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Click ‘Get Form’ to open it in the editor.
Begin by entering the date and the Bill of Lading (B/L) or insured number at the top of the form.
Fill in your name, address, and ZIP code where the certified form should be mailed, if applicable.
Indicate the purpose for exporting articles by checking one of the options: alteration, processing, repair, or other. If you select 'other', specify the reason.
List each article being exported in the designated section. Include details such as number of packages, kind of packages, and a brief description of each item.
Sign and date the form in the signature section provided for the owner or agent.
Ensure that a customs officer examines and signs off on your articles before submission. This includes their signature and date in the appropriate sections.
If claiming duty-free entry upon return, have the importer sign and date in that section as well.
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The importer indicates that a U.S. Customs and Border Protection (CBP) Form 4455, Certificate of Registration, will be completed upon exportation of the goods
CBP Form 4455 (06/00). Page 2. Sample. Exported via: The High Seas. International Shipment Summary. Shipboard Scientific Equipment. TO: FROM: Port of Departure.Read more
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