to the United $tates

U.S. Customs and Border Proteciion Weleomes You

U.;.;;;i"**

and Borrier Protection is responsilrle g

qt*::tls^f3

items' CBP
UnituJ Stut"* againsl the illegal imporlaticn of prohibited
you and your
officer$ have the authority to question you and to examine
p*r*onnf praperty' lf you are one of the travelere selected for an
professional' and
Lxaminalion, y*u will fre treated in a co*rteous'

oignifi*d tnr"nn*t. CBP $upervisors and Passenger

$ervice
cards
questions'
Comment
your
answer
to
nipr*r*nt*tiu*s are available
are available to compliment or provide feedback'

lmportant lnformation

Ctstorns Beclaration
{s,cra

122.e?,'148.12,'148^13,

148.110, 14&^1I1,1498; 31 GFR 53',16

FORM APPROVED
oMB HO.1651-S009

provide the
Each arriving traveler or responsible family mer'nber must
r*quiredi.
is
farnily
eleclaralign.per
written
ON1E
(only
infdr,mation
f"ff"*i*g
fne ten:n,,family,is deiined as",member* of a family+esiding-in the same
h*useholdwho.are.relatedbyblood,marriage,.domestic]reletionship,or
adoption."

Nft HAI{
ni*t (Given) KAUatCU guVt Middle
oav 2 4
ff,,einrruutu 'tulonth O f
Name *Sn frf t

I
!

Famirv

ll

rat U.S. Street Address (hotel nameldestrnation)

I lsto:t

Year'

(crstale

NU

[l,Rasspo* issuedbv {country) T NDt A

lil passport numher M 3 t+ 2--+T 4 I
Residence

Country of

EI

countries visited on tnls

Iil;;;'"us
Ei
fri

**tinelrtight No- or vessel Name AT t q I

,ou primarv purpose of this trip is businesi:

Yes *o /

[t I u* (We are) bringing

! 1r1 ur,o, vegetautes, plants, seeds, foocl, insects: Yes ir'lo "/
I iti meats. animats, arrimallwildlifa products: ,. ' Yes Xo t/
'vis No
I ;; ;;-rt; asents, cett cuttures, snaila:
"/
orhave beenon afarmlranchipasture: . Ye* ** {
to),o"
I
Ei t,,,"r.(Wehavelbeeninclose proximityof livestock:Yes No v/
! ,"urn as toucning or naftorrrrg,
t am (We are) carrying

or*, $,O,OOOu.r.

,*""

currency or monetar!' instrumants

or foreign

Failure ta
birds, snJils, and oiher live animals or animal'products'
Officer/
Froteeti$n
Border
and
Ctlstoms
a
to
deslate such iterfis
' Customs and'Border Protection Agiiculture $peoialisu'Fish and
may be
Wildlife lnspector can result in penalties and the items
subject to seizure.

equivalent:

Ye$ No t/

,eustoms and Border

customi'Form *z'go1 wiitr u.s.

Protection.

checks and
lr4onetary instrum*nt$ include coin, currency' travelers

and stocks and

hearer instruments such as personal or cashiers checks
.bonds. lf you have someone else carry the curencY. or TT*i'3
105' Fa;lure to
instrument fsr ysu' you muet also file a report sn FinCEN
tht yoil are
total
amounl
the
to
report
failure
or
report
n*quit*i
iii*'ir'*:
monetary
or
the'surrency
all
of
seizure'
--iwi-U may teaO to'the
instrumenis, and may sLrbiect you to civil penalties

;;;;r1il.

'nglg.tlryH
stcN or{ rHE oPPcslrE slnE oF'ruls roRli lFIgl

AND
YOU HNVT READ THE IMPORTANT INFORMATTON ABOVE
MADE A TRUTHTUL DHCLARATIOFI.

Doscription of A*icle$
(List may continue on another CBP Form

60598)

Value

CBP
Use Only

oettn,.ron oI monetary rrriuurirtr*tD u't ts!IoE,

tEI tmu*

{We hav.e) commercial

,"n,"r"a lor sa,e, samples useu

!
!

'
Ority
--

regardles$ af
The transpnrtation cf currency or mone{ary instruments'
out af the United
the amolint, is legal. Howevei,'if you bring in to or'take
combination
stnd *or* tha; S10,000 1u.s' br forei$n equivalent' or a105
{for'merly
ot no*1, V* are required by law to file'a report on FinCEN

arrrvat

lEl

will

remain in the United States.

the value in U'$'
Declare,,all.,articlas on this deeiaration fdrm and show
dollars. For gifis, pleas* indicateihe''ie ail value'
BF officers will delermine duty' u'Sr resident$ are' normallv
'entittea to a duty,free exenrption.of $890 on items accompanying
to an exemption
them^ Visitors (non-re$idents) are normally er:titled
*itf"'e current rate on tlre first $1 '000
of 9100. Duty will u*
"*"-**O
ahove the exemPtion.
entry of dangerous
ASricultural and llYildlife Product$*To prevent the
are restrioted:
following
the
prohibited
wildlife,
pests'and
agricultural
products'
meal
meat'
soil'
products,
plant
plants,
Fiuits, v*geiables,

are
Controlled substances, obscene articles' and toxic substances
generally Prohibited entry'

T NllB

visitora (ruJn"iesigents)_Declare thB value af all articles that

BnrxtBRrD'iE w^Y

fior"* FReenot-P

all srticles that you have acqr:ired abroad and

are bringing into the United State$'

i:.{. n-"ia"rts*declare

merchandise: Yes No ./

rur burtLrurrv

uru6'r'

o, Sooa, that are not considered persorral effects)

lE
I

inelueling 'commercial
abroad, (including
acquired
or
have,purehased
merchandi$e llwe

nfslBgUfs-the, total value of all goods,

I*;;:;;x:H,:["':xll-',;lril:il11*
of all ari.icles that
vrSffons*the total
I
tr
E

valr.re

will remain in the U.S., including commercial

$ toe
Total

merchandise is:

provided to list
Read the instructis.ns an the back of this form' Space is
all the items You must declare.
SIDE OF THIS FOftM
I HAVE REAO THE IMPORTANT INFORMATION ON THE REVERSE
AND HAVE MADE A TRUTHFUL DECLARATION'

x S. k"Ia.iJ"IJ
Signature

otlrol[.6

Satq (monthJdaylye*t)

may nol conduct or

PAFERWORK REDUCTISIiI ACT STATEMENT: An agency
required to res{'ond to this
;;;*;";"; informa*on collection and a p'r$on is notcontrol
number' Ths cofitrol
iriiormation unless it displays a current valid OMB
estimated average time t0 complete
The
1651-0009.
is
nu*l*r'to, this collection
',il*ri"t.
is mandatory' l{ vou have anv
vo*
l""a
'"*pon*"
write to U S'.Cu:9fi,"*9
you
can
e$timate
burden
the
regarding
.***lritlt
g0 K $treet' NE' 1oth Floor'
Border Frotedion Oifice of Resuiations anrl Rulings'
DC
20229.
Washington.

ffi ;oi;J;

CBP For.m 605S8 (04114)

'6BP Ferrn 605$8 {$4114)