Form CBP Form 3461 CBP Form 3461 Entry/Immediate Delivery Paper submission

DEPARTMENT OF HOMELAND SECURITY

OMB No. 1651-0024
Exp. 08-31-2018

U.S. Customs and Border Protection
ENTRY/IMMEDIATE DELIVERY

19 CFR 142.3, 142.16, 142.22, 142.24, 149.3
HEADER INFORMATION
1. PORT OF ENTRY:

2. BOND TYPE:
Single Transaction Bond
Continuous Bond
No Bond Required

3. IMPORTER NUMBER:
SSN
IRS
CBP Assigned

4. IMPORTER NAME AND ADDRESS:

5. ENTRY NUMBER:

6. BOND VALUE:

7. ENTRY VALUE:

8. CES:

9. ENTRY TYPE:

10. ORIGINATING WHSE ENTRY NUMBER (For Entry Type 22 Only):

12. PORT OF UNLADING:

13. MODE OF TRANSPORTATION:
Ocean
Rail
Air
Hand Carry

15. G.O. NUMBER:

Pipeline

11. SURETY CODE:

14. LOCATION OF GOODS (FIRMS):
Truck
Other

16. CONVEYANCE NAME/FTZ ZONE ID:

HEADER REFERENCE INFORMATION
17. REFERENCE ID CODE:

18. REFERENCE ID NUMBER (UP TO 50 CHARACTERS):

HEADER PARTIES (MUST APPLY TO ENTIRE ENTRY; IF NOT, SKIP TO LINE INFORMATION
19. HEADER PARTY TYPE:

20. HEADER PARTY TYPE NAME/ADDRESS

21. HEADER ID #, IF APPLICABLE

Manufacturer
Consignee

Buying Party
Selling Party

IRS

SSN

CBP Assigned

Manufacturer
Consignee

Buying Party
Selling Party

IRS

SSN

CBP Assigned

Manufacturer
Consignee

Buying Party
Selling Party

IRS

SSN

CBP Assigned

Manufacturer
Consignee

Buying Party
Selling Party

IRS

SSN

CBP Assigned

22. CERTIFICATION

23. CBP USE ONLY

I hereby make application for entry/immediate delivery. I certify that the
above information is accurate, the bond is sufficient, valid, and current,
and that all requirements of 19 CFR Part 142 have been met.

OTHER AGENCY ACTION REQUIRED, NAMELY:

SIGNATURE OF APPLICANT:
PHONE NUMBER:

DATE:

BROKER OR OTHER GOVT. AGENCY USE

CBP EXAMINATION REQUIRED.
ENTRY REJECTED, BECAUSE:

DELIVERY
AUTHORIZED:

SIGNATURE:
DATE:

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 1651-0024. 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, 90 K Street, NE, Washington DC 20229.

CBP Form 3461 (02/16)

24. LINE INFORMATION
LINE 1 HTS CODE:
1.

HTS / COMMERCIAL / DESCRIPTION:
HTS
Commercial/Invoice

2.

Description:

COUNTRY OF ORIGIN:

Manufacturer
Consignee

FTZ FILING DATE:
ZONE STATUS:

LINE PARTY TYPE:

LINE ITEM QUANTITY:

P

LINE ID NUMBER, IF APPLICABLE:

Buying Party
Selling Party

LINE 2 HTS CODE:
1.

HTS / COMMERCIAL / DESCRIPTION:
HTS
Commercial/Invoice

2.

Description:

Manufacturer
Consignee

IRS

SSN

LINE ITEM QUANTITY:

VALUE:
1.

FTZ FILING DATE:
ZONE STATUS:

LINE PARTY TYPE:

P

LINE 3 HTS CODE:
1.

HTS / COMMERCIAL / DESCRIPTION:
HTS
Commercial/Invoice

2.

Description:

Manufacturer
Consignee

IRS

SSN

LINE ITEM QUANTITY:

VALUE:
1.

FTZ FILING DATE:
ZONE STATUS:

P

LINE 4 HTS CODE:
1.

HTS / COMMERCIAL / DESCRIPTION:
HTS
Commercial/Invoice

2.

Description:

Manufacturer
Consignee

2.

LINE ID NUMBER, IF APPLICABLE:

Buying Party
Selling Party

IRS

SSN

LINE ITEM QUANTITY:

VALUE:
1.

FTZ FILING DATE:
ZONE STATUS:

LINE PARTY TYPE:

CBP Assigned

N

LINE NAME/ADDRESS:

COUNTRY OF ORIGIN:

2.

LINE ID NUMBER, IF APPLICABLE:

Buying Party
Selling Party

LINE PARTY TYPE:

CBP Assigned

N

LINE NAME/ADDRESS:

COUNTRY OF ORIGIN:

2.

N

LINE NAME/ADDRESS:

COUNTRY OF ORIGIN:

VALUE:
1.

P

CBP Assigned

2.

N

LINE NAME/ADDRESS:

LINE ID NUMBER, IF APPLICABLE:
IRS

Buying Party
Selling Party

SSN

CBP Assigned

BILL OF LADING INFORMATION (Use additional block below for a second Bill of Lading)
25.

Non-AMS

26.

Split Bill

29. IN-BOND NUMBER:
SECOND BILL OF LADING
IN-BOND NUMBER:
33. VOYAGE/FLT/TRIP:

27. BOL TYPE:

In-Bond

Master

30. BOL NUMBER:
BOL TYPE:

In-Bond

House

Regular/Simple

31. QUANTITY:
Master

BOL NUMBER:
34. CONVEYANCE:

House

Regular/Simple
QUANTITY:

28. SCAC/CARRIER ID:
32. UNIT OF MEASURE:
SCAC/CARRIER ID:
UNIT OF MEASURE:

35. ARRIVAL DATE:

CBP Form 3461 (02/16)