30 Ask questions so that the sentences given below were the answers.

108

UNITED STATES CUSTOMS SERVICE

C0STOMS DECLARATION

PRESENT TO THE IMMIGRATION AND CUSTOMS INSPECTORS

EACH ARRIVING TRAVELER OR HEAD OF A FAMILY MUST WRITE IN THE FOLLOWING INFORMATION. PLEASE PRINT

1. FAMILY NAME

MIDDLE INITIAL

GIVEN NAME

2. DATE OF BIRTH (Mo./Day/Yr.)

3. VESSEL, OR AIRLINE & FLT. NO

4. CITIZEN OF (Country)

5. RESIDENT OF (Country)

6. PERMANENT ADDRESS

7. ADDRESS WHILE IN THE UNITED STATES

8. NAME AND RELATIONSHIP OF ACCOM PAN YNG FAMILY MEMBERS

9. Are you or anyone in your party carrying any fruits, plants, meats, other plant or animal products, birds, snails, or other live organisms of any kind?

□

10. Have you or anyone in your party been on a farm or ranch I I YES I outside the U.S.A. in the last 30 days? * *

11. Are you or any family member earring over $ 5000.00 (or the equiv- i—i I

alent value in the currency) in monetary instruments such as coin, I I I

currency, traveler’s checks, money orders or negotiable instruments in bearer form? (If yes, you must file a report on Form 4790, as required by law.) Note: If is not illegal to transport over $5000 in monetary instruments; however it must be reported.

12. I certify that 1 have declared all items acquired abroad as required herein and that a oral and written statements which 1 have made are true, correct and complete. SUGNATURE:

NON CITIZENS "> ONLY ^

13. U. S. VISA ISSUED AT (Place)

14. VISA DATE (Mo./Day/Yi)

The laws of the United States require that you declare ALL articles acquired abroad (whether worn or used, whether dutiable or not, and whether obtained by purchase, as a gift, or otherwise) which are in your or yot family’s possession at the time of arrival. Repairs made abroad also must be declared.

1. Family Name

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2. First (Given) Name

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3. Birth Date (Day/Mo./Yr.)

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4. Country of Citizenship

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5. Sex (Male or Female)

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6. Passport Number

i i i i i i i i i

7. Airline and Flight Number

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8. Country Where You Live

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9. City Wh

, ....

ere You Boarded

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10. City Where Visa Was Issued

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11. Date Issued (Day/Mo./Yr.)

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12. Address While the United States (Number and Street)

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13. City and State

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Description

Amount/quantity

For official use

in figures

in words

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