_xue_fengqin.jpg
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---
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# Customs Declaration (English Version) - Xue Fengqin
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**U.S. Customs and Border Protection**
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19 CFR 122.27, 148.12, 148.13, 148.110, 148.111, 1498; 31 CFR 5316
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FORM APPROVED OMB NO. 1651-0009
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Each arriving traveler or responsible family member must provide the following information (only ONE written declaration per family is required):
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| # | Field | Value |
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|---|---|---|
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| 1 | Family Name | Xue |
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| | First (Given) | Fengqin |
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| | Middle | — |
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| 2 | Birth date | Day 06 Month 04 Year 65 |
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| 3 | Number of Family members traveling with you | 2 |
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| 4(a) | U.S. Street Address (hotel name/destination) | 1652 W 6th Street Apt. R |
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| 4(b) | City | Austin |
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| 4(c) | State | Texas |
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| 5 | Passport issued by (country) | China |
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| 6 | Passport number | G49056250 |
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| 7 | Country of Residence | China |
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| 8 | Countries visited on this trip prior to U.S. arrival | China |
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| 9 | Airline/Flight No. or Vessel Name | HU 495 |
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## Declaration Questions
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| # | Question | Answer |
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|---|---|---|
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| 10 | The primary purpose of this trip is business | No X |
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| 11(a) | fruits, vegetables, plants, seeds, food, insects | No X |
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| 11(b) | meats, animals, animal/wildlife products | No X |
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| 11(c) | disease agents, cell cultures, snails | No X |
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| 11(d) | soil or have been on a farm/ranch/pasture | No X |
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| 12 | I have (We have) been in close proximity of (such as touching or handling) livestock | No X |
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| 13 | I am (We are) carrying currency or monetary instruments over $10,000 U.S. or foreign equivalent | No X |
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| 14 | I have (We have) commercial merchandise | No X |
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## Declared Value
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| Category | Value |
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|---|---|
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| 15. Residents — total value of all goods | $ — |
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| Visitors — total value of all articles that will remain in the U.S., including commercial merchandise | $ 500 |
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Read the instructions on the back of this form. Space is provided to list all the items you must declare.
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**I HAVE READ THE IMPORTANT INFORMATION ON THE REVERSE SIDE OF THIS FORM AND HAVE MADE A TRUTHFUL DECLARATION.**
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**Signature:** *(signed)*
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**Date:** —
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105
documents/travel/customs_declaration/海关申报表.md
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documents/travel/customs_declaration/海关申报表.md
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---
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type: travel document
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category: customs declaration form
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person: Jiang Xianlu, Xue Fengqin
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date:
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source: 海关申报表.pdf
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---
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# Page 1: 海关申报单 (Customs Declaration - Chinese Version)
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**U.S. Customs and Border Protection**
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19 CFR 122.27, 148.12, 148.13, 148.110, 148.111, 1498; 31 CFR 5316
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批准表格 OMB NO. 1651-0009
|
||||
|
||||
每位入境旅客或家庭负责人必须提供以下资料(每个家庭只需填写一份申报单):
|
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|
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| # | Field (Chinese) | Value |
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|---|---|---|
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| 1 | 姓 | Jiang |
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| | 名 | Xianlu |
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| | 中间名 | — |
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||||
| 2 | 出生日期 | 日 28 月 01 年 68 |
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| 3 | 随行家庭成员人数 | 2 |
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| 4(a) | 在美国的地址街名(旅馆名称/目的地) | 1652 W 6th Street Apt. R |
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| 4(b) | 市 | Austin |
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| 4(c) | 州 | Texas |
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||||
| 5 | 发照地(国家) | China |
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||||
| 6 | 护照号码 | E38284127 |
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| 7 | 居住国 | China |
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| 8 | 这次抵达美国之前曾去过的国家 | China |
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| 9 | 航空公司/班机号码或船名 | HU 495 |
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### 申报问题
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| # | Question | Answer |
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||||
|---|---|---|
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| 10 | 这次旅行的主要目的是业务出差 | 否 X |
|
||||
| 11(a) | 水果、蔬菜、植物、种子、食品、昆虫 | 否 X |
|
||||
| 11(b) | 肉类、动物、动物/野生动物产品 | 否 X |
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| 11(c) | 疾病媒体、细胞培养体、蜗牛 | 否 X |
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||||
| 11(d) | 土壤或曾经到过农场/牧场/饲养场 | 否 X |
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| 12 | 曾经非常接近(如摸过或者处理过)牲畜 | 否 X |
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| 13 | 携带超过 10,000 美元或相等数额的外国货币的现金或代金 | 否 X |
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||||
| 14 | 携带商品(可供销售的物品、用于招揽订单的样品、或不属于个人用品的物品) | 否 X |
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||||
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### 申报价值
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||||
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||||
| Category | Value |
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||||
|---|---|
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| 15. 居民 — 总价值 | $ — |
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| 来访者 — 将留在美国的所有物品(包括商品)的总价值 | $ 500 |
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**签名:** *(signed)*
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**日期:** —
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---
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# Page 2: Customs Declaration (English Version)
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**U.S. Customs and Border Protection**
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19 CFR 122.27, 148.12, 148.13, 148.110, 148.111, 1498; 31 CFR 5316
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FORM APPROVED OMB NO. 1651-0009
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||||
|
||||
Each arriving traveler or responsible family member must provide the following information (only ONE written declaration per family is required):
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||||
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||||
| # | Field | Value |
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|---|---|---|
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| 1 | Family Name | Xue |
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| | First (Given) | Fengqin |
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| | Middle | — |
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| 2 | Birth date | Day 06 Month 04 Year 65 |
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| 3 | Number of Family members traveling with you | 2 |
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| 4(a) | U.S. Street Address (hotel name/destination) | 1652 W 6th Street Apt. R |
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||||
| 4(b) | City | Austin |
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||||
| 4(c) | State | Texas |
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||||
| 5 | Passport issued by (country) | China |
|
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| 6 | Passport number | G49056250 |
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||||
| 7 | Country of Residence | China |
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||||
| 8 | Countries visited on this trip prior to U.S. arrival | China |
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||||
| 9 | Airline/Flight No. or Vessel Name | HU 495 |
|
||||
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### Declaration Questions
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||||
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| # | Question | Answer |
|
||||
|---|---|---|
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| 10 | The primary purpose of this trip is business | No X |
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| 11(a) | fruits, vegetables, plants, seeds, food, insects | No X |
|
||||
| 11(b) | meats, animals, animal/wildlife products | No X |
|
||||
| 11(c) | disease agents, cell cultures, snails | No X |
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| 11(d) | soil or have been on a farm/ranch/pasture | No X |
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||||
| 12 | I have (We have) been in close proximity of (such as touching or handling) livestock | No X |
|
||||
| 13 | I am (We are) carrying currency or monetary instruments over $10,000 U.S. or foreign equivalent | No X |
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| 14 | I have (We have) commercial merchandise | No X |
|
||||
|
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### Declared Value
|
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|
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| Category | Value |
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|---|---|
|
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| 15. Residents — total value of all goods | $ — |
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| Visitors — total value of all articles that will remain in the U.S., including commercial merchandise | $ 500 |
|
||||
|
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**I HAVE READ THE IMPORTANT INFORMATION ON THE REVERSE SIDE OF THIS FORM AND HAVE MADE A TRUTHFUL DECLARATION.**
|
||||
|
||||
**Signature:** *(signed)*
|
||||
**Date:** —
|
||||
BIN
documents/travel/customs_declaration/海关申报表.pdf
Normal file
BIN
documents/travel/customs_declaration/海关申报表.pdf
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