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Affiliated Customs Brokers USA, Inc. PROFORMA …

EXPORTER (NAME AND ADDRESS) Customs Clearance by: REFERENCE #. PROFORMA INVOICE Affiliated Customs Brokers USA, Inc. PAGE. of PAGES. SPECIAL INSTRUCTIONS. BN# : ULTIMATE CONSIGNEE (NAME AND ADDRESS). IRS# : EXPORTED FROM ( COUNTRY/PROVINCE). BUYER, IF OTHER THAN CONSIGNEE. DESTINATION ( COUNTRY/STATE). TERMS OF SALE - DELIVERY - ETC. IRS# : Ex factory At destination Other or SHIPPING DATE INVOICE DATE DATE OF SALE CURRENCY Bill Customs charges to : Shipper Consignee Other or IF. FOREIGN Payable in Funds GOODS IN LOCAL CARRIER. SAME Parties to this transaction are : Related Not Related CONDITION EXPORTING CARRIER.

DECLARATION BY FOREIGN SHIPPER (To be completed only when the goods described above are of U.S. origin and their value exceed $1000.00). I declare that the articles herein specified are to the best of my knowledge and belief, the growth, produce or

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