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Customs Declaration CN 22 Sender's Declaration Instructions for Completing Customs Declaration Please retain this copy and the detached customer copy from page 2 for your records. You will need the information contained on these pages if you contact us about the article(s) you mailed. A PS form 2976, Customs Declaration CN22 Sender's Declaration, must be used on all First-Class Mail International package- size items (small packets), First-Class Package International Service items, Priority Mail International Small Flat Rate Boxes, M-bags, and certain Priority Mail Express International items. Refer to the International Mail Manual (IMM ) at for additional information. SAMPLE . Also use this form on a First-Class Mail International mailpiece or Priority Mail International Flat Rate Envelopes if ANY of the following applies: JJ. The mailpiece weighs 16 ounces or more (the maximum weight limit is 4 pounds);. JJ. The mailpiece exceeds 3/4 inch in thickness; or JJ. The mailpiece contains dutiable goods.
Sender’s Last Name City Business State ZIP+4® Address First Addressee’s Last Name Telephone/Fax or Email Telephone/Fax or Email City Country Business State/Province Post Code Address First PS Form 2976, July 2013 PSN 7530-01-000-9833 Mailing Office Date Stamp DETACH DETACH 2- Shipping Label (left) and Customer Copy (right) SAMPLE
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