Form 449 Andean Trade Program Drug Eradication Act (ATPDEA_

OMB No. 1651-0016
Exp. 05-31-2013

DEPARTMENT OF HOMELAND SECURITY

U.S. Customs and Border Protection

Andean Trade Promotion and Drug Eradication Act (ATPDEA)
CERTIFICATE OF ORIGIN
19 CFR 10.254, 10.256
This Certificate is to be used only when making ATPDEA claims on the HTS numbers listed on the reverse side of this form.
For the purpose of obtaining ATPDEA preferential tariff treatment for articles classified under those HTS numbers, this document must be
completed legibly and in full by the exporter and be in the possession of the importer at the time the ATPDEA claim is made. A producer
who is not the exporter may voluntarily complete a Certificate for use by the exporter in filling out their own Certificate.
Note: The purchase of an article in the ATPDEA beneficiary countries does not render it eligible for benefits. If the origin of the article
cannot be determined, the exporter must assume that the article is not eligible for benefits.

PLEASE PRINT OR TYPE. SEE INSTRUCTIONS ON ATTACHMENT.
1. Exporter's Name and Address
2. COMPLETE EITHER 2a or 2b
2a) Single Importation

Invoice or other unique reference
number
From

2b) Blanket Period

To

(mm/dd/yyyy)

(mm/dd/yyyy)

4. Importer's Name and Address

3. Producer's Name and Address

5.
Description of Articles
and Processing Activities

6.
HTS Classification
Number

7.
Producer Basis
of Knowledge

8.
Origin
Criterion

9.
Country of
Origin

10. I certify that:
- the information on this document is true and accurate and I assume the responsibility for proving such representations.
I understand that I am liable for any false statements or material omissions made on or in connection with this document;
- I agree to maintain, and present upon request, documentation necessary to support this Certificate, and to inform, in
writing, all persons to whom the Certificate was given of any changes that could affect the accuracy or validity of this
Certificate;
- the articles are eligible for benefits under the Andean Trade Promotion and Drug Eradication Act beneficiary countries, and;
- this Certificate consists of

pages, including all attachments.

Authorized Signature

Date

X

Company

(mm/dd/yyyy)

Name and Title
Telephone No.

Fax No.

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 1651-0016. 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 449 (10/10)

The following Harmonized Tariff Schedule (HTS) item numbers are eligible for Preferential Tariff Treatment under the Andean
trade Promotion and Drug Eradication Act. For a detailed description of each tariff item number below, please refer to the
current edition of the Harmonized Tariff Schedule of the United States. Do not use this Certificate with HTS item numbers
not included in the list below.
2709 Petroleum oils and oils obtained from bituminous materials, crude:
2709.00.10 -.20
2710 Petroleum oils and oils obtained from bituminous minerals, other than crude; preparations not elsewhere specified or
included, containing by weight 70 percent or more of petroleum oils or of oils obtained from bituminous minerals, these oils
being the basic constituents of the preparations; waste oils:
2710.11.15-.45
2710.19.05-.45
2710.91.00
2710.99.05-.45
4202 Trunks, suitcases, vanity cases, attache cases, briefcases school satchels, ... and similar containers, of leather or of
composition leather, of sheeting of plastics, of vulcanized fiber, or of paperboard, or wholly or mainly covered with such
materials or with paper:
4202.11.00
4202.19.00
4202.22.15
4202.31.60
4202.92.45
4202.12.20
4202.21.30-.90
4202.29.90
4202.91.00
4202.99.90
4203 Articles of apparel and clothing accessories, of leather or of composition leather:
4203.10.40
4203.29.08
4203.29.18
4602 Basketwork, wickerwork, and other articles, made directly to shape from plaiting materials or made up from articles of
heading 4601; articles of loofah;
4602.10.21-.22
4602.10.25-.29
6116 Gloves, mittens and mitts, knitted or crocheted, containing over 50% by weight of plastics or rubber:
6116.10.44
6116.10.65
6216 Gloves, mittens and mitts, containing over 50% by weight of plastics or rubber:
6216.00.19
6216.00.19
6401 Waterproof footwear with outer soles and uppers of rubber or plastics, the uppers of which are neither fixed to the sole nor
assembled by stitching, riveting, nailing, screwing, plugging or similar processes:
6401.92.60
6402 Other footwear with outer soles & uppers of rubber or plastics:
6402.19.05-.15
6402.30.30
6402.91.40
6402.99.05-.18
6402.19.50-.90
6402.30.60-.90
6402.91.60-.70
6402.99.30-.70
6403 Footwear with outer soles of rubber, plastics, leather or composition leather and uppers of leather:
6403.19.10
6403.40.30-.60
6403.59.15-.90
6403.99.20-.90
6403.19.30-.50
6403.51.30-.90
6403.91.30-.90
6404 Footwear with outer soles of rubber, plastics, leather or composition leather and uppers of textile materials:
6404.11.20-.80
6404.19.15
6404.19.25-.90
6404.20.20-.60
6405 Other footwear:
6405.10.00
6405.20.30
6405.20.90
6405.90.90
6406 Parts of footwear (including uppers whether or not attached to soles other than outer soles); removable insoles, heel
cushions and similar articles; gaiters, leggings and similar articles, and parts thereof:
6406.10.05-.50
9101 Wrist watches, pocket watches and other watches..., with cases of precious metal or of metal clad with precious metal:
9101.11.40-.80
9101.21.10-.30
9101.19.10-.80
9101.19.40-.80
9101.21.80
9101.99.40
9102 Wrist watches, pocket watches and other watches, other than those of heading 9101:
9102.11.10-.95
9102.21.10-.90
9102.91.20-.80
9102.19.20-.80
9102.29.02-.60
9108 Watch movements, complete and assembled:
9108.11.40-.80
9108.12.00
9108.19.40-.80
9108.90.10-.80
9108.90.90-.95
9110 Complete watch...movements, unassembled of partly assembled...; incomplete watch...movements, assembled; rough
watch...movements:
9110.11.00-.12
9110.19.00
9111 Watch cases and parts thereof:
9111.10.00
9111.20.20-.40
9111.80.00
9111.90.90-.70
9113 Watch bands, watch straps and watch bracelets, and parts thereof:
9113.10.00
9113.20.20-.90
9113.90.40
9113.90.80
9114 Other...watch parts:
9114.10.40
9114.30.80
9114.40.60
9114.90.40
9114.30.40
9114.40.20
9114.90.15
9821 Articles imported from a designated ATPDEA beneficiary country enumberated in U.S. note 1(a) to this subchapter; Tuna
harvested by United States or ATPDEA beneficiary country vessels (19 CFR 10.252), that is prepared or preserved in any
manner, in an ATPDEA beneficiary country, in foil or in other flexible airtight containers weighing with their contents not more
than 6.8 kg each:
9821.01.01
CBP Form 449 (10/10)

