Kmise 5-String Professional Beginner Banjo Set User Manual

June 16, 2024
Kmise

Plant and Plant Product
Declaration Form
Section 3: Lacey Act Amendment (16 0.S.C. 3372)
U.S. DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE

5-String Professional Beginner Banjo Set

The valid 0MB control number for this information collection is 0579-0349. The time required to complete this information collection is estimated to average 0.5 hours per response, including the lime for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

Shipment Information

  1. ESTIMATED DATE OF ARRIVAL: (MM/DD/YYYY)
  2. ENTRY NUMBER:
  3. CONTAINER NUMBER: 0 See Attachment
  4. BILL OF LADING:
  5. MID:
  6.  IMPORTER NAME: Amazon. com Service, Inc
  7.  IMPORTER ADDRESS: 410 Terry Ave N, Seattle, WA 98121
  8. CONSIGNEE NAME: Amazon. com Service, Inc
  9. CONSIGNEE ADDRESS: 410 Terry Ave N, Seattle, WA 98121

Compliance with Lacey Act Requirements (16 u.s.c. 3372(1))

Kmise 5-String Professional Beginner Banjo Set - table

l certify under penalty of Perion that, to the best of my knowledge and belief, the information furnished is true and correct:

8.61342E+12 Chao Ma Chao Ma 16/02/2023
Preparer’g Phone Number and Area Code Signature Type or Print Name Date
  1. Estimated Date of Arrival: Enter the date (MM/DD/YYYY) that the product is expected to enter the United States of America.

  2. Entry Number: Enter the U.S. Customs entry number assigned to this shipment. (Format: xxx-xxxxxxx-x)

  3. Container Number: Enter the number of the shipping container in which the product is being shipped – available from your shipping company.
    If you have more than container number in your shipment, check the “see attachment” box, and list all of the containers on a separate sheet.
    Attach the container list to the PPQ 505. If there is no container number, please leave this section blank.

  4. Bill of Lading: Enter the Bill of Lading (BOL) number assigned to this shipment – available from the shipping company. If there is no Bill of Lading number, please leave this section blank.

  5. MID: Manufacturer Identification Code – available from the manufacturer or customs broker (19 CFRAppendix to Part 102).

  6. Importer Name: Enter the name of the import company or individual for the product.

  7. Importer Address: Enter the address of the import company or individual in #6.

  8. Consignee Name: Name of the individual or company who ordered and will ultimately receive the shipment.

  9. Consignee Address: Enter the address of the individual or company in #8.

  10. Description of the Merchandise: Enter the name of the plant or plant product, and its use ( example: wooden spoons for kitchenware). If the use is unknown, enter only the name of the product(example: lumber). If the product is protected under CITES also input CITES permit number here. If product was manufactured prior to the Lacey Act Amendment also input “Manufactured Prior to May 22, 2008”.

  11. HTSUS Number: Enter the Harmonized Tariff Code for the merchandise described in #10 – available at http://www.usitc.gov/tata/hts/.

  12. Entered Value (in U.S. Dollars): Write the entered value of the imported merchandise described in #10 in U.S. Dollars.

  13. Article/Component of Article: Enter a brief description of each article, or component of an article, that is manufactured from plants or plant parts. (Example: A decorative item including a wood frame and 100 % recycled paperboard – enter the frame as a line item, and record the percent recycled material in the paperboard in section # 18.)

  14. Plant Scientific Name: For each article/component in #13 enter the scientific name (example: See next page). If the species of plant used to produce the product varies, and the species used to produce the product is unknown, enter each species that may have been used to produce the product. If product was manufactured prior to the Amendment and you cannot determine species, enter “Special” for Genus and “Reamendment” for Species. The Scientific Name is NOT the trade/common name of the plant.

  15. Country of Harvest: Enter the country where the plant was harvested ( example: See below). If the country of harvest varies, and is unknown, enter all countries from which the plant material in the product may have been harvested. This is NOT the country of manufacture/origin.

  16. Quantity of Material: How much plant material is in the shipment ( example: See below).

  17. Unit: This is the Unit of Measure of the Plant Material. Use the drop down box on the form to enter the units for # 17. ( example: See below).
    kg- kilograms
    m-meter
    m – square meters
    m3 – cubic meters

  18. % Recycled Material: If the product is paper or paperboard, enter the percentage of recycled material it contains (0 – 100% ). If the percentage of recycled material varies, enter the average percentage of recycled material used in the product ( example: If the percentage of recycled material used is between 25% and 45%, enter 35%).
    11. HTSUS
    Number| 12. Entered
    Value| 13. Article/Component of Article| 14. Plant Scientific Name| 15.Country of
    Harvest| 16. Quantity of
    Plant Material| 17. Unit| 18. Percent
    Recycled
    ---|---|---|---|---|---|---|---
    Genus Species
    9401692010| 1354| Bentwood Seats Made of Oak| Quercus| lineata| Indonesia| 500| kg| 0
    4407950000| 8442| European ash lumber (2″ x 4″)| Fraxinus| excelsior| Switzerland| 52| M3| 0

Submission of Paper Declaration: Importers should have a copy of the form available for Customs and Border Protection (CBP) to review at the port of entry. After CBP clears the shipment, the importer must mail the original form to the USDA at the following address:
The Lacey Act
c/o U.S. Department of Agriculture
Box 10
4700 River Road
Riverdale, MD 20737

Note: You may use Form PPQ SOSB should more space be required. Make as many copies as necessary.
Failure to include any and all of the required information will result in the rejection of your declaration.
SPECIAL NOTE: IF YOU HA VE FILED A LACEY ACT DECLARATION ELECTRONICALLY THROUGH THE CUSTOMS SYSTEM, THERE IS NO NEED TO FILE AP APER DECLARATION.

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