Cbp Form 258 PDF Details

If you are a business owner who deals with international customers, then you need to be aware of what customs form 258 is and how to fill it out. This form is used by the U.S. Customs and Border Protection (CBP) to process entries of goods into the United States. It is important to complete this form correctly, as any mistakes can lead to delays or additional costs. In this blog post, we will explain what information is required on CBP Form 258, and provide some tips for completing it accurately.

Form NameCbp Form 258
Form Length3 pages
Fillable fields0
Avg. time to fill out45 sec
Other namesfillable 258 form, 258 form, cbp 258 form, cbp form 258

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U.S. Customs and Border Protection


This information is provided pursuant to Public Law 93-579 (Privacy Act)


Executive Order Number 10450, as amended, reprinted as a Note to 5 U.S.C. 7311; Executive Order Number


12968; 5 Code of Federal Regulations Parts 732, 736.


This information will be used in national security investigations to ensure that employment, and continued employment, of the under- signed in a national security position is consistent with the interests of the national security. This includes use of the information provid- ed to determine whether the undersigned's financial situation furnishes reason to believe he or she may be subject to coercion, influence, or pressure which may cause him or her to act contrary to the best interests of national security. The financial statement is closely safeguarded in a sealed envelope to ensure that it is not viewed by unauthorized personnel. However, when necessary this information may be furnished to authorized persons for purposes of granting/issuing a security clearance and in a criminal investigation.


Disclosure of the information requested is voluntary. However, in the case of an applicant for a sensitive position, refusal to comply will mean that the full field investigation necessary for occupancy of that position cannot be completed, and the applicant will be dropped from consideration for employment in that position. In the case of an employee who is occupying a sensitive position pending comple- tion of the full field investigation, refusal to comply will mean that the investigation cannot be completed and the employee will be reas- signed to a nonsensitive position.


The information contained in the attached financial disclosure report is confidential. Please read the following instructions carefully before preparing the statement.

1 Please print plainly or type all answers. Leave no space blank. If the answer is "No" or "None" so indicate in the space provided.

2Use additional sheets where necessary. Place your name and address at the top of each additional sheet. Identify the related question by number. All additional sheets should be securely attached to the disclosure report.

3For the purpose of this statement, wherever the term "immediate family" is used, it means spouse, children or other persons dependent on you, or your spouse, for support.

4Information required in items 2a, 3a, 4a, 5a, 6a, 7a, 8a, 9a, 10a and 11a use F (filer); S (spouse); D (dependent) and O (other individual (s)).

5 Information required in items 6b and 8b use V (vehicle); B (boat); A (airplane) and O (other).

6Information required in item 10b use 2 (second mortgage); A (auto); E (equity); L (line of credit); M (mortgage); O (other loan) and P (personal).

7Information required in item 12a use B (bankruptcy); G (gift); I (inheritance); S (settlements); T (trust); W (winnings) and O (other).

8For the purpose of this statement, information required in Sections 2 through 12 apply not only to the applicant/employee themselves, but to any family member whereby the applicant/employee has access to or control over such assets, etc. Only each individual asset, valued in excess of $1,000 is to be listed. If the asset is part of a group (books, stamps, etc.) the entire collection, if valued over $1,000 should be listed. If assets were acquired by gift or inheritance, list the approximate fair market value, when, how, and from whom acquired. Inheritances/gifts, in excess of $5,000 are to be reported if received within the past seven (7) years.

9Liabilities reflected in Section 11 can be approximate dollar amount owed. Account numbers are not required to be reflected, however, each account/creditor is to be identified by name.

10Upon completion, the financial disclosure report should be placed In a envelope, sealed and returned to the same official who gave you the package which included the blank form. A copy should be retained for your records.

CBP Form 258 (03/06)


U.S. Customs and Border Protection



The estimated average burden associated with this collection of information is TWO HOURS per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the reported information. Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be directed to CBP, Information Services Group, Washington DC 20229. DO NOT send completed form(s) to this office.

SENSITIVE PERSONAL DATA: After this form is completed, it will contain sensitive personal information which is to be safeguarded pursuant to the Privacy Act of 1974. This information is to be released only to authorized personnel having a need to know for official uses. The completed form should be stored in a locked file cabinet or secured room. When the completed form is no longer needed it should be destroyed by burning or shredding.

PLEASE NOTE: Before completing this form, read the Privacy Act Statement, Sensitive Personal Data and Public Reporting Burden and the instructions.

1a. Name (Last, First, Middle Initial)

1b. Date of Birth (MM/DD/YYYY)

1c. Social Security Number

1d. Agency Identification Number

1e. Home Address (Number, Street, Apt #, City, State, Country, Zip Code)

1f. Marital Status

1g. Employee Status

1h. Assigned Directorate/Office

1i. Company or Home Agency

ANNUAL INCOME, U.S./FOREIGN (For wages & salary, non-taxable and other income, report nothing under $500, round to nearest $1,000. For interest and dividend income, report nothing under $25 and round to the nearest $50.) Describe non-recurring cash income over $10,000 in Section 12.

2a. Codes

2b. U.S./Foreign Indicator

2c. Annual Salary

& Wages

2d. Non-Taxable Income

2e. Interest Income

2f. Dividend Income

2g. Other Income

2h. Total Annual



BANK ACCOUNTS, U.S./FOREIGN (Round total on each line to the nearest $1,000, unless balance is less than $500, then round to the nearest $100).

3a. Codes

3b. Institution

3c. U.S./Foreign


3d. Total # of Accounts

3e. Address

3f. Year End Balance



INVESTMENT ACCOUNTS, U.S./FOREIGN (Round total on each line to the nearest $1,000, unless balance is less than $500, then round to the nearest $100).

