Cbp Form 449 – Fill Out and Use This PDF

DEPARTMENT OF HOMELAND SECURITY

OMB No. 1651-0016

U.S. Customs and Border Protection

Exp. 05-31-2013

1. Exporter's Name and Address

2. COMPLETE EITHER 2a or 2b

2a)

Single Importation

Invoice or other unique reference

number

2b)

Blanket Period

From (mm/dd/yyyy)

To (mm/dd/yyyy)

3. Producer's Name and Address

4. Importer's Name and Address

5.

6.

7.

8.

9.

Description of Articles

HTS Classification

Producer Basis

Origin

Country of

and Processing Activities

Number

of Knowledge

Criterion

Origin

- this Certificate consists of

pages, including all attachments.

Authorized Signature

Date (mm/dd/yyyy)

Name and Title

X

Company

Telephone No.

Fax No.

CBP Form 449

INSTRUCTIONS

Field 1

State the full legal name and address (including country) of the exporter. If a producer completes the Certificate,

indicate "N/A".

Field 2

2a - Complete field if the Certificate covers a single shipment of an article by providing the invoice number

(a & b)

shown on the commercial invoice.

2b - Complete field if the Certificate covers multiple shipments of identical articles as described in Field 5 that

are imported into the United States for a specified period of up to one year (blanket period). "FROM" is the date

upon which the Certificate becomes applicable to the article covered by the blanket Certificate. (The "FROM"

date my be prior to the date of signing this Certificate; however, the signed Certificate must be in the possession

of the importer at the time the claim for preferential tariff treatment is made.) "TO" is the date upon which the

blanket period expires. The importation of an article for which ATPDEA preferential tariff treatment is claimed

based on this Certificate must occur between these dates.

Field 3

State the full legal name and address (including country) of the producer. If more than one producer's article is

included on the Certificate, state "VARIOUS" and attach a list of all producers, including the legal name and

address (including country). If you wish this information to be confidential, it is acceptable to state "Available to

Customs and Border Protection (CBP) upon request". If the producer and the exporter are the same, complete

field with "SAME".

Field 4

State the full legal name and address (including country) of the importer. If the importer is not known at the time

the Certificate is completed, or if there are multiple importers, it is acceptable to state "Available to CBP upon

request". If a producer who is not also the exporter completes this Certificate, indicate "N/A".

Field 5

Provide a full description of each article and the processing activities used to manufacture the article within the

beneficiary country or countries. The description should be sufficient to relate it to the invoice description and to

the Harmonized System (HTS) description of the article.

Field 6

For each article described in Field 5, identify the HTS tariff classification to eight digits, using the Harmonized

Tariff Schedule of the United States.

Field 7

For each article described in Field 5, state "YES" if you are the producer of the article. If you are not the

producer of the article, state "NO" followed by (1) OR (2), depending on whether this Certificate was based

upon: (1) your reliance on the producer's written representation (other than a Certificate of Origin) that the article

qualifies for preferential treatment under the ATPDEA; or (2) a completed and signed Certificate of Origin for the

article, voluntarily provided to the exporter by the producer.

Field 8

Articles wholly the growth, product, or manufacture of an ATPDEA beneficiary country: enter the letter "A".

Articles made from materials imported into an ATPDEA beneficiary country which 1) are processed into new and

different articles of commerce that are the growth, product or manufacture of a ATPDEA country, and 2) for

which the sum of the cost of processing operations performed in a beneficiary country or countries plus the

direct cost of processing operations performed in a beneficiary country or countries is not less than 35% of the

appraised value of the article: enter the letter "B". (19 CFR 10.253(d))

Field 9

For each article described in Field 5, indicate the country of origin. (19 CFR Part 10.253 (c) ATPDEA Origin

rules)

Field 10

This field must be completed, signed and dated by the exporter. When the Certificate is completed by the

producer for use by the exporter, it must be completed, signed and dated by the producer. The date must be the

date the Certificate was completed and signed. The signed Certificate must be in the possession of the importer

at the time the claim for ATPDEA preferential tariff treatment is made. For ATPDEA claims made after

importation, the date of the Certificates may be subsequent to the date of the importation of the articles.