Form 300 Form 300 Bonded Warehouse Proprietor's Submission

OMB 1651-0033
Expires 07/31/2009

DEPARTMENT OF HOMELAND SECURITY

U.S. Customs and Border Protection

1. IRS Identification No.

BONDED WAREHOUSE PROPRIETOR'S SUBMISSION
19 CFR 19.12 (a)(5)

2. Name of Warehouse Facility

3. Address
QUANTITY

A.

B.

Entry No.
and Date of
Importation

Description of Merchandise

6. Total Number
of Entries
Reported

4. Name of Contact Person
BREAKAGE

C.

D.

E.

F.

Per Entry

Over/Short
on Receipt

Upon Receipt
Quantity

In Warehouse
Quantity

5. Telephone No.
G.

H.

I.

Beginning
Inventory
Quantity

Ending
Inventory
Quantity

Date Entry
Closed and
Forwarded to
Customs

CERTIFICATION
I hereby certify that the information contained in this submission completely and accurately represents all entry transactions as well as beginning
and ending inventories of ____________________________________________warehouse facility for the year ending _________.
(Name)

7. Signature

8. Title

9. Name of Company

10. Date

CBP Form 300 (07/09)

INSTRUCTIONS
The preparation and filing of this submission with the Field Director, Regulatory Audit Division, U.S. Customs and Border Protection is to occur with 45 calendar
days subsequent to the company's year-end. Should you have any questions regarding this submission, contact the Field Director, Regulatory Audit Division at
____________________________________________________________________________.
A warehouse proprietor is required to file a submission for each warehouse facility. The definition of a warehouse facility is as follows:
A warehouse facility will be determined by street address, location, or both. For example, if a proprietor has two warehouses located at one street address
and three warehouses located at three different street addresses, the two would be considered as one warehouse facility and the three warehouses would
each be considered as separate facilities.
The following instructions are to assist you in preparing the "Bonded Warehouse Proprietor's Submission".
All pages must be numbered and contain the facility name. Multiple copies must be attached until all inventory has been listed. Additionally, the first and last page
of the submission must show:
• name of warehouse facility;
• address - warehouse location, not the corporate address or a post office box number;
• telephone number - include the area code;
• IRS number - assigned number;
• contact person - include phone number, if different from the facility number.
The Warehouse Proprietor's Submission form is divided into nine sections labeled A through I.
Column A.

Column B.

Column C.
Column D.
Column E. & F.
Column G.
Column H.
Column I.

Record the entry number and date of importation of all entries which were included in:
1. The beginning inventory of the year just ended.
2. The ending inventory of the year just ended.
3. Also, include all entries which were opened and closed during the year which do not appear in either
the beginning or ending inventory listings.
Provide an adequate description of all merchandise covered by those entries listed in Column A. The description should be
concise but specific enough to identify the commodity, i.e., "scotch 12 btls/case" rather than "liquor". For entries listing
multiple commodities, the term "various" may be used when two or more distinctly different commodities.
Record in Column C. the quantity stated on the entry for each commodity described in Column B.
Record any quantity actually received that is over/short that recorded in Column C.
Record the quantities relating to all breakage occurring upon arrival and/or in the warehouse pertaining to each commodity
listed in Column B.
Record the quantity of merchandise that is on hand at the beginning of the business year.
Record the quantity of merchandise that is on hand at the end of the business year
Record the date on which the entry was closed and forwarded to Customs.

An authorized representative must sign the document where indicated prior to issuing to the U.S. Customs and Border Protection.
Paperwork Reduction Act Notice: 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 1651-0033. The estimated average time to
complete this application is 25 hours. 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 300 (07/09)

BONDED WAREHOUSE PROPRIETOR'S SUBMISSION

2. Name of Warehouse Facility

1. IRS Identification No.

CONTINUATION SHEET

Page _____ of ______

3. Address

4. Name of Contact Person

5. Telephone No.

CBP Form 300 (07/09)