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Form of Oath of person other than the Importer or Exporter.
I (insert the name) do solemnly, sincerely, and truly, swear, (or affirm,) that the articles of merchandise, specified in this entry, were purchased by me, from (insert the name of the person from whom purchased) and were sold by me to (insert the name of the person to whom sold) and that they were not, to the best of my knowledge or belief, altered, or in any respect changed, in quantity, quality, value, or package, necessary or unavoidable wastage or damage only excepted, while in my possession, or from the time of said purchase until the time of said sale. So help me God.
In pursuance of law, I hereby certify, that the sum of (here insert the amount) will be due from the United States of America, payable at this office, to (here insert the name of the importer, or his known agent or attorney) or order, on the (here insert the time when payable) for drawback of duties on merchandise imported by (here insert the name of the importer, and the denomination and name of the vessel in which they were imported) and exported by the said (here insert the name of the exporter:) Provided the duties arising on the importation of the said merchandise shall have been discharged prior to the said time."
Countersigned, C. D., naval officer.
A. B., collector.
Form of Bond not to reland in case of drawback.
- of, are held and for the payment
Know all men by these presents, that we of the firmly bound to the United States of America, in the sum of of which, well and truly to be made, we bind ourselves, our heirs, executors, and administrators, jointly and severally, by these presents. Witness our hands and seals, this day of -, one thousand
Whereas the following merchandise has been duly imported into the United States, to wit: (here particularise the person or persons by whom the several articles were imported, the denomination and name of the vessel, master's name, from whence, into what district, and when imported, together with the marks, numbers, description of, and number of, packages, with their contents) which said merchandise hath been re-shipped by the above bounden —, in order to export the same in the of master, now in the port of - -. and bound forThe condition of this obligation, therefore, is such, that if the aforesaid recited merchandise, or any part thereof, be not relanded in any port or place within the limits of the United States, and if the certificates, and other proofs required by law, of the delivery of the same, at the aforesaid port of, or at any other port or place without the limits of the United States, as aforesaid, shall be produced at this office, within from the date hereof, then this obligation shall be null and void, but otherwise to remain in full force and virtue. Sealed and delivered in the
Form of a Certificate of a consignee declaring the delivery of merchandise at a foreign
I (A. A., or we B. B., and C. C.,) of the (city or town) of —, (merchant, or merchants, and copartners in trade) do hereby certify, that the goods or merchandise hereinafter described, have been landed in this (city, town, or port,) between
days of -, from on board the
- of, whereof G. G. is at present master, viz: (here insert the particular articles delivered, in manner following, as the case may require, namely:
A. B., No. 1, a 10. ten hogsheads
Containing fourteen thousand pounds weight
Eight hogsheads, containing ten thousand pounds weight of
Ten chests, containing seven hundred weight of hyson tea. I. K., 7. 16. 19. Three bales, containing one hundred and fifty pieces of nankeen, which, according to the bills of lading for the same, were shipped on board at the port of, in the United States of America, on or about the day of and consigned to (me, or to us) by · merchant, (or by the master of the said.) Given under (my, or our) hands, at the (city) of
Form of Oath of the principal officers of a vessel, confirming the landing of merchandise at a foreign port.
We, G. E., master, and H. H., mate of the — of
lately arrived from the port of in the United States of America, do solemnly (swear, or affirm,) that the goods or merchandise enumerated and described in the preceding certificate, dated the day of and signed by A. A., of the city of -, merchant, were actually delivered at the said port, from on board the said time specified in the said certificate.
Sworn, or affirmed, at the city of
before me, this
Form of verification of delivery of merchandise by a consul.
I, M. M., (consul, or agent of) the United States of America, at the city of do declare, that the facts set forth in the preceding certificate, subscribed by A. A., of the said city, merchant, and dated the are, to (my knowledge, just and true, or are, in my opinion, just and true, and deserving full faith and credit. In testimony whereof, I have hereunto subscribed my name, and affixed the seal of my office, at, this
Form of like verification by American or foreign merchants.
We,- " residing in the city of, do declare, that the facts stated in the preceding certificate, signed by, of the said (city) merchant, on the day of, are (to our knowledge, just and true, or are, in our opinion, just and true, and worthy of full faith and credit.) We also declare that there is (no consul, or other public agent, for the United States of America, or American merchants, as the case may require) now residing at this place.
