Starting Up

Customs Declaration

Full name _____________________________________________

Citizenship______________________________________________

Arriving from___________________________________________

Country of destination_____________________________________

Purpose of visit___________________________________________

(business, tourism, private, etc.)

With me and in my bag I have:

I. Weapons of all description and ammunition:

II. Narcotics and appliances for the use

III. Antiques and objects of art (paintings, drawings, icons, sculptures, etc.)________________________________________________

IV. Russian rubles, state loan bonds, lottery, tickets_______________________________________________________

V. Currency other than Russian rubles (bank notes, exchequer bills, coins), payment voucher (checks, bills, letters of credit, etc.), securities (shares, bonds, etc.) in foreign currencies, precious metals (gold, silver, platinum, metals of platinum group) in any form or condition, crude and processed natural precious stones (diamonds, brilliants, rubies, emeralds, sapphires and pearls).

Jewellery and other articles made of precious metals and precious stones, and scrap thereof, as well as property papers:

VI. Russian rubles, other currency, payment vouchers, valuables and any objects belonging to other persons________________________________________________

I am aware that, in addition to the objects listed in the Customs Declaration, I must submit for inspection: printed matter, manuscripts, films, video and sound recordings, postage stamps, pictorial matter, etc., as well as items not for personal use.

I also declare that my luggage sent separately consists of _______________ pieces.

(Date)______________ 20__ Owner of luggage________________ (signed)

DEPARTMENT OF THE TREASURY

UNITED STATES CUSTOMS SERVICE

CUSTOMS DECLARATION

PRESENT TO IMMIGRATION AND CUSTOMS INSPECTORS

EACH ARRIVING TRAVELER OR HEAD OF A FAMILY MUST WRITE IN THE FOLLOWING INFORMATION. PLEASE PRINT.

1. FAMILY NAME GIVEN NAME MIDDLE INITIAL

2. DATE OF BIRTH (Mo./Day/Yr.)

3. VESSEL, OR AIRLINE & FLT. NO.

4. CITIZEN OF (Country)

5. RESIDENT OF (Country)

6. PERMANENT ADDRESS

7. ADDRESS WHILE IN THE UNITED STATES

8. NAME AND RELATIONSHIP OF ACCOMPANYING FAMILY MEMBERS

9. Are you or anyone in your party carrying any fruits, plants, meats,

other plant or animal products, birds, snails, or other live organisms of any kind?

YES/NO

10. Have you or anyone in your party been on a farm or ranch outside

the U.S.A. in the last 30 days? YES/NO

11. Are you or any family member carrying over $5000.00 (or the equivalent value in any currency) in monetary instrument such as coins, currency, traveler’s checks, money orders, or negotiable instruments in bearer form?

YES/NO

Note: It is not illegal to transport over $5000 in monetary instruments; however, it must be reported.

12. I certify that I have declared all items acquired abroad as required herein and that all oral and

written statements which I have made are true, correct and complete.

SIGNATURE:

NON-

CITIZENS

ONLY

13. U.S. VISA ISSUED AT (Place)

14. VISA DATE (Mo./Day/Yr.)

The laws of the United States require that you declare ALL articles acquired abroad (whether worn or used, whether dutiable or not, or whether obtained by purchase, as a gift, or otherwise) which are in your or your family’s possession at the time of arrival. Repairs made abroad also must be declared.