Cbp Form 4630 PDF Details

The Cbp Form 4630 is a document used to report cash and monetary instruments transported or received in excess of $10,000. This form must be filed by individuals and entities transporting or receiving more than $10,000 in U.S. currency, foreign currency, or other negotiable monetary instruments. Failing to file this form can result in civil and criminal penalties. In this post, we will discuss the Cbp Form 4630 and its filing requirements.

Form NameCbp Form 4630
Form Length2 pages
Fillable fields0
Avg. time to fill out30 sec
Other namesCBP_Form_4630 uscustoms and border protection form

Form Preview Example

OMB No. 1651-0100

Exp. 10-31-2011


U.S. Customs and Border Protection


NOTICE : Use this form if you want U.S. Customs and Border Protection to decide your request for the release of property.

INSTRUCTIONS : This form (Parts I - IV) must be completed in English, signed and notarized.

In accordance with Title 8, Code of Federal Regulations, Part 274, I request U.S. Customs and Border Protection consider my petition for relief from forfeiture administratively in order to obtain the release of my property.


Seizure Case Number:

Date of Seizure:Place of Seizure:

Full Name (First, Middle, Last)

Date of Birth (mm/dd/yyyy):

City, State, and County of Birth:


INSTRUCTIONS: Provide certified copies (or originals) of all bills of sale, purchase contracts, receipts, or any other documentary evidence to establish your interest in the seized property. Failure to do so may result in denial of your petition.

A.Describe the property that was seized, to include the year, make, model, and serial number or Vehicle Identification Number. Use continuation sheets if more space is needed.

B.State your interest in the seized property listed above. Are you the owner, lien holder, or otherwise? Use continuation sheets if more space is needed.

C.State the facts and circumstances, with satisfactory proof thereof, relied upon to justify relief from forfeiture. If the property was in someone else's possession at the time of seizure, please provide an explanation how it came into their possession. Use continuation sheets if more space is needed.


I swear under penalty of perjury that all of the information provided is true and correct to the best of my knowledge and belief.



PART IV (Notary Public)











Paperwork Reduction Act Statement: 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 1651-0100. The estimated average time to complete this application is 13 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 4630 (06/09)


Seizure Case Number:

Full Name (First, Middle, Last)




CBP Form 4630 (06/09)

How to Edit Cbp Form 4630 Online for Free

Cbp Form 4630 can be filled in online with ease. Just try FormsPal PDF editor to get it done without delay. The tool is continually updated by us, receiving new awesome functions and growing to be a lot more convenient. Starting is effortless! Everything you need to do is follow these basic steps down below:

Step 1: Press the "Get Form" button above. It will open our pdf tool so you could begin filling in your form.

Step 2: After you access the file editor, you will notice the document prepared to be filled in. Other than filling in different fields, you may as well do many other things with the Document, such as adding your own words, changing the initial text, adding graphics, affixing your signature to the PDF, and more.

This form requires particular info to be filled out, so ensure you take your time to fill in what's expected:

1. Complete your Cbp Form 4630 with a selection of major fields. Get all the important information and make sure absolutely nothing is neglected!

How you can fill in Cbp Form 4630 portion 1

2. The subsequent step is usually to submit the next few blanks: I swear under penalty of perjury, Signature, Date, PART IV Notary Public, STATE OF COUNTY OF, SIGNED AND SWORN TO BEFORE ME ON, DAY OF, NOTARY PUBLIC COUNTY MY COMMISSION, and CBP Form.

Stage # 2 of submitting Cbp Form 4630

You can potentially make errors while completing your Signature, consequently you'll want to take a second look before you'll send it in.

3. This next section is focused on Seizure Case Number, and Full Name First Middle Last - fill out all of these blanks.

Part no. 3 in submitting Cbp Form 4630

4. The fourth section comes next with these empty form fields to look at: CBP Form.

Completing section 4 of Cbp Form 4630

Step 3: Once you've reread the details you filled in, press "Done" to finalize your form at FormsPal. After registering afree trial account with us, it will be possible to download Cbp Form 4630 or email it immediately. The PDF document will also be readily available via your personal account menu with your modifications. With FormsPal, it is simple to complete documents without having to be concerned about personal data incidents or entries being shared. Our protected platform makes sure that your private data is stored safely.