A pro forma invoice submitted in accordance with any provision of this chapter shall be in substantially the following form:
Pro Forma Invoice Importers Statement Of Value Or The Price Paid In The Form Of An Invoice
Not being in possession of a commercial seller's or shipper's invoice I request that you accept the statement of value or the price paid in the form of an invoice submitted below:Name of shipper_________________________________________________________address ------------------------Name of seller__________________________________________________________address ------------------------;.Name of consignee_______________________________________________________address ------------------------.Name of purchaser_______________________________________________________address ------------------------.
The merchandise (has) (has not) been purchased or agreed to be purchased by me.
The prices, or in the case of consigned goods the values, given below are true and correct to the best of my knowledge and belief, and are based upon: (Check basis with an ``X'')
(a) The price paid or agreed to be paid (--) as per order dated ------------.
(b) Advices from exporter by letter (--) by cable (--) dated ------------.
(c) Comparative values of shipments previously received (--) dated ------------.
(d) Knowledge of the market in the country of exportation (--) ------------.
(e) Knowledge of the market in the United States (if U.S. Value) (--) ------------.
(f) Advices of the Port Director (--) ------------.
(g) Other (--) ------------. ----------------------------------------------------------------------------------------------------------------
D--Unit E--Total
A--Case marks B--Manufacturer's C--Quantities purchase purchase F--Unit G--Total
numbers item No. symbol or and full price price foreign foreign
brand description (currency) (currency) value value----------------------------------------------------------------------------------------------------------------
..................... ................ ............. ............. ........... ...........
..................... ................ ............. ............. ........... ...........----------------------------------------------------------------------------------------------------------------Check which of the charges below are, and which are not included in the prices listed in columns ``D'' and
``E'': ------------------------------------------------------------------------
Not
Amount Included included------------------------------------------------------------------------Packing........................................... ......... .........Cartage........................................... ......... .........Inlandfreight..................................... ......... .........Wharfage and loading abroad....................... ......... .........Lighterage........................................ ......... .........Ocean freight..................................... ......... .........U.S. duties....................................... ......... .........Other charges (identify by name and amount)....... ......... .........
Total............................................ ......... .........------------------------------------------------------------------------
Country of origin ------------------------.
If any other invoice is received, I will immediately file it with the Port Director.________________________________________________________________________
(Signature of person
making invoice)________________________________________________________________________
(Title and firm name) Date____________________________________________________________________ [T.D. 73-175, 38 FR 17447, July 2, 1973, as amended by T.D. 85-39, 50 FR 9612, Mar. 11, 1985]