Customs Bond applicationadmin2021-05-16T23:03:24-05:00 Continuous CBP Bond ApplicationCHB Name:* Imp No/Tax ID/SS #/CBP Assigned No:* Principal Name:* DBA:* Business Type:* Corporation LLC (State of Incorporation Partnership Proprietorship Individual If Partnership, indicate if:GeneralMax. file size: 512 MB.Add sheet with a complete listing of all partnersLimitedMax. file size: 512 MB.Attach a copy of the complete partnership agreement If Proprietorship, indicate name of Sole Proprietor: Co-Principals / Users:* Yes No If yes, add sheet with Name, Imp No/Tax ID/SS #/CBP Assigned No and AddressMax. file size: 512 MB.Physical Address: Mailing Address:* Phone:* Years in business:* Activity Code:* 1 – Import (see below) 1a – Drawback 2 – Custodial (see below) 3 – Intl Carrier (see below) 3a – Instruments of Intl Traffic 4 – Foreign Trade Zone 5 – Public Gauger 11 – Airport Security (see below) 14 – In-Bond Export Consolidation 15 – Intellectual Property Rights 16 – ISF 17 – Marine Terminal Operator Bond Amount:* Effective Date Requested:* Is a current bond on file (same activity code)? Yes No Has termination been sent on current bond? Yes No If yes, termination date: MM slash DD slash YYYY Has any Surety ever suffered a loss on Principal’s behalf? Yes No Has Principal ever been placed on sanctions with CBP? Yes No For Activity Code 1 – Import Bonds only, please fill out below:Description of merchandise to be imported: Country(ies) of Origin: Is merchandise subject to antidumping/countervailing duties? Yes No Does the Importer require a Reconciliation Rider? Yes No Value of Merchandise (Previous 12 Months) Value of Merchandise (Estimated For Next 12 Months ) Estimated Duties, Taxes & Fees (Previous 12 Months) Estimated Duties, Taxes & Fees (Estimated For Next 12 Months ) Number of Entries (Previous 12 Months) Number of Entries (Estimated For Next 12 Months ) For Activity Code 2 – Custodial Bonds or Activity Code 3 – Intl Carrier Bonds only, please fill out below:Activities to be conducted: If a Carrier, provide SCAC: If a Warehouse, Centralized Examination Station (CES), or Container Freight Station (CFS), provide FIRMS code: For Airport Security only, please fill out below: CertificationI certify that the factual information contained in this application is true and accurate and any information provided which is based upon estimates is based upon the best information available on the date of this application. Printed name and title Date MM slash DD slash YYYY
