Sample Us Customs Form PDF Details

In order to clear customs, you will need to fill out a customs form. This document is used by customs agents to assess the value of the items you are bringing into the country. The form also helps identify any potential restrictions or prohibited items. The sample US customs form below can help you understand what information needs to be included on your form. Be sure to consult with a customs agent if you have any questions about completing the form.

You'll discover information regarding the type of form you wish to fill out in the table. It will tell you how much time it should take to finish sample us customs form, exactly what parts you need to fill in and several additional specific details.

Form NameSample Us Customs Form
Form Length2 pages
Fillable fields0
Avg. time to fill out30 sec
Other namesprintable customs declaration form 6059b, us customs form 6059b printable, sample immihelp usa custom form, custom declaration form 2018 usa

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Customs Declaration


19 CFR 122.27, 148.12, 148.13, 148.110,148.111, 1498; 31 CFR 5316

OMB NO. 1651-0009

Each arriving traveler or responsible family member must provide the following information (only ONE written declaration per family is required). The term “family” is defined as “members of a family residing in the same household who are related by blood, marriage, domestic relationship, or adoption.”

1Family Name

First (Given)


2Birth date Month Day Year

3 Number of Family members traveling with you

4(a) U.S. Street Address (hotel name/destination

(b) City

(c) State

5Passport issued by (country)

6Passport number

7Country of Residence

8Countries visited on this trip prior to U.S. arrival

9Airline/Flight No. or Vessel Name


The primary purpose of this trip is business:












I am (We are) bringing










(a) fruits, vegetables, plants, seeds, food, insects:






(b) meats, animals, animal/wildlife products:






(c) disease agents, cell cultures, snails:






(d) soil or have been on a farm/ranch/pasture:











I have (We have) been in close proximity of livestock:






(such as touching or handling)












I am (We are) carrying currency or monetary instruments










over $10,000 U.S. or foreign equivalent:






(see definition of monetary instruments on reverse)












I have (We have) commercial merchandise:






(articles for sale, samples used for soliciting orders,






or goods that are not considered personal effects)











15RESIDENTS—the total value of all goods, including commercial merchandise I/we have purchased or acquired abroad, (including gifts for someone else, but not items mailed to the U.S.) and am/are

bringing to the U.S. is:$ VISITORS—the total value of all articles that will remain

in the U.S., including commercial merchandise is:


Read the instructions on the back of this form. Space is provided to list all the items you must declare.





Date (month/day/year)

CBP FORM 6059B (04/14)



CBP FORM 6059B (04/14)

U.S. Customs and Border Protection Welcomes You to the United States

U.S. Customs and Border Protection is responsible for protecting the United States against the illegal importation of prohibited items. CBP officers have the authority to question you and to examine you and your personal property. If you are one of the travelers selected for an examination, you will be treated in a courteous, professional, and dignified manner. CBP Supervisors and Passenger Service Representatives are available to answer your questions. Comment cards are available to compliment or provide feedback.

Important Information

U.S. Residents—Declare all articles that you have acquired abroad and are bringing into the United States.

Visitors (Non-Residents)—Declare the value of all articles that will remain in the United States.

Declare all articles on this declaration form and show the value in U.S. dollars. For gifts, please indicate the retail value.

Duty—CBP officers will determine duty. U.S. residents are normally entitled to a duty-free exemption of $800 on items accompanying them. Visitors (non-residents) are normally entitled to an exemption of $100. Duty will be assessed at the current rate on the first $1,000 above the exemption.

Agricultural and Wildlife Products—To prevent the entry of dangerous agricultural pests and prohibited wildlife, the following are restricted: Fruits, vegetables, plants, plant products, soil, meat, meat products, birds, snails, and other live animals or animal products. Failure to declare such items to a Customs and Border Protection Officer/Customs and Border Protection Agriculture Specialist/Fish and Wildlife Inspector can result in penalties and the items may be subject to seizure.

Controlled substances, obscene articles, and toxic substances are generally prohibited entry.

The transportation of currency or monetary instruments, regardless of the amount, is legal. However, if you bring in to or take out of the United States more than $10,000 (U.S. or foreign equivalent, or a combination of both), you are required by law to file a report on FinCEN 105 (formerly Customs Form 4790) with U.S. Customs and Border Protection. Monetary instruments include coin, currency, travelers checks and bearer instruments such as personal or cashiers checks and stocks and bonds. If you have someone else carry the currency or monetary instrument for you, you must also file a report on FinCEN 105. Failure to file the required report or failure to report the total amount that you are carrying may lead to the seizure of all the currency or monetary instruments, and may subject you to civil penalties and/or criminal prosecution. SIGN ON THE OPPOSITE SIDE OF THIS FORM AFTER YOU HAVE READ THE IMPORTANT INFORMATION ABOVE AND MADE A TRUTHFUL DECLARATION.

Description of Articles




(List may continue on another CBP Form 6059B)



Use Only










































































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. The control number for this collection is 1651-0009. The estimated average time to complete this application is 4 minutes. Your response is mandatory. If you have any comments regarding the burden estimate you can write to U.S. Customs and Border Protection Office of Regulations and Rulings, 90 K Street, NE, 10th Floor, Washington, DC 20229.

How to Edit Sample Us Customs Form Online for Free

Our skilled software engineers have worked collectively to develop the PDF editor which you can go with. This specific app makes it easy to create us customs form 6059b printable documents immediately and efficiently. This is everything you should do.

Step 1: Hit the orange "Get Form Now" button on the following web page.

Step 2: You'll notice each of the actions you can use on the document once you've accessed the us customs form 6059b printable editing page.

Provide the essential content in every single section to get the PDF us customs form 6059b printable

part 1 to filling in customs declaration form 6059b english

You have to note the essential details in the RESIDENTSthe total value of all, Read the instructions on the back, Signature, Date monthdayyear, and CBP Form B space.

part 2 to finishing customs declaration form 6059b english

The program will request you to insert certain essential info to automatically complete the section Description of Articles List may, Value, CBP Use Only, Total, PAPERWORK REDUCTION ACT STATEMENT, and CBP Form B.

Completing customs declaration form 6059b english stage 3

Step 3: Hit the Done button to save your form. Then it is offered for upload to your device.

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