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美国海关出入境登记表i及海关申报表中英文对照Document number【SA80SAB-SAA9SYT-SAATC-SA6UT-SA18】美国海关出入境登记表（I-94）（中英文对照）美国海关申报表（中英文对照）进入美国海关,须填写两份表格,一份是美国海关申报单,一份是美国出入境证明单（I －94）。
美国的海关官员会检查这两份表格并最后决定您是否可以进入美国以及能在美国停留的时间。
请千万保管好,并随时携带I－94表,尤其在临时离开美国境的时候,否则无法再度返回。
美国海关表格样本:. Department of JusticeOMR 1115-4077Immigration and Naturalization service 美国司法部OMR 1115-407 移民局Admission Number 登记号码 (*举例说明)I-94 Arrival/Departure Record-InstructionsI-94 入境/离境记录说明This form must be completed by all persons except . citizens, returning resident aliens with immigrant visas, and Canadian Citizens visiting or in transit.除了美国公民, 美国海外侨民, 永久居民和加拿大公民外, 所有访问或过路的人士都必须填写此表Type or print legibly with pen in ALL CAPITAL LETTERS. Use English. Do not write on the back of this form.请用大写字母打字或用钢笔或用圆珠笔清楚填写. 请用英文填写. 不要在此表背面填写任何东西.This form is in two parts. Please complete both the Arrival Record (Item 1 through 13) and the Departure Record (Item 14 through 17).此表包括两部分, 请填写入境记录 (第1项至第13项)和离境记录(第 14项至第17项)两部分.When all items are completed, present this form to the . Immigration and Naturalization Service Inspector.填写完毕后, 请将此表交给美国移民局官员.Item 7– If you are entering the United States by land, enter LAND 第7项内容说明–如果你从陆地进入美国, 请在空格内填写LAND, 如果你乘船进in this space. If you are enteringthe United States by ship, enterSEA in this space.入美国, 请在空格内填写SEA.Form I-94(10-01-85)N I-94表 (10-01-85)N Admission Number 登记号码Immigration and NaturalizationService移民局I-94Arrival Record I-94入境记录1. Family Name 1. 姓2. First (Given) Name 2. 名3. Birth Date(Day/Mo/Yr) 3. 生日(月/日/年)4. Country of Citizenship 4. 哪个国家公民5. Sex (Male or Female) 5. 性别(男填MALE或女填FEMALE)6. Passport Number 6. 护照号码7. Airline & Flight Number 7. 航空公司和航班号8. Country Where You Live 8. 你在哪个国家生活9. City Where You Boarded 9. 你在那个城市登机10. City Where Visa Was Issued 10. 在哪个城市得到签证11. Date Issued (Day/Mo/Yr)11. 得到签证的日期(日/月/年)12. Address While in the UnitedState (Number and Street)12. 在美国的住址(门牌号及街名)13. City and State13. 在美国的住址(市名及州名) Departure Number 离境号码Immigration and NaturalizationService移民局I-94Departure Record I-94离境记录14. Family Name14. 姓15. First (Given) Name 16. BirthDate(Day/Mo/Yr)15. 名 16. 生日(日/月/年) 17. County of Citizenship17. 哪个国家公民WELCOME TO THE UNITED STATES欢迎来到美国DEPARTMENT OF THE TREASURY UNITED STATES CUSTOMS SERVICE 财政部美国海关署CUSTOM DECLARATION海关申报Each arriving traveler or head of family must provide the following information (only ONE written declaration per family is required):每个入关的旅游者或一家之主必须提供如下资料 (一个家庭只须申报一份):1. Family Name: 1. 姓:2. First Name 2. 名3. Middle Initial 3. 中间名4. Date of Birth: (Day/Month/Year) 4. 出生日期: 日/月/年5. Airline/Flight No. : 5. 航空公司/航班号:6. Number of family memberstraveling with you6. 与你同行的家庭成员人数:7. (a)Country of Citizenship: 7.(a)国籍:7. (b)Country of Residence: 7. (b)所居住国家:8. (a) . Address (StreetNumber/Hotel/Mailing Address to .): 8.(a)在美国地址（街道地址/旅馆/在美国的通讯地址）:8. (b) . Address (City): 8.(b)在美国地址（城市）:8. (c) . Address (State): 8.(c)在美国地址（州）:9. Countries visited on this tripprior to . arrival9. 在到达美国之前此行所访问过的国家10. The purpose of my trip is or was BUSINESS Personal 10. 此次旅程的目的是商务个人11. I am (we are) bringing YES NO11. 你携带水果, 植物, 肉类,是否fruits, plants,meats, food, soil, birds, snails, otherlive animals, farm products; or, have been on a farm or ranch outside the . : 食品, 土壤, 鸟类, 蜗牛, 其他动物和农产品, 或你一直居住在美国以外的农村或牧场吗12. I am (we are) carrying currency ormonetary instruments over $10000. or the foreign equiralent. YES NO12. 我（我们）携带了超过一万美金或等值的外国货币或有价证券是否13. I have (we have) commercial merchandise, . or foreign:(Check one box only) YES NO13. 我（我们）携带了美国或外国商品：（只能在一个方框内打勾）是否14. The total value of all goods 14. 我（我们）在国外购买或获得并带入I/we purchased oracquired abroad and am/are bringing to the .is (see instructions under Merchandise onreverse side; visitors should report value of giftsonly): $___________________ . Dollars 美国所有物品总价值(参看背面商品栏目; 访问者只须申报礼品价值):$ _____________________________ 美元SIGN ON RESERSE SIDE AFTER YOU READ WARNING.(Do not write below this line.) 在你阅读警告之后请在背面签字(不要在此线下面签字)INSPECTOR’S NAME STAMP AREA检察员姓名盖章区域BADGE NO徽章号码。
WELCOME TO THE UNITEDSTATES欢迎来到美国UNITED STATES CUSTOMSSERVICE美国海关署CUSTOM DECLARATION海关申报with youU.S.):10. The purpose of my trip is or was BUSINESS Personal 10. 此次旅程的目的是商务个人11. I am (we are) bringing fruits, plants,meats, food, soil, birds, snails, otherlive animals, farm products; or, have been on a farm or ranch outside YESNO11. 你携带水果, 植物, 肉类, 食品,土壤, 鸟类, 蜗牛, 其他动物和农产品, 或你一直居住在美国以外的农村或牧场吗是否——仅供参考the U.S. :12. I am (we are) carrying currency ormonetary instruments over $10000U.S. or the foreign equiralent. YESNO12. 我（我们）携带了超过一万美金或等值的外国货币或有价证券是否13. I have (we have) commercial merchandise, U.S. or foreign:(Check one box only) YESNO13. 我（我们）携带了美国或外国商品：（只能在一个方框内打勾）是否——仅供参考。
