CTB Application for Customs Bond

Check If:

Filing New Bond

Involves Anti-Dumping

Principal:

(Exact Name on File with US Customs-CBP)

Importer Number:

Importer Address:

Importer Phone:

(###)

###

####

Importer Email Address:

Requested Effective Date:

Type of Company:

Years in business:

Of Importer

Amount of Bond Limit Requested:

(If more than $100,000, Current Financial Statements and General Indemnity Agreement required.)

Describe Merchandise:

Countries of Origin:

Total Values Entered for Last Calendar Year:

Total Duties Paid for Last Calendar Year:

Total Values Estimated for Next Calendar Year:

Total Estimated Duties to be Paid for Next Calendar Year:

Name of Preparer:

First Name

Last Name

Party to be Billed:

Preparer Company:

Preparer Phone Number:

(###)

###

####

Preparer Email:

Who Referred you?

Message:

This is a request for a US Customs Bond. Our goal is to respond within one working day with approval, or additional questions. Thank you for your interest.