I,________________, declare that the articles herein specified are the articles which, in the condition in which they were exported from the United States, were received by me (us) on ________________, 19____, from________________ (name and address of owner or exporter in the United States); that they were received by me (us) for the sole purpose of being repaired or altered; that only the repairs or alterations described below were performed by me (us); that the full cost or (when no charge is made) value of such repairs or alterations are correctly stated below; and that no substitution whatever has been made to replace any of the articles originally received by me (us) from the owner or exporter thereof mentioned above.
Marks and numbers | Description of articles and of repairs or alterations | Full cost or (when no charge is made) value of repairs or alterations (see subchapter II, chapter 98, HTSUS) | Total value of articles after repairs or alterations |
_______________________________
(Date)
_______________________________
(Address)
_______________________________
(Signature)
_______________________________
(Capacity)
I, __________,
declare that the (above) (attached) declaration by the person who performed the repairs or alterations abroad is true and correct to the best of my knowledge and belief; that the articles were not manufactured or produced in the United States under subheading 9813.00.05, HTSUS; that such articles were exported from the United States for repairs or alterations and without benefit of drawback (unless subject to USMCA drawback) from ________________ (port) on ________________, 19____; and that the articles entered in their repaired or altered condition are the same articles that were exported on the above date and that are identified in the (above) (attached) declaration.
_______________________________
(Date)
_______________________________
(Address)
_______________________________
(Signature)
_______________________________
(Capacity)
19 C.F.R. §10.8