CBP Form 214c

OMB No. 1651-0029

U.S. DEPARTMENT OF HOMELAND SECURITY
Bureau of Customs and Border Protection

APPLICATION FOR
FOREIGN-TRADE ZONE ADMISSION
AND/OR STATUS DESIGNATION
CONTINUATION SHEET

1. ZONE NO. AND LOCATION (Address)

2. PORT CODE

6. ZONE ADMISSION NO.

Any data typed after screen scrolls will not print.
19 CFR 146.32, 146.40

15.
NO. OF
PACKAGES
AND COUNTRY
OF ORIGIN CODE

16.
DESCRIPTION OF MERCHANDISE

17.
HTSUS NO.

STATISTICAL COPY

18.
QUANTITY
(HTSUS)

19.
GROSS
WEIGHT

20.
SEPARATE
VALUE & AGGR
CHGS.

CBP Form 214C (6-03)