美国入境海关申报表模板美国入境：海关申报表Custom
Declaration
入境美国的外籍旅客都必须在下机前填写两份表格，一份是I-94表格(I-94 Form)，一份是美国海关申报表(Custom Declaration)。
美国海关申报表，因为按照美国法律，如果您携带超过一万美金现金入境，一定要向美国海关申报，否则海关可以没收您的财产。
携带少于美金一百元的礼品入境不需关税。
不可携带任何食物进入美国，尤其是易腐烂食物，包括水果、蔬菜、肉类或农作物。
衣物、专业设备及其它家庭物品，如果已经使用一段时间并不再出售的话，不需付关税，可带入美国。
以某些特定动物为原料的产品禁止带入美国。
详情请洽动物及农产品健康检查服务中心（Animal and Plant Health Inspection services）。
带入美国的金钱数额不限多少，但如果超过美金一万元，则必须填写海关申报表。
任何含有麻醉成份的药品、或注射药物均须附上医生开示的处方证明。
走私麻醉药物入境美国，将受巨额罚款。
美国海关申报表Custom Declaration 中英文对照(仅供参考)。
美国海关出入境登记表（I-94）（中英文对照）美国海关申报表（中英文对照）进入美国海关,须填写两份表格,一份是美国海关申报单,一份是美国出入境证明单（I－94）。
美国的海关官员会检查这两份表格并最后决定您是否可以进入美国以及能在美国停留的时间。
请千万保管好,并随时携带I－94表,尤其在临时离开美国境的时候,否则无法再度返回。
美国海关表格样本:U.S. Department of Justice OMR1115-4077 Immigration andNaturalization service美国司法部OMR 1115-407 移民局Welcome to the United State欢迎来到美国Admission Number 233414639 09登记号码 (*举例说明) 233414639 09 I-94 Arrival/DepartureRecord-InstructionsI-94 入境/离境记录说明This form must be completed by all persons except U.S. citizens, returning resident aliens with immigrant visas, and Canadian Citizens visiting or in transit. 除了美国公民, 美国海外侨民, 永久居民和加拿大公民外, 所有访问或过路的人士都必须填写此表Type or print legibly with pen in ALL CAPITAL LETTERS. Use English. Do not write on the back of this form. 请用大写字母打字或用钢笔或用圆珠笔清楚填写. 请用英文填写. 不要在此表背面填写任何东西.This form is in two parts. Please complete both the Arrival Record (Item 1 through 13) and the Departure Record (Item 14 through 17). 此表包括两部分, 请填写入境记录 (第1项至第13项)和离境记录(第 14项至第17项)两部分.When all items are completed, present this form to the U.S. Immigration and 填写完毕后, 请将此表交给美国移民局官员.Naturalization Service Inspector.Item 7– If you are entering the United States by land, enter LAND in this space. If you are entering the United States by ship, enter SEA in this space. 第7项内容说明–如果你从陆地进入美国, 请在空格内填写LAND, 如果你乘船进入美国, 请在空格内填写SEA.Form I-94(10-01-85)N I-94表 (10-01-85)NAdmission Number 233414639 09登记号码233414639 09 Immigration and NaturalizationService移民局I-94 Arrival Record I-94 入境记录1. Family Name 1. 姓2. First (Given) Name 2. 名3. Birth Date(Day/Mo/Yr) 3. 生日(月/日/年)4. Country of Citizenship 4. 哪个国家公民5. Sex (Male or Female) 5. 性别(男填MALE或女填FEMALE)6. Passport Number 6. 护照号码7. Airline & Flight Number 7. 航空公司和航班号8. Country Where You Live 8. 你在哪个国家生活9. City Where You Boarded 9. 你在那个城市登机10. City Where Visa Was Issued 10. 在哪个城市得到签证11. Date Issued (Day/Mo/Yr) 11. 得到签证的日期(日/月/年)12. Address While in the United State(Number and Street)12. 在美国的住址(门牌号及街名)13. City and State 13. 在美国的住址(市名及州名) Departure Number 233414639 09离境号码233414639 09Immigration and NaturalizationService移民局I-94 Departure Record I-94 离境记录14. Family Name 14. 姓15. First (Given) Name 16. Birth 15. 名 16. 生日(日/月/年)Date(Day/Mo/Yr)17. County of Citizenship 17. 哪个国家公民WELCOME TO THE UNITED STATES 欢迎来到美国DEPARTMENT OF THE TREASURY UNITED STATES CUSTOMS SERVICE财政部 美国海关署 CUSTOM DECLARATION 海关申报Each arriving traveler or head of family must provide the following information (only ONE writtendeclaration per family is required):每个入关的旅游者或一家之主必须提供如下资料 (一个家庭只须申报一份):1. Family Name: 1. 姓:2. First Name 2. 名3. Middle Initial 3. 中间名4. Date of Birth: (Day/Month/Year) 4. 出生日期: 日/月/年5. Airline/Flight No. : 5. 航空公司/航班号:6. Number of family members traveling with you6. 与你同 行的家庭成员人数:7. (a)Country of Citizenship: 7.(a)国籍:7. (b)Country of Residence: 7. (b)所居住国家:8. (a) U.S. Address (Street Number/Hotel/Mailing Address to U.S.): 8.(a)在美国地址（街道地址/旅馆/在美国的通讯地址）:8. (b) U.S. Address (City): 8.(b)在美国地址（城市）:8. (c) U.S. Address (State): 8.(c)在美国地址（州）:9. Countries visited on this trip prior to U.S. arrival9. 在到达美国之前此行所访问过的国家 10. The purpose of my trip is or was BUSINESS Personal10. 此次旅程的目的是 商务 个人11. I am (we are) bringing fruits, plants, meats, food, soil, birds, snails, other live animals, farm products; or, have been on aYES NO 11. 你携带水果, 植物, 肉类, 食品, 土壤, 鸟类, 蜗牛, 其他动物和农产品, 或你 一直居住在美国以外的农村或牧场吗是 否farm or ranch outside theU.S. :12. I am (we are) carrying currency or monetary instruments over $10000 U.S. or the foreign equiralent.YES NO 12. 我（我们）携带了超过一万美金或等值的外国货币或有价证券是 否13. I have (we have) commercial merchandise, U.S. or foreign:(Check one box only)YES NO 13. 我（我们）携带了美国或外国商品：（只能在一个方框内打勾）是 否14. The total value of all goods I/we purchased or acquired abroad and am/are bringing to the U.S. is (see instructions under Merchandise on reverse side; visitors should report value of gifts only):$___________________ U.S. Dollars14. 我（我们）在国外购买或获得并带入美国所有物品总价值(参看 背面商品栏目; 访问者只须申报礼品价值): $ _____________________________ 美元SIGN ON RESERSE SIDE AFTER YOU READ WARNING.(Do not write below this line.) 在你阅读警告之后请在背面签字 (不要在此线下面签字)INSPECTOR’S NAME STAMP AREA检察员姓名 盖章区域BADGE NO徽章号码。
