CERTIFICATION BY FOREIGN TRADE ZONE OPERATOR
The merchandise described in the entry was received from ________ on ________, 20____ in Foreign Trade Zone No. ____, (City and State)
Exceptions _______________________________
(Name and title)
By _______________________________
(Name of operator)
TRANSFEROR'S DECLARATION
I, ________ ________, of the firm of ________, declare that the merchandise described in this entry was duly entered at the customhouse on arrival at this port; that the duties thereon have been paid as specified in this entry; and that it was transferred to Foreign Trade Zone No. ____, located at ____, (City and State) for the sole purpose of exportation, destruction, or storage, not to be removed from the foreign trade zone for domestic consumption. I further declare that to the best of my knowledge and belief, this merchandise is in the same quantity, quality, value, and package, unavoidable wastage and damage excepted, as it was at the time of importation; that no allowance nor reduction of duties has been made for damage or other cause except as specified in this entry; and that no part of the duties paid has been refunded by drawback or otherwise.
Dated: _______________________________
Transferor
19 C.F.R. §190.184