CBP Form 449

INSTRUCTIONS
Field 1

State the full legal name and address (including country) of the exporter. If a producer completes the Certificate,
indicate "N/A".

Field 2
(a & b)

2a - Complete field if the Certificate covers a single shipment of an article by providing the invoice number
shown on the commercial invoice.
2b - Complete field if the Certificate covers multiple shipments of identical articles as described in Field 5 that
are imported into the United States for a specified period of up to one year (blanket period). "FROM" is the date
upon which the Certificate becomes applicable to the article covered by the blanket Certificate. (The "FROM"
date my be prior to the date of signing this Certificate; however, the signed Certificate must be in the possession
of the importer at the time the claim for preferential tariff treatment is made.) "TO" is the date upon which the
blanket period expires. The importation of an article for which ATPDEA preferential tariff treatment is claimed
based on this Certificate must occur between these dates.

Field 3

State the full legal name and address (including country) of the producer. If more than one producer's article is
included on the Certificate, state "VARIOUS" and attach a list of all producers, including the legal name and
address (including country). If you wish this information to be confidential, it is acceptable to state "Available to
Customs and Border Protection (CBP) upon request". If the producer and the exporter are the same, complete
field with "SAME".

Field 4

State the full legal name and address (including country) of the importer. If the importer is not known at the time
the Certificate is completed, or if there are multiple importers, it is acceptable to state "Available to CBP upon
request". If a producer who is not also the exporter completes this Certificate, indicate "N/A".

Field 5

Provide a full description of each article and the processing activities used to manufacture the article within the
beneficiary country or countries. The description should be sufficient to relate it to the invoice description and to
the Harmonized System (HTS) description of the article.

Field 6

For each article described in Field 5, identify the HTS tariff classification to eight digits, using the Harmonized
Tariff Schedule of the United States.

Field 7

For each article described in Field 5, state "YES" if you are the producer of the article. If you are not the
producer of the article, state "NO" followed by (1) OR (2), depending on whether this Certificate was based
upon: (1) your reliance on the producer's written representation (other than a Certificate of Origin) that the article
qualifies for preferential treatment under the ATPDEA; or (2) a completed and signed Certificate of Origin for the
article, voluntarily provided to the exporter by the producer.

Field 8

Articles wholly the growth, product, or manufacture of an ATPDEA beneficiary country: enter the letter "A".
Articles made from materials imported into an ATPDEA beneficiary country which 1) are processed into new and
different articles of commerce that are the growth, product or manufacture of a ATPDEA country, and 2) for
which the sum of the cost of processing operations performed in a beneficiary country or countries plus the
direct cost of processing operations performed in a beneficiary country or countries is not less than 35% of the
appraised value of the article: enter the letter "B". (19 CFR 10.253(d))

Field 9

For each article described in Field 5, indicate the country of origin. (19 CFR Part 10.253 (c) ATPDEA Origin
rules)

Field 10

This field must be completed, signed and dated by the exporter. When the Certificate is completed by the
producer for use by the exporter, it must be completed, signed and dated by the producer. The date must be the
date the Certificate was completed and signed. The signed Certificate must be in the possession of the importer
at the time the claim for ATPDEA preferential tariff treatment is made. For ATPDEA claims made after
importation, the date of the Certificates may be subsequent to the date of the importation of the articles.

CBP Form 449 (10/10)