进入美国海关，须填写两份表格，一份是美国海关申报单，一份是美国出入境证明单（I－94）。
美国的海关官员会检查这两份表格并最后决定您是否可以进入美国以及能在美国停留的时间。
请千万保管好，并随时携带I－94表，尤其在临时离开美国境的时候，否则无法再度返回。
海关表格样本:美国海关出入境登记表( I-94 FORM )U.S. Department of JusticeOMR 1115-4077Immigration and Naturalization serviceOMR 1115-407Welcome to the United StateAdmission NumberI-94 Arrival/Departure Record-InstructionsThis form must be completed by all persons except U.S. citizens, returning resident aliens with immigrant visas, and Canadian Citizens visiting or in transit.除了美国公民, 美国海外侨民, 永久居民和加拿大公民外, 所有访问或过路的人士都必须填写此表Type or print legibly with pen in ALL CAPITAL LETTERS. Use English. Do not write on the back of this form.请用大写字母打字或用钢笔或用圆珠笔清楚填写. 请用英文填写. 不要在此表背面填写任何东西.This form is in two parts. Please complete both the Arrival Record (Item 1 through 13) and the Departure Record (Item 14 through 17).此表包括两部分, 请填写入境记录(第1项至第13项)和离境记录(第14项至第17项)两部分.When all items are completed, present this form to the U.S. Immigration and Naturalization Service Inspector.填写完毕后, 请将此表交给美国移民局官员.Item 7 C If you are entering the United States by land, enter LAND in this space. If you are entering the United States by ship, enter SEA in this space.第7项内容说明 C 如果你从陆地进入美国, 请在空格内填写LAND, 如果你乘船进入美国, 请在空格内填写SEA.Form I-94(10-01-85)NI-94表(10-01-85)NAdmission Number697385031 01登记号码697385031 01Immigration and Naturalization Service移民局I-94Arrival Record I-941. Family Name2. First (Given) Name3. Birth Date(Day/Mo/Yr)4. Country of Citizenship5. Sex (Male or Female)6. Passport Number7. Airline & Flight Number8. Country Where You Live9. City Where You Boarded10. City Where Visa Was Issued11. Date Issued (Day/Mo/Yr)12. Address While in the United State (Number and Street)13. City and StateDeparture Number697385031 01离境号码697385031 01Immigration and Naturalization Service移民局I-94Departure Record I-94离境记录14. Family Name14. 姓15. First (Given) Name 16. Birth Date(Day/Mo/Yr) 15. 名16. 生日(日/月/年)17. County of Citizenship17. 哪个国家公民美国海关申报表WELCOME TO THE UNITED STATES欢迎来到美国DEPARTMENT OF THE TREASURYUNITED STATES CUSTOMS SERVICE财政部美国海关署CUSTOM DECLARATION海关申报Each arriving traveler or head of family must provide the following information (only ONE written declaration per family is required):每个入关的旅游者或一家之主必须提供如下资料(一个家庭只须申报一份):1. Name: 1. 姓名:LastFirst Middle Initial姓名中间名2. Number of family members traveling with you 2. 与你同行的家庭成员人数:3. Date of Birth: Month Day Year4. Airline/Flight:5. U.S. Address:6. I am a U.S. CitizenYES／NOIf No, Country:7. I reside permanently in the U.S. YES／NOIf No, Expected Length of Stay:8. The purpose of my trip is or wasBUSINESS／PLEASURE9. I am/we are bringing fruits, plants,meats, food, soil, birds, snails, otherlive animals, farm products, or I/we have been on a farm or ranch outside the U.S. YES／NO10. I am/we are carrying currency ormonetary instruments over $10000U.S. or the foreign equiralent. YES／NO11. The total value of all goods I/we purchased oracquired abroad and am/are bringing to the U.S.is (see instructions under Merchandise onreverse side; visitors should report value of giftsonly):$___________________ U.S. DollarsSIGN ON RESERSE SIDE AFTER YOU READ WARNING.(Do not write below this line.)。
美国海关出⼊境登记表 ( I-94 FORM )U.S. Department of JusticeOMR 1115-4077Immigration and Naturalization service 美国司法部OMR 1115-407移民局Welcome to the United State 欢迎来到美国Admission Number697385031 01 登记号码 (*举例说明)697385031 01I-94 Arrival/Departure Record-Instructions I-94 ⼊境/离境记录说明This form must be completed by all persons except U.S. citizens, returning resident aliens with immigrant visas, and Canadian Citizens visiting or in transit.除了美国公民, 美国海外侨民, 永久居民和加拿⼤公民外, 所有访问或过路的⼈⼠都必须填写此表Type or print legibly with pen in ALL CAPITAL LETTERS. Use English. Do not write on the back of this form.请⽤⼤写字母打字或⽤钢笔或⽤圆珠笔清楚填写. 请⽤英⽂填写. 不要在此表背⾯填写任何东西.This form is in two parts. Please complete both the Arrival Record (Item 1 through 13) and the Departure Record (Item 14 through 17).此表包括两部分, 请填写⼊境记录 (第1项⾄第13项)和离境记录(第 14项⾄第17项)两部分.When all items are completed, present this form to the U.S. Immigration and Naturalization Service Inspector.填写完毕后, 请将此表交给美国移民局官员.Item 7 – If you are entering the United States by land, enter LAND in this space. If you are entering the United States by ship, enter SEA in this space.