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DEPARTMENT OF THE TREASURY U.S. CUSTOMS SERVICE NEW YORK REGION NEW YORK, NY 10048 SUPPLEMENTAL DECLARATION FOR UNACCOMPANIED PERSONAL AND HOUSