Form 4455 PDF Details

Traversing international borders with items that have a significant value or require specific documentation for export and re-import can be a complex process. The U.S. Customs and Border Protection Form 4455, officially titled Certificate of Registration, simplifies this process for travelers and businesses alike. Designed under the regulations outlined in 19 CFR 10.8, 10.9, 10.68, 148.1, 148.8, 148.32, and 148.37, this form serves as a vehicle for declaring items sent abroad for alteration, processing, repair, or other specified uses without the intention of permanent export. As such, it provides a pathway for these items to re-enter the U.S. without the imposition of duties, assuming they return unchanged except in the ways noted upon departure. The form requires the detailed listing of items, including the number of packages, kind of packages, and a full description of the contents. Furthermore, it necessitates the signature of the owner or agent, along with CBP officer verification both at the time of export and upon re-entry to the United States. Notably, this document carries the weight of ensuring adherence to customs regulations, thereby facilitating smooth transitions across borders for items temporarily leaving the U.S. A current valid OMB control number and an expiration date are mandatory on the form, reflecting its compliance with the Paperwork Reduction Act. Individuals and agents filling out this form are reminded of the estimated completion time and provided with contact information for comments regarding the burden estimate, underscoring the U.S. Customs and Border Protection's commitment to efficiency and communication.

QuestionAnswer
Form NameForm 4455
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesexport form 4455, form 4455 us, form department border, 4455 form

Form Preview Example

 

DEPARTMENT OF HOMELAND SECURITY

 

U.S. Customs and Border Protection

 

CERTIFICATE OF REGISTRATION

19 CFR 10.8, 10.9, 10.68,

(NOTE: Number of copies to be submitted varies with type of transaction.

148.1, 148.8, 148.32, 148.37

Inquire at Port Director's office as to number of copies required.)

OMB Control Number: 1651-0010 Expiration Date: 09/30/2022

NO.

VIA (Carrier)

B/L or INSURED NO.

 

 

DATE

 

 

 

 

 

 

NAME, ADDRESS, AND ZIP CODE TO WHICH CERTIFIED FORM IS

 

ARTICLES EXPORTED FOR:

TO BE MAILED (If Applicable)

ALTERATION*

 

PROCESSING*

 

 

 

REPAIR*

 

OTHER, (specify)

 

USE ABROAD

 

 

 

 

 

REPLACEMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*NOTE: The cost or value of alterations, repairs, or processing abroad is subject to CBP duty.

LIST ARTICLES EXPORTED

Number

Packages

Kind of

Packages

Description

SIGNATURE OF OWNER OR AGENT (Print or Type and Sign)

DATE

The Above-Described Articles Were:

 

EXAMINED

 

LADEN under my supervision

 

 

 

 

 

 

DATE

 

PORT

DATE

 

PORT

 

 

 

 

 

 

SIGNATURE OF CBP OFFICER

SIGNATURE OF CBP OFFICER

CERTIFICATE ON RETURN

Duty-free entry is claimed for the described articles as having been exported without benefit of drawback and are returned unchanged except as noted: (use reverse if needed)

SIGNATURE OF IMPORTER (Print or Type and Sign)

DATE

NOTE: Certifying officers shall draw lines through all unused spaces with ink or indelible pencil.

Paperwork Reduction Act Notice: An agency may not conduct or sponsor an information collection and a person is not required to respond to this information unless it displays a current valid OMB control number and an expiration date. The control number for this collection is 1651-0010. The estimated average time to complete this application is 10 minutes. If you have any comments regarding the burden estimate you can write to U.S. Customs and Border Protection, Office of Regulations and Rulings, 799 9th Street, NW., Washington DC 20229.

CBP Form 4455 (09/19)

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certificate of registration completion process explained (part 1)

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Stage number 2 of filling out certificate of registration

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