第7项内容说明 – 如果你从陆地进⼊美国, 请在空格内填写LAND, 如果你乘船进⼊美国, 请在空格内填写SEA.Form I-94(10-01-85)NI-94表 (10-01-85)NAdmission Number697385031 01登记号码697385031 01Immigration and Naturalization Service移民局I-94Arrival Record I-94⼊境记录1. Family Name 1. 姓2. First (Given) Name 2. 名3. Birth Date(Day/Mo/Yr) 3. ⽣⽇(⽉/⽇/年)4. Country of Citizenship 4. 哪个国家公民5. Sex (Male or Female) 5. 性别(男填MALE或⼥填FEMALE)6. Passport Number 6. 护照号码7. Airline & Flight Number 7. 航空公司和航班号8. Country Where You Live 8. 你在哪个国家⽣活9. City Where You Boarded 9. 你在那个城市降落10. City Where Visa Was Issued 10. 在哪个城市得到签证11. Date Issued (Day/Mo/Yr) 11. 得到签证的⽇期(⽇/⽉/年)12. Address While in the United State (Number and Street) 12. 在美国的住址(门牌号及街名)13. City and State 13. 在美国的住址(市名及州名)Departure Number697385031 01 离境号码697385031 01Immigration and Naturalization Service 移民局I-94Departure Record I-94离境记录14. Family Name 14. 姓15. First (Given) Name 16. Birth Date(Day/Mo/Yr) 15. 名 16. ⽣⽇(⽇/⽉/年)17. County of Citizenship 17. 哪个国家公民美国⼊境海关表格中英⽂对照(2)美国海关申报表WELCOME TO THE UNITED STATES 欢迎来到美国DEPARTMENT OF THE TREASURYUNITED STATES CUSTOMS SERVICE 财政部美国海关署CUSTOM DECLARATION 海关申报Each arriving traveler or head of family must provide the following information (only ONE written declaration per family is required): 每个⼊关的旅游者或⼀家之主必须提供如下资料 (⼀个家庭只须申报⼀份):1. Name: 1. 姓名:LastFirst Middle Initial 姓名中间名2. Number of family members traveling with you 2. 与你同⾏的家庭成员⼈数:3. Date of Birth:4. Airline/Flight: 3. 出⽣⽇期: 4. 航空公司/航班号:MonthDayYear ⽉⽇年5. U.S. Address: 5. 在美居住地址:6. I am a U.S. CitizenYESNO 6. 你是⼀个美国公民吗是否If No, Country: 如果不是, 你是那个国家的公民:7. I reside permanently in the U.S. YESNO 7. 你是在美国永久居留吗是否If No, Expected Length of Stay: 如果不是, 预期停留多久:8. The purpose of my trip is or wasBUSINESSPLEASURE 8. 此次旅程的⽬的是商务旅游9. I am/we are bringing fruits, plants,meats, food, soil, birds, snails, otherlive animals, farm products, or I/we have been on a farm or ranch outsidethe U.S. YES NO9. 你携带⽔果, 植物, ⾁类, ⾷品, ⼟壤, 鸟类, 蜗⽜, 其他动物和农产品, 或你⼀直居住在美国以外的农村或牧场吗是否10. I am/we are carrying currency ormonetary instruments over $10000U.S. or the foreign equiralent. YES NO10. 你携带现⾦或珍贵物品, 其价值超过⼀万美⾦或相当于⼀万美⾦的外币吗是否11. The total value of all goods I/we purchased oracquired abroad and am/are bringing to the U.S.is (see instructions under Merchandise onreverse side; visitors should report value of giftsonly):$___________________ U.S. Dollars 11. 你境外购买或获得并带⼊美国所有物品总价值(参看背⾯商品栏⽬; 访问者只须申报礼品价值):$ _____________________________ 美元SIGN ON RESERSE SIDE AFTER YOU READ WARNING.(Do not write below this line.) 在你阅读警告之后请在背⾯签字(不要在此线下⾯签字)INSPECTOR’S NAME STAMP AREA 检察员姓名盖章区域BADGE NO 徽章号码。
WELCOME TO THE UNITED STATES欢迎来到美国DEPARTMENT OF THE trEASURY UNITED STATES CUSTOMS SERVICE 财政部美国海关署CUSTOM DECLARATION海关申报Each arriving traveler or head of family must provide the following information (only ONE written declaration per family is required): 每个入关的旅游者或一家之主必须提供如下资料 (一个家庭只须申报一份):1. Family Name: 1. 姓:2. First Name 2. 名3. Middle Initial 3. 中间名4. Date of Birth:(Day/Month/Year)4. 出生日期: 日/月/年5. Airline/Flight No. : 5. 航空公司/航班号:6. Number of family memberstraveling with you6. 与你同行的家庭成员人数:7. (a)Country ofCitizenship:7.(a)国籍:7. (b)Country of Residence: 7. (b)所居住国家:8. (a) U.S. Address (Street Number/Hotel/Mailing Address to U.S.): 8.(a)在美国地址（街道地址/旅馆/在美国的通讯地址）:8. (b) U.S. Address (City): 8.(b)在美国地址（城市）: 8. (c) U.S. Address (State): 8.(c)在美国地址（州）:9. Countries visited on this trip prior to U.S. arrival 9. 在到达美国之前此行所访问过的国家10. The purpose of my trip is or wasBUSINESS Personal 10. 此次旅程的目的是商务个人11. I am (we are) bringing fruits, YESNO11. 你携带水果, 植物, 肉类,食品, 土壤, 鸟类, 蜗牛, 其是否plants,meats, food, soil, birds, snails, other live animals, farm products; or, have been on a farm or ranch outsidethe U.S. : 他动物和农产品, 或你一直居住在美国以外的农村或牧场吗12. I am (we are) carrying currency or monetary instruments over $10000U.S. or the foreign equiralent. YESNO12. 我（我们）携带了超过一万美金或等值的外国货币或有价证券是否13. I have (we have) commercial merchandise, U.S.or foreign:(Check one box only) YESNO13. 我（我们）携带了美国或外国商品：（只能在一个方框内打勾）是否14. The total value of all goods I/we purchased or acquired abroad and am/are bringing to the U.S. is (see instructions under Merchandise on reverse side; visitors should report value of gifts only):$___________________ U.S. Dollars 14. 我（我们）在国外购买或获得并带入美国所有物品总价值(参看背面商品栏目; 访问者只须申报礼品价值):$ _____________________________ 美元SIGN ON RESERSE SIDE AFTER YOU READ WARNING.(Do not write below this line.) 在你阅读警告之后请在背面签字(不要在此线下面签字)INSPECTOR’S NAME STAMP AREA 检察员姓名盖章区域BADGE NO 徽章号码欢迎您的下载，资料仅供参考！致力为企业和个人提供合同协议，策划案计划书，学习资料等等打造全网一站式需求。
