U.S. Customs Form 6059B

OMB# 1651-0009 (10/07 EDN)

Each individual arriving into the United States must complete the CBP Declaration Form 6059B. If you are traveling with other immediate family members, complete one form per family unit. Please contact your nearest port of entry to order the form.

Attention Airlines:

Supplied in master packed cartons of 6,000, containing 12 bundles of 500 each.

Available Languages: Arabic, Chinese, Dutch, English, Farsi, French, German, Hebrew, Italian, Japanese, Korean, Polish, Portuguese, Russian, Spanish, Vietnamese

Attention Passengers:

If you are a visitor (non-U.S. Resident), print the total value of all goods (including commercial merchandise) you or any family members traveling with you are bringing into the United States and will remain in the United States.
Note: Visitors (non-U.S. Residents) are normally entitled to an exemption of $100.

Declare all articles on this form. For gifts, please indicate the retail value. Use the reverse side of this form if additional space is needed to list the items you will declare.

The U.S. Customs officer will determine duty. Duty will be assessed at the current rate on the first $1,000 above the exemption.

* Read the notice on the reverse side of the form.
* Sign the form and print the date.
* Keep the complete form with you and hand it to the CBP inspector when you approach the Customs and Border Protection area.

Controlled substances, obscene articles, and toxic substances are generally prohibited entry.

For more information please visit Customs and Border Protection at www.CBP.gov.

Printed in the U.S.A..