Section I - Claim Header
5. Bond Type
3. Port Code
1. Drawback Entry Number
2. Entry Type Code
4. Surety Code
9. Duty Claimed
8. DBK Ruling Number
6. Claimant ID Number
7. Broker ID Number (CBP 4811)
19 CFR 191
PAPERWORK REDUCTION ACT NOTICE: This request is in
accordance with the Paperwork Reduction Act. We ask for the information in order
to carry out U.S. Department of Homeland Security laws and regulations, to
determine the eligibility for refund of taxes on domestic alcohol (if applicable), and to
determine the proper amount of drawback. Your response is required to obtain or
retain a benefit. The estimated average burden associated with this collection of
information is 35 minutes per respondent depending on individual circumstances.
Comments concerning the accuracy of this burden estimates and suggestions for
reducing this burden should be directed to U.S. Customs and Border Protection,
Asset Management, Washington, DC 20229, and to the Office of Management and
Budget, Paperwork Reduction Project (1651-0075) Washington, DC 20503.
12. MPF Claimed
11. HMF Claimed
10. Puerto Rico Claimed
19. Drawback Statutory Provision
18. Privilege Authorized
17. NAFTA DBK
16. Method of Filing
21. Contact Name, Address, E-mail, Phone & Fax Numbers of Preparer
20. Name and Address of Claimant
Section II - Imported Duty Paid, Designated Merchandise or Drawback Product
26. (If using 1313(b))
24.
Import
Date
25.
CD
22.
Import Entry Or CM&D
Numbers
(List Once in Chronological Order)
33. Total
CBP USE ONLY
34. STATUS - The Import entries as listed on this form are subject to:
(Must be identified on claim or coding sheet)
Accelerated
Liquidated
Bill/Refund
364 Duty
365 Excise Tax
369 Puerto Rico
399 MPF
DATE RECEIVED
Specialist Code
Reason
CBP Form 7551 (07/08)
OMB No. 1651-0075 Expires 10/31/2011
DRAWBACK ENTRY
23.
Port
Code
A.
Date(s)
Received
B.
Date(s)
Used
27.
HTSUS
No.
28.
Description of Merchandise
(Include Part/Style/Serial
Numbers)
29.
Quantity &
Unit of
Measure
30.
Entered
Value
Per Unit
31.
Duty