4a. Codes

4b. Institution

4c. U.S./Foreign


4d. Total # of Accounts

4e. Address

4f. Purchase Price

OWNED REAL ESTATE, U.S./FOREIGN (Report nothing if price is under $5,000, unless balance is less than $10,000. Do not report capital improvement costs under $10,000, round to the nearest $1,000).

5a. Codes

5b. Address

5c. U.S./Foreign


5d. Year of Purchase

5e. Purchase Price

5f. Capital Improvement Costs

OWNED VEHICLES, BOATS, AIRPLANES, OTHER (Report nothing if purchase price is under $1,000, round purchase price to the nearest $1,000).

6a. Codes

6b. Type

6c. Make

6d. Model/Year

6e. Plate or ID Number

6f. Year Purchased

6g. Purchase Price

CBP Form 258 (03/06)

9e. Purchase Price

REAL ESTATE YOU LEASE OR RENT FROM ANOTHER, U.S./FOREIGN (Round monthly payment to the nearest $100).

7a. Codes

7b. Address

7c. U.S./Foreign


7d. Year of Lease/Rental

7e. Monthly Lease/Rental Payment

VEHICLES, BOATS, AIRPLANES, OTHER THAT YOU LEASE FROM ANOTHER (Round monthly payment to the nearest $100)

8a. Codes

8b. Type

8c. Make

8d. Model/Year

8e. Plate or ID

8f. Year Leased

8g. Monthly Lease/Rental




































OTHER ASSETS, U.S./FOREIGN (Includes self-held securities, antiques, collectibles, jewelry, cash, livestock, trust, etc.. Report name of trust, trustee, and type of assets in 9b. Report nothing under $5,000 for each category round to the nearest $1,000.)

9a. Codes9b. Description9c. U.S./Foreign 9d. Year of Purchase Indicator

MORTGAGES, LOANS (Including installment and personal loans), U.S./FOREIGN (Report nothing with a balance under $500; round balance to the nearest $1,000; round monthly payment to the nearest $100).

10a. Codes

10b. Type of

10c. Name of

10d. U.S./Foreign

10e. Address of Creditor

10f. Original

10g. Year End

10h. Monthly









































OTHER LIABILITIES, U.S./FOREIGN (Includes credit accounts, gamishments, judgements, settlements, etc., that you owe. Report nothing with a balance under $500; round balance to the nearest $1,000; round monthly payment to the nearest $100).

11a. Codes

11b. Type of

11c. Name of

11d. U.S./Foreign

11e. Address of Creditor

11f. Year End Balance

11g. Monthly Payment











































ADDITIONAL INCOME/BANKRUPTCY - SAFE DEPOSIT BOX/COMMENTS (Provide additional information which you believe to be useful to reviewing officials or requires further explanation).

12a. Item Type

12b. $ Amount

12c. Explanation

Safe Deposit Box/Comments:

CERTIFICATION BY PERSON COMPLETING THE FORM: I certify that the entries made by me are true, complete and accurate to the best of my knowledge and belief and are made in good faith. I understand that knowing and willful false statements on this form can be punished by fine or imprisonment or both (See U.S. Code Title 18, Section 1001).

13a. Type Name (Last, First, Middle Initial)

13b. Signature

13c. Date Signed (MM/DD/YYYY)

CBP Form 258 (03/06)

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Pay close attention while filling in this form. Make sure that all necessary blanks are completed accurately.

1. The customs form 258 form involves specific information to be typed in. Be sure that the following blanks are finalized:

fillable 258 form conclusion process described (part 1)

2. Right after finishing the previous part, head on to the next stage and enter the necessary particulars in these fields - CASH ON HAND or more, VALUE, INVESTMENT ACCOUNTS USFOREIGN, a Codes, b Institution, c USForeign Indicator, d Total of Accounts, e Address, f Purchase Price, OWNED REAL ESTATE USFOREIGN Report, e Purchase Price, b Address, f Capital Improvement Costs, c USForeign Indicator, and d Year of Purchase.

VALUE, INVESTMENT ACCOUNTS USFOREIGN, and f Capital Improvement Costs of fillable 258 form

3. This next step will be focused on a Codes, b Address, c USForeign Indicator, d Year of LeaseRental, e Monthly LeaseRental Payment, VEHICLES BOATS AIRPLANES OTHER, a Codes, b Type, c Make, d ModelYear, e Plate or ID Number, f Year Leased, g Monthly LeaseRental Payment, OTHER ASSETS USFOREIGN Includes, and d Year of Purchase - complete each one of these blank fields.

Writing section 3 of fillable 258 form

4. It is time to fill in this fourth section! In this case you've got all of these b Type of Loan, c Name of Creditor, d USForeign Indicator, f Original Balance, g Year End Balance, h Monthly Payment, OTHER LIABILITIES USFOREIGN, e Address of Creditor, f Year End Balance, g Monthly Payment, b Type of Liability, c Name of Creditor, d USForeign Indicator, ADDITIONAL INCOMEBANKRUPTCY SAFE, and a Item Type empty form fields to fill in.

Filling out section 4 of fillable 258 form

5. When you come near to the conclusion of this file, you'll find several more points to complete. Mainly, Safe Deposit BoxComments, CERTIFICATION BY PERSON COMPLETING, a Type Name Last First Middle, b Signature, c Date Signed MMDDYYYY, and CBP Form must all be filled out.

b Signature, Safe Deposit BoxComments, and CERTIFICATION BY PERSON COMPLETING in fillable 258 form

Be really mindful when completing b Signature and Safe Deposit BoxComments, as this is the section in which a lot of people make some mistakes.

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