美国海关申报表第一篇：美国海关申报表美国海关申报表（中英文对照）无论您是美国公民或是持有观光签证的游客，每一位到达美国的人士都必须填写一份海关申报表〈CBP Declaration Form 6059B〉，一个家庭只需填写一份申报表。
填写海关申请表时请据实以报，因为美国海关人员有时候会抽查入境旅客的行李，如果您所带的东西被查到没有据实以报，依法海关可以没收您的财物，并且留下不良的纪录。
以後再次进入美国时，可能每次都会被检查行李。
一百元的礼品入境不需关税，带入美国的金钱数额不限多少，但如果超过美金一万元，则在海关申报表上必须注明。
不可携带任何食品进入美国，尤其是易腐烂食物，如水果、蔬菜、肉类或农作物等，也不可以携带任何盗版或色情物品进入美国。
任何含有麻醉成份的药品、或注射药物均须附上医生开示的处方证明。
走私麻醉药物入境美国，将受巨额罚款。
如何填写海关申报表〈中英文对照〉∶Each arriving traveler or head of family must provide the following information(only ONE written declaration per family is required): 每一位入境美国的游客或一家之主必须提供以下资料(一个家庭只须申报一份): : Last______ First ______ Middle Initial______〈姓名: 姓 _____ 名_____ 中间名_____〉2.Birth date∶ Day ________ Month ________ Year ________ 〈出生日期∶ 日 ________ 月 ________ 年 ________〉:3.Number of family members traveling with you〈与你同行的家庭成员人数〉:4.a.U.S.street address(hotel name/destination)∶〈在美居住地址(旅馆名称/目的地〉: b.City 〈城市〉c.State 〈州〉5.Passport issue by(country)∶〈发照国家〉6.Passport number∶〈护照号码〉7.Country of Residence∶〈居住国家〉8.Countries visited on this trip prior to U.S.arrival∶〈此次旅游时来美国之前去过的国家〉9.Airline/Flight No.or Vessel Name: 〈航空公司/班机号码或船名〉: 10.The purpose of my trip is or was BUSINESS ○ YES ○NO 〈此次旅程的目的主要是商务○ 是○否〉11.I am(We are)bringing∶ 〈我(我们)携带〉∶a.fruits, plants, food, or insects? 〈水果，植物，食物或昆虫？〉b.meats, animals, or animal/wildlife products? 〈肉类、动物或动物/野生动物制品？〉c.disease agents, cell cultures, or snails? 〈带病原体、细胞培养或蜗牛？〉d.soil or have you visited a farm/ranch/pasture outside the United States? 〈土壤或你曾经去过美国境外的农场或牧场吗？〉12.I have(We have)been in close proximity of(such as touching or handling)livestock outside the United States?∶〈我有(我们有)靠近(如触碰或接触)牲畜○ 是○否？〉13.I am(we are)carrying currency or monetary instruments over ,000 U.S.or the foreign equivalent.○ YES ○NO 〈你携带现金或财物品，其价值超过一万美金或相当於一万美金的外币吗？○是○否〉14.I have(We have)commercial merchandise:(article for sale, samples used for soliciting orders, or goods that are not considered personal effects)○ YES ○NO〈我(我们)有携带商品∶(贩卖物品、商业样品或任何不属於个人所有的物品)○是○否〉15.Residentsthe total value of all article that will remain in the U.S., including commercial merchandise is: 〈观光客-将留在美国境内的物品价值为(包含商品)∶Read the instruction on the back of this form.Space is provided to list all the items you must declare.〈请阅本表读背面的说明，请将须申报的物品在空格内列出〉I HAVE READ THE IMPORTANT INFORMATION ON THE REVERSE SIDE OF THIS FORM AND HAVE MADE A TRUTHFUL DECLARATION.〈我已阅读过背面的说明，且已就实申报〉Signature;Date(day/month/year)〈签名及日期(日/月/年)〉第二篇：如何填写海关申报表如何填写海关申报表〈中英文对照〉：Each arriving traveler or head of family must provide the following information(only ONE written declaration per family is required):每一位入境美国的游客或一家之主必须提供以下数据(一个家庭只须申报一份): 1.Family Name姓:______ First(Given)名 ______ Middle 中间名______ 2.Birth date出生日期：Day日________ Month月________ Year年________ 3.Number of family members traveling with you〈与你同行的家庭成员人数〉: 4.a.U.S.street address(hotel name/destination)：〈在美居住地址(旅馆名称/目的地〉: b.City 〈城市〉c.State 〈州〉5.Passport issue by(country)：〈发护照国家〉6.Passport number：〈护照号码〉7.Country of Residence：〈居住国家〉8.Countries visited on this trip prior to U.S.arrival：〈此次旅游时来美国之前去过的国家〉9.Airline/Flight No.or Vessel Name: 〈航空公司/班机号码或船名〉:10.The primary purpose of this trip is BUSINESS ○ YES ○NO 〈此次旅程的目的主要是商务○ 是○否〉11.I am(We are)bringing：〈我(我们)携带〉：a.fruits, vegetables, plants, seeds, food, insects: Yes No〈水果，植物，食物或昆虫？是否〉b.meats, animals, animal/wildlife products： Yes No 〈肉类、动物或动物/野生动物制品？是否〉c.disease agents, cell cultures, snails：Yes No 〈带病原体、细胞培养或蜗牛？是否〉d.soil or have been on afarm/ranch/pasture：Yes No 〈土壤或你曾经去过美国境外的农场或牧场吗？是否〉12.I have(We have)been in close proximity of(such as touching or handling)livestock outside：Yes No〈我有(我们有)靠近(如触碰或接触)牲畜○ 是○否？〉13.I am(We are)carrying currency or monetary instruments over $10,000 U.S.or the foreign equivalent.○ YES ○NO 〈你携带现金或财物品，其价值超过一万美金或相当于一万美金的外币吗？○是○否〉14.I have(We have)commercial merchandise:(article for sale, samples used for soliciting orders, or goods that are not considered personal eff ects)○ YES ○NO〈我(我们)有携带商品：(贩卖物品、商业样品或任何不属于个人所有的物品)○是○否〉15.Residentsthe total value of all article that will remain in the U.S., including commercial merchandise is: 〈观光客-将留在美国境内的物品价值为(包含商品)：Read the instruction on the back of this form.Space is provided to list all the items you must declare.〈请阅本表读背面的说明，请将须申报的物品在空格内列出〉I HAVE READ THE IMPORTANT INFORMATION ON THE REVERSE SIDE OF THIS FORM AND HAVE MADE A TRUTHFUL DECLARATION.〈我已阅读过背面的说明，且已就实申报〉Signature;Date(day/month/year)〈签名及日期(日/月/年)第三篇：美国海关的检查美国海关对带行李物品的规定细节（转）来源：刘瞭望的日志美国的海关：不查光盘.带盗版光盘要这样带, 把皮都扔了, 装在CD 包里,这样谁也不知道是什么.如果你有包装, 又是美国出的软件, 比方说windows, 在美国被开包检查了, 你就完了.或者是盗版的美国电影也是一个道理。
