Application for CBP Bond, CBP-301

Bureau of Customs and Border Protection

Port Location: 9900 – NFC

Dear Sir or Madam,

As provided in Section 113 of the CBP Regulations we are making this bond application for an activity code (Activity Code) bond for (Importer Name), with importer number (Importer Number).

The total amount of duties, taxes and fees paid during the last 12 months was approximately:
The estimated amount of duties, taxes and fees that will be paid for the next 12 months is:

The activity(ies) to be conducted under this bond is(are):

The general character of the merchandise to be imported is:

I certify that the factual information contained in this application is true and accurate and any information provided which is based upon estimates is based upon the best information available on the date of this application.

Respectfully,
Principal Name (Company, Individual, etc.)
Company Name as Attorney-in-Fact
Signature / Filer Code
Printed or Typed Name of Signor / Title of Signor

On behalf of all Principal(s) below:

(Bond Principal Name) / (Bond Principal Name)
(State of Incorporation) / (State of Incorporation)
(Address 1) / (Address 1)
(Address 2, if any or skip this line if blank) / (Address 2, if any or skip this line if blank)
(City, ST, ZIP) / (City, ST, ZIP)
Importer Number: (Importer Number) / Importer Number: (Importer Number)
(Bond Principal Name) / (Bond Principal Name)
(State of Incorporation) / (State of Incorporation)
(Address 1) / (Address 1)
(Address 2, if any or skip this line if blank) / (Address 2, if any or skip this line if blank)
(City, ST, ZIP) / (City, ST, ZIP)
Importer Number: (Importer Number) / Importer Number: (Importer Number)
All other user(s) as listed in Section III:
(Section III Name) / (Section III Name)
Importer Number: (Section III Importer Number) / Importer Number: (Section III Importer Number)
(Section III Name) / (Section III Name)
Importer Number: (Section III Importer Number) / Importer Number: (Section III Importer Number)

Bond Application for Importer Number: Page 1

Application for CBP Bond, CBP-301 (Continued)

On behalf of all Principal(s) below:

(Bond Principal Name) / (Bond Principal Name)
(State of Incorporation) / (State of Incorporation)
(Address 1) / (Address 1)
(Address 2, if any or skip this line if blank) / (Address 2, if any or skip this line if blank)
(City, ST, ZIP) / (City, ST, ZIP)
Importer Number: (Importer Number) / Importer Number: (Importer Number)
(Bond Principal Name) / (Bond Principal Name)
(State of Incorporation) / (State of Incorporation)
(Address 1) / (Address 1)
(Address 2, if any or skip this line if blank) / (Address 2, if any or skip this line if blank)
(City, ST, ZIP) / (City, ST, ZIP)
Importer Number: (Importer Number) / Importer Number: (Importer Number)
(Bond Principal Name) / (Bond Principal Name)
(State of Incorporation) / (State of Incorporation)
(Address 1) / (Address 1)
(Address 2, if any or skip this line if blank) / (Address 2, if any or skip this line if blank)
(City, ST, ZIP) / (City, ST, ZIP)
Importer Number: (Importer Number) / Importer Number: (Importer Number)
(Bond Principal Name) / (Bond Principal Name)
(State of Incorporation) / (State of Incorporation)
(Address 1) / (Address 1)
(Address 2, if any or skip this line if blank) / (Address 2, if any or skip this line if blank)
(City, ST, ZIP) / (City, ST, ZIP)
Importer Number: (Importer Number) / Importer Number: (Importer Number)
All other user(s) as listed in Section III:
(Section III Name) / (Section III Name)
Importer Number: (Section III Importer Number) / Importer Number: (Section III Importer Number)
(Section III Name) / (Section III Name)
Importer Number: (Section III Importer Number) / Importer Number: (Section III Importer Number)
(Section III Name) / (Section III Name)
Importer Number: (Section III Importer Number) / Importer Number: (Section III Importer Number)
(Section III Name) / (Section III Name)
Importer Number: (Section III Importer Number) / Importer Number: (Section III Importer Number)

Bond Application for Importer Number: Page 2