U.S. Customs Form: CBP Form 1303 - Ship's Stores Declaration

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OMB No.

1651-0018
DEPARTMENT OF HOMELAND SECURITY SHIP'S STORES DECLARATION Exp. 06-30-2011
U.S. Customs and Border Protection
Arrival Departure Page No.
19 CFR 4.7, 4.7a, 4.81, 4.85, 4.87
1. Name of Ship 2. Port of arrival/departure 3. Date of arrival/departure

4. Nationality of ship 5. Port arrived from/Port of destination

6. Number of persons on board 7. Period of stay 8. Place of storage*

9. Name of article 10. Quantity 11. For Official Use

12. Date and signature by master, authorized agent or officer

This form may be printed by private parties provided the supply printed conforms to the
official form in size, wording, arrangement, and quality and color of paper. *Not required by the United States

Paperwork Reduction Act Statement: An agency may not conduct or sponsor an information collection and a person is not required to respond to this information unless it
displays a current valid OMB control number and an expiration date. The control number for this collection is 1651-0018. The estimated average time to complete this
application is 15 minutes. If you have any comments regarding the burden estimate you can write to U.S. Customs and Border Protection, Office of Regulations and Rulings,
799 9th Street, NW., Washington DC 20229.

CBP Form 1303 (06/09)

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