Import Customs Declaration Form
Furniture Shipment
1. Importer Information
Company Name
Contact Person
Phone Number
Address
2. Exporter Information
Company Name
Contact Person
Phone Number
Address
3. Shipment Details
Invoice Number
Date of Shipment
Country of Origin
Country of Destination
Port of Entry
Mode of Transport
4. Furniture Description
Description of Goods
Material
HS Code
Quantity
Unit
Unit Value
Total Value
5. Declaration
Name
Title/Position
Date
Signature