Form of Entry of goods transported coastwise for the purposes of Exportation from
Entry of merchandise intended to be shipped by (insert the name or names) on board the (insert the denomination and name of vessel) whereof (insert the name) is master, for (insert the port and district where bound) to be exported from thence, for the benefit of drawback, which were imported into this district on the (insert the
date of the vessels's entry in which they were imported) by (insert the name of the importer) in the (insert the denomination and name of the vessel, and master's name) from (insert the name of the foreign port or place.)
Form of Certificate for Transportation Coastwise.
District of- -port of
We certify that the merchandise hereinafter specified, which are now shipped -master, bound for the port of
on board the
- master, from
were duly imported into this district, on the day of, by, in the
paid, according to law.
the duties thereon paid, or secured to be
The amount of duties, paid, or secured, being
A. B., collector,
Form of Entry of Goods arriving coastwise, designed for obtaining drawback.
Entry of merchandise transported coastwise, for (insert the name or names of the consignee) in the (insert denomination and name of the vessel) whereof (insert
Amount of du-
the name) is master, from (insert the name of the port or district) for the purpose of being exported from the district of (insert the district in which they are to be unladen) for the benefit of drawback; which were imported in the district of (insert the district of original importation) on the (insert date of importation) by (insert the importer's name) in the (insert the denomination and name of the vessel, and master's name) from (insert the foreign port or place from whence imported.)
Form of Oath on Entry, in case of Goods transported coastwise, for exportation and
I (insert the name) do solemnly, sincerely, and truly, swear, (or affirm,) according to the best of my knowledge and belief, that the entry by me subscribed is just and true, that the merchandise therein mentioned have been duly imported, and the duties thereupon paid, or secured to be paid according to law.
Form of Permit for unlading Goods transported coastwise for Exportation and drawback.
Permit (insert the name of the person making entry) to land from on board the (insert denomination and name of vessel, and name of master) master, from (insert the port and district from which arrived, and the number of packages and contents, with their marks and numbers, agreeably to entry) having been brought coastwise from thence, for the purpose of being exported from this district, for the benefit of drawback.
A. B., collector.
Form of Certificate in case of Exportation from a district other than that of Importation.
We hereby certify, that the merchandise hereinafter specified, which were imported into the district of on the - of ——, by - in the - of master, from, and landed in this district, in the month of of master, having been previously entered at this office by
out of the
- have been ex
ported hence by, in the - belonging to master, bound for having (weighed, guaged, or measured, as the case may rewith- both of have entered into bond in case made and provided.
been previously inspected and quire) and that the said pursuance of the laws in that
A. B., collector.
Form of Entry of domestic spirits intended to be exported.
Entry of domestic spirits, intended to be exported by (here insert the name or names,) on board of the (insert the denomination and name of the vessel,) whereof, (insert the name of the master,) is master, for (insert the port or place to which destined,) for the benefit of drawback.
I, A. B., having been appointed (collector, or other officer, as the case may be) of the (district, or port, of) do solemnly, sincerely, and truly, (swear, or affirm) that I will, diligently and faithfully, execute the duties of the said office of and will use the best of my endeavours to prevent and detect frauds, in relation to the duties imposed by the laws of the United States; I further (swear, or affirm,) that I will support the constitution of the United States. (Sworn, or affirmed) and subscribed, this
day of, before me.
Form of Bond of officers of the customs.
Know all men by these presents, that we are held and firmly bound unto the United States of America, in the full and just sum of dollars, money of
the United States; to which payment, well and truly to be made, we bind ourselves, jointly and severally, our joint and several heirs, executors and administrators, firmly, by these presents. Sealed with our seals, and dated this — day of -, one thousand
The condition of the foregoing obligation is such, that, whereas the president of the United States hath, pursuant to law, appointed the said to the office of in the state of
Now, therefore, if the said has truly and faithfully executed and discharg ed, and shall continue truly and faithfully to execute and discharge all the duties of the said office, according to law; then the above obligation to be void and of none effect, otherwise it shall abide and remain in full force and virtue. Sealed and delivered in presence of
Form of Weigher's Return.
Return of (here insert the number of packages and contents) weighed from on board the (here insert the denomination and name of the vessel) whereof (insert the name) is master, from (insert the port or place from which arrived.)