海关申报表（中英文对照）美国海关申报表（中英文对照）美国海关表格样本:美国海关申报表(中英文对照) WELCOME TO THE UNITED STATES欢迎来到美国DEPARTMENT OF THE TREASURY UNITED STATES CUSTOMS SERVICE 财政部美国海关署CUSTOM DECLARATION海关申报Each arriving traveler or head of family must provide the following information (only ONE written declaration per family is required):每个入关的旅游者或一家之主必须提供如下资料(一个家庭只须申报一份):1. Family Name: 1. 姓:2. First Name 2. 名3. Middle Initial 3. 中间名4. Date of Birth: (Day/Month/Year) 4. 出生日期: 日/月/年5. Airline/Flight No. : 5. 航空公司/航班号:6. Number of family members travelingwith you6. 与你同行的家庭成员人数:7. (a)Country of Citizenship: 7.(a)国籍: China7. (b)Country of Residence: 7. (b)所居住国家: China8. (a) U.S. Address (StreetNumber/Hotel/Mailing Address to U.S.): 8.(a)在美国地址（街道地址/旅馆/在美国的通讯地址）:8. (b) U.S. Address (City): 8.(b)在美国地址（城市）:8. (c) U.S. Address (State): 8.(c)在美国地址（州）:9. Countries visited on this trip prior toU.S. arrival9. 在到达美国之前此行所访问过的国家10. The purpose of my trip is or was BUSINESS Personal 10. 此次旅程的目的是Personal 商务个人以下都选择否11. I am (we are) bringing fruits, plants, meats, food, soil, birds, snails, other live animals, farm products; or,have been on a farm or ranchoutsidethe U.S. :YES NO11. 你携带水果, 植物, 肉类, 食品, 土壤, 鸟类, 蜗牛, 其他动物和农产品, 或你一直居住在美国以外的农村或牧场吗是否12. I am (we are) carrying currency or monetary instruments over $10000U.S. or the foreign equiralent.YES NO 12. 我（我们）携带了超过一万美金或等值的外国货币或有价证券是否13. I have (we have) commercial merchandise, U.S. or foreign:(Check one box only)YES NO 13. 我（我们）携带了美国或外国商品：（只能在一个方框内打勾）是否14. The total value of all goods I/we purchased or acquired abroad and am/are bringing to the U.S. is (see instructions under Merchandise on reverse side; visitors should report value of giftsonly): $___________________ U.S.Dollars14. 我（我们）在国外购买或获得并带入美国所有物品总价值(参看背面商品栏目; 访问者只须申报礼品价值):$ ________________10_____________ 美元SIGN ON RESERSE SIDE AFTER YOU READ WARNING.(Do not write below this line.)在你阅读警告之后请在背面签字(不要在此线下面签字) 在横线上面签字INSPECTOR’S NAME STAMP AREA 检察员姓名盖章区域BADGE NO 徽章号码。
美国入境海关表格中英文对照美国海关出入境登记表 ( I-94 FORM )U.S. Department of JusticeOMR 1115-4077Immigration and Naturalization service 美国司法部OMR 1115-407移民局Welcome to the United State 欢迎来到美国Admission Number697385031 01 登记号码 (*举例说明)697385031 01I-94 Arrival/Departure Record-Instructions I-94 入境/离境记录说明This form must be completed by all persons except U.S. citizens, returning resident aliens with immigrant visas, and Canadian Citizens visiting or in transit.除了美国公民, 美国海外侨民, 永久居民和加拿大公民外, 所有访问或过路的人士都必须填写此表Type or print legibly with pen in ALL CAPITAL LETTERS. Use English. Do not write on the back of this form.请用大写字母打字或用钢笔或用圆珠笔清楚填写. 请用英文填写. 不要在此表背面填写任何东西.This form is in two parts. Please complete both the Arrival Record (Item 1 through 13) and the Departure Record (Item 14 through 17).此表包括两部分, 请填写入境记录 (第1项至第13项)和离境记录(第 14项至第17项)两部分.When all items are completed, present this form to the U.S. Immigration and Naturalization Service Inspector.填写完毕后, 请将此表交给美国移民局官员.Item 7 - If you are entering the United States by land, enter LAND in this space. If you are entering the United States by ship, enter SEA in this space.第7项内容说明 - 如果你从陆地进入美国, 请在空格内填写LAND, 如果你乘船进入美国, 请在空格内填写SEA.Form I-94(10-01-85)NI-94表 (10-01-85)NAdmission Number697385031 01登记号码697385031 01Immigration and Naturalization Service移民局I-94Arrival Record I-94入境记录1. Family Name 1. 姓2. First (Given) Name 2. 名3. Birth Date(Day/Mo/Yr) 3. 生日(月/日/年)4. Country of Citizenship 4. 哪个国家公民5. Sex (Male or Female) 5. 性别(男填MALE或女填FEMALE)6. Passport Number 6. 护照号码7. Airline & Flight Number 7. 航空公司和航班号8. Country Where You Live 8. 你在哪个国家生活9. City Where You Boarded 9. 你在那个城市降落10. City Where Visa Was Issued 10. 在哪个城市得到签证11. Date Issued (Day/Mo/Yr) 11. 得到签证的日期(日/月/年)12. Address While in the United State (Number and Street) 12. 在美国的住址(门牌号及街名)13. City and State 13. 在美国的住址(市名及州名)Departure Number697385031 01 离境号码697385031 01Immigration and Naturalization Service 移民局I-94Departure Record I-94离境记录14. Family Name 14. 姓15. First (Given) Name 16. Birth Date(Day/Mo/Yr) 15. 名 16. 生日(日/月/年) 17. County of Citizenship 17. 哪个国家公民美国入境海关表格中英文对照(2)美国海关申报表WELCOME TO THE UNITED STATES 欢迎来到美国DEPARTMENT OF THE TREASURYUNITED STATES CUSTOMS SERVICE 财政部美国海关署CUSTOM DECLARATION 海关申报Each arriving traveler or head of family must provide the following information (only ONE written declaration per family is required): 每个入关的旅游者或一家之主必须提供如下资料 (一个家庭只须申报一份):1. Name: 1. 姓名:LastFirst Middle Initial 姓名中间名2. Number of family members traveling with you 2. 与你同行的家庭成员人数:3. Date of Birth:4. Airline/Flight: 3. 出生日期: 4. 航空公司/航班号: MonthDayYear 月日年5. U.S. Address: 5. 