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Form 7525-V, Shipper's Export Declaration

FORM 7525-V (7-25-2000)OMB No. DEPARTMENT OF COMMERCE CENSUS BUREAU Economics and Statistics Administration BUREAU OF Export ADMINISTRATIONSHIPPER S Export DECLARATION1a. PRINCIPAL PARTY IN INTEREST (USPPI)b. USPPI EIN (IRS) OR ID PARTIES TO TRANSACTION4a. ULTIMATE CONSIGNEEb. INTERMEDIATE CONSIGNEE5. FORWARDING AGENT8. LOADING PIER (Vessel only)10. EXPORTING CARRIER12. PORT OF UNLOADING (Vessel and air only)ZIP CODE9. METHOD OF TRANSPORTATION (Specify)11. PORT OF EXPORT13. CONTAINERIZED (Vessel only)2. DATE OF EXPORTATION3. TRANSPORTATION REFERENCE POINT (STATE) OF ORIGIN OR FTZ COUNTRY OF ULTIMATE DESTINATION14. CARRIER IDENTIFICATION CODE15. SHIPMENT REFERENCE ENTRY NUMBER17. HAZARDOUS MATERIALS18. IN BOND CODE19. ROUTED Export TRANSACTIONR elatedNon-relatedYesNoYesNoYesNo20. SCHEDULE B DESCRIPTION OF COMMODITIES (Use columns 22 24)(21)(22)(23)(24)D/For MSCHEDULE B NUMBERQUANTITY SCHEDULE B UNIT(S)SHIPPING WEIGHT (Kilograms)(25)VIN/PRODUCT NUMBER/VEHICLE TITLE NUMBER(26)VALUE ( dollars, omit cents)(Selling price or cost if notsold)27.

Government Printing Office, Washington, DC 20402, and local Customs District Directors. The "Correct Way to Fill Out the Shipper’s Export Declaration" is available from the U.S. Census Bureau, Washington, DC 20233. (Complete name and address) (Complete name and address) (Complete name and address) (Complete name and address)

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Transcription of Form 7525-V, Shipper's Export Declaration

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