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pe.usps.com SAMPLE

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).

I certify the particulars given in this customs declaration are correct. This item does not contain any undeclared dangerous articles, or articles prohibited by legislation or by postal or customs regulations. I have met all applicable export filing requirements under federal law and regulations. Sender’s Signature and Date (9)

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