在美居住地址:6. I am a U.S. CitizenYESNO 6. 你是一个美国公民吗是否If No, Country: 如果不是, 你是那个国家的公民:7. I reside permanently in the U.S. YESNO 7. 你是在美国永久居留吗是否If No, Expected Length of Stay: 如果不是, 预期停留多久:8. The purpose of my trip is or wasBUSINESSPLEASURE 8. 此次旅程的目的是商务旅游9. I am/we are bringing fruits, plants,meats, food, soil, birds, snails, otherlive animals, farm products, or I/we have been on a farm or ranch outsidethe U.S. YES NO9. 你携带水果, 植物, 肉类, 食品, 土壤, 鸟类, 蜗牛, 其他动物和农产品, 或你一直居住在美国以外的农村或牧场吗是否10. I am/we are carrying currency ormonetary instruments over $10000U.S. or the foreign equiralent. YES NO10. 你携带现金或珍贵物品, 其价值超过一万美金或相当于一万美金的外币吗是否11. The total value of all goods I/we purchased oracquired abroad and am/are bringing to the U.S.is (see instructions under Merchandise onreverse side; visitors should report value of giftsonly):$___________________ U.S. Dollars 11. 你境外购买或获得并带入美国所有物品总价值(参看背面商品栏目; 访问者只须申报礼品价值):$ _____________________________ 美元SIGN ON RESERSE SIDE AFTER YOU READ WARNING.(Do not write below this line.) 在你阅读警告之后请在背面签字(不要在此线下面签字)INSPECTOR'S NAME STAMP AREA 检察员姓名盖章区域BADGE NO 徽章号码。
us customs and border protection declaration form 美国海关与边境保护局申报表（也称为CBP6059B表格）是来美国的旅客必须填写的一份关键性文件。
申报表格是一份简单的表格，用于记录旅客带入美国的物品，以便美国海关官员检查是否有违禁物品或需要缴纳关税的物品。
在填写申报表之前，您需要确定您是否需要填写这份表格。
谁需要填写申报表？所有来自外国的旅客都需要填写申报表。
无论您是乘坐飞机、火车、轮船或汽车进入美国，都需要填写这个表格。
即使您没有携带任何物品，也需要填写表格并将其交给海关官员。
如何填写申报表？填写申报表非常简单，您只需要回答以下问题：1. 姓名：填写您的全名2. 出生日期：填写您的生日，包括月、日和年3. 飞行航班/船名/车次：填写您所乘坐的飞机、船或火车的名称和航班号码、船名或车次4. 出发国家/地区：填写您的出发地，即您的国家或地区5. 目的地：填写您的目的地，即您在美国的停留地点6. 住址或地址：填写您在美国的住址或地址7. 是否携带超过$10,000美元的货币或货币等价物：如果您携带超过$10,000美元的货币或货币等价物，您需要在这里标记。
8. 是否携带任何食品、植物、动物、药品或其他物品：如果您携带任何这些物品，您需要在这里标记，并进一步说明是什么物品。
完成表格后，您需要将它交给美国海关官员进行检查。
如果您携带任何超过免税额的物品，您可能需要缴纳关税。
申报表的重要性填写申报表是非常重要的，因为这是美国海关官员检查违禁品或需要缴纳关税的物品的主要工具。
如果您不诚实地填写表格或隐瞒您携带的物品，您可能会面临严重的后果，包括罚款或监禁。
此外，通过填写申报表，您还可以避免不必要的麻烦。
如果您在入境时被海关官员拦下，并且没有填写申报表，您将需要更多的时间和精力来解释您携带的物品。
结论填写CBP 6059B表格是来美国旅行的重要步骤之一。
通过填写和提交申报表，您可以避免不必要的麻烦，并确保您的入境过程顺利无阻。
赴美国留学，乘机的时候要填写I-94入境卡，在我赴美国留学时填写的入境卡在格式和内容上与以前的不太一样，所以将最新的美国海关出入境登记表格分享给大家。
美国海关出入境登记表 (I-94) ( 中英文对照 ) Welcom e to the United State 欢迎来到美国I-94 Arrival/Departure Record-Instructions I-94入境/离境记录说明This form must be completed by all persons except U.S. citizens, returning resident aliens with immigrant visas, and Canadian Citizens visiting or in transit.除了美国公民、美国海外侨民、永久居民和加拿大公民外，所有访问或过路的人士都必须填写此表Type or print legibly with pen in ALL CAPITAL LETTERS. Use English. Do not write on the back of this form.请用大写字母打字或用钢笔或用圆珠笔清楚填写，请用英文填写，不要在此表背面填写任何东西This form is in two parts. Please complete both the Arrival Record (Item 1 through 17) and the Departure Record (Item 18 through21).此表包括两部分：请填写入境记录 (第1项至第17项)和离境记录(第18项至第21项)两部分When all items are com pleted, present this form to the U.S. Immigration and Naturalization Service Inspector.填写完毕后，请将此表交给美国移民局官员Item 9 – If you are entering the United States by land, enter LAND in this space. If you are entering the United States by ship, enter SEA in t his space.第9项内容说明—如果你从陆地进入美国，请在空格内填写LAND，如果你乘船进入美国，请在空格内填写SEAAdmission NumberXXXXXXXXX XX登记号码 (说明：这个号码发下来的空表格上就有)1. Fam ily Name姓2. First (Given) Name 名3. Birth Date(DD/MM/YY)出生日期(月/日/年)4. Country of Citizenship国籍5. Sex (Male or Fem ale) 性别(男填MALE，女填FEMALE)6. Passport Issue Date(DD/MM/YY)护照签发日期7. Passport Expiration Date(DD/MM/YY)护照失效日期8. Passport Number 护照号码9. Airline & Flight Number 航空公司和航班号10. Country Where You Live你在哪个国家生活11. Country Where You Boarded 登机国家12. City Where Visa Was Issued 你在哪个城市得到签证13. Date Issued(DD/MM/YY)得到签证的日期(日/月/年)14. Address While in the United State (Num ber and Street) 在美国的住址(门牌号及街名)15. City and State在美国的住址(市名及州名)16. Telephone Number in the U.S. Where You Can be Reached在美国可联系的电话17. Email Address电子邮件Departure Number离境号码XXXXXXXXX XX18. Family Name姓19. First (Given) Name名20. Birth Date(DD/MM/YY)生日(日/月/年)21. County of Citizenship国籍美国海关申报/U.S.Customs and Border ProtectionCustoms Declaration海关申报1. Fam ily Nam e 姓First（Given）名 Middle中间名2. Birth Date出生日期Day Month Year3. Number of Family m embers traveling with you与你同行的家庭成员人数4. （a）U.S. Street Address（hoetl name/destination）在美国的街道地址（b）City城市（c）State 州5. Passport Issued by（country）护照签发国6. Passport Number护照号码7. Country of Residence居住国8. Countries visited on this trip prior to U.S. arrival本次旅行抵美以前曾去过的国家9. Airline/Flight No.or Vessel Name 航空公司/航班号10. The primary purpose of this trip is business 此次旅程的目的是公务 yes是 no否11. I am（we are）bringing（a）fruits, vegetables，plants，seeds，food，insects： yes是 no否（b）meats，animals，animal/wildlife products： yes是 no否（c）disease agents，cell cultures，snails： yes是 no否（d）soil or have been on a farm/ranch/pasture： yes是 no否12. I have（we have）been in close proximity of （such as touching or handling）livestock yes是 no否13. I am（we have）carrying currency orm onetary instruments over $10000U.S. or the foreign equiralent. 你携带现金或珍贵物品，其价值超过一万美金或相当于一万美金的外币吗 yes是 no否14. I am（we have）commercial merchandise： yes是 no否15.Visitors访客—The total value of all articles that will remain in the U.S., including commercial merchandise is将留在美国境内的所有物品价值多少。
美国海关申报表中英对照Company Document number：WUUT-WUUY-WBBGB-BWYTT-1982GTWELCOME TO THE UNITED STATES欢迎来到美国DEPARTMENT OF THE trEASURY UNITED STATES CUSTOMS SERVICE 财政部美国海关署CUSTOM DECLARATION海关申报Each arriving traveler or head of family must provide the following information (only ONE written declaration per family is required): 每个入关的旅游者或一家之主必须提供如下资料 (一个家庭只须申报一份):1. Family Name: 1. 姓:2. First Name 2. 名3. Middle Initial 3. 中间名4. Date of Birth: (Day/Month/Year) 4. 出生日期: 日/月/年5. Airline/Flight No. : 5. 航空公司/航班号:6. Number of family members travelingwith you6. 与你同行的家庭成员人数:7. (a)Country of Citizenship: 7.(a)国籍:7. (b)Country of Residence: 7. (b)所居住国家:8. (a) . Address (StreetNumber/Hotel/Mailing Address to U.S.): 8.(a)在美国地址（街道地址/旅馆/在美国的通讯地址）:8. (b) U.S. Address (City): 8.(b)在美国地址（城市）:8. (c) . Address (State): 8.(c)在美国地址（州）:9. Countries visited on this trip prior toU.S. arrival9. 在到达美国之前此行所访问过的国家10. The purpose of my trip is or wasBUSINESS Personal10. 此次旅程的目的是wasBUSINESS Personal 10. 此次旅程的目的是商务个人11. I am (we are) bringing fruits,plants,meats, food, soil, birds, snails,otherlive animals, farm products; or,have been on a farm or ranchoutsidethe . : YES NO 11. 你携带水果, 植物, 肉类, 食品, 土壤, 鸟类, 蜗牛, 其他动物和农产品, 或你一直居住在美国以外的农村或牧场吗是 否12. I am (we are) carrying currency or monetary instruments over $10000U.S. or the foreign equiralent.YES NO 12. 我（我们）携带了超过一万美金或等值的外国货币或有价证券 是否 13. I have (we have) commercialmerchandise, U.S.or foreign:(Check one box only) YES NO 13. 我（我们）携带了美国或外国商品：（只能在一个方框内打勾） 是 否14. The total value of all goods I/we purchased or acquired abroad and am/are bringing to the U.S. is (see instructions under Merchandise on reverse side; visitors should report value of gifts only): $___________________ . Dollars14. 我（我们）在国外购买或获得并带入美国所有物品总价值(参看背面商品栏目; 访问者只须申报礼品价值): $ _____________________________ 美元SIGN ON RESERSE SIDE AFTER YOU READ WARNING.(Do not write below this line.)在你阅读警告之后请在背面签字 (不要在此线下面签字)INSPECTOR’S NAME STAMP AREA 检察员姓名 盖章区域BADGE NO徽章号码。
Each arriving traveler or responsible family member must provide the following information (only ONE written declaration per family is required). The term "family" is defined as "members of a family residing in the same household who are related by blood, marriage, domestic relationship, or adoption."1Family NameYearDayFirst (Given)Airline/Flight No. or Vessel Name(d) soil or have been on a farm/ranch/pasture:or goods that are not considered personal effects)(articles for sale, samples used for soliciting orders,I have (We have) commercial merchandise:(see definition of monetary instruments on reverse)over $10,000 U.S. or foreign equivalent:I am (We are) carrying currency or monetary instruments(such as touching or handling)I have (We have) been in close proximity of livestock:(c) disease agents, cell cultures, snails:(b) meats, animals, animal/wildlife products:(a) fruits, vegetables, plants, seeds, food, insects:I am (We are) bringingThe primary purpose of this trip is business:Countries visited on thistrip prior to U.S. arrivalCountry of ResidencePassport numberPassport issued by (country)(b) City(c) State(a) U.S. Street Address (hotel name/destination)Number of Family members traveling with youBirth dateMiddle29141513121110876543MonthRESIDENTS—the total value of all goods, including commercial merchandise I/we have purchased or acquired abroad, (includinggifts for someone else but not items mailed tothe U.S.) and am/are bringing to the U.S. is:YesNoYesNoYesNoYesNoYesNoYesNoYesNoYesNo Customs Declaration19 CFR 122.27, 148.12, 148.13, 148.110, 148.111, 19 USC 1498; 31 CFR 5316VISITORS—the total value of all articles thatwill remain in the U.S., including commercialmerchandise is:$$Read the instructions on the back of this form. Space is provided to list all the items you must declare.CBP Form 6059B (11/16) I HAVE READ THE IMPORTANT INFORMATION ON THE REVERSE SIDE OF THIS FORM AND HAVE MADE A TRUTHFUL DECLARATION.Signature Date (month/day/year)XFORM APPROVEDOMB NO.1651-0009This Space For Official Use Only。
