U.S. Trading Company Importer Security Filing "10+2" Information Sheet

Importer Security Filing "10+2" Information Sheet

*Master Bill of Lading No.:

Manufacturer Invoice No.:

*Container Count:
20 ' 40 HQ
40' 40 Reefer

UST Purchase Order No.:

*Total Invoice Amount:

*Total Payment Balance:

*Total Piece Count:

*ETD (mm/dd/yyyy):

Vessel Name:

*ETA (mm/dd/yyyy):

Voyage No.:

Port of Discharge:

Other Ref/Notes:
01. Manufacturer: 02. Shipper / Seller
Company: Company:
Address: Address:
City: City:
Province/State: Province/State:
Postal Code: Postal Code:
Country/Territory: Country/Territory:
03. Consignee/Buyer 04. Container Stuffing Location:
Company: Company:
Address: Address:
City: City:
Province/State: Province/State:
Postal Code: Postal Code:
Country/Territory: Country/Territory:
05. Ship to: 6. Stuffer /Loader / Consolidator:
Company: Company:
Address: Address:
City: City:
Province/State: Province/State:
Postal Code: Postal Code:
Country: Country:
07. Importer of Record Number:
08. Consignee Number:
09. Country of Origin:
10. Harmonized Codes:
If there are multiple items in the container and you don't know some the harmonized codes, please leave this entire area blank.
A wrong/missing harmonized code can delay the release of our shipment. If the fields below are left blank, our import broker can fill it out for you.
1. 11.
2. 12.
3. 13.
4. 14.
5. 15.
6. 16.
7. 17.
8. 18.
9. 19.
10. 20.

Please attach Invoice, Packing List, and BL related to this Bill of Lading.
Attachment:
Attachment1:
Attachment2:
Attachment3:
Attachment4:
Attachment5:
Your First Name:
*Your Email:
*Re-type Email:
*Verification:
After clicking Submit, a copy of this document will be sent to our import broker for U.S. Customs Filing. Please verify all information is correct. You can print a copy for your records on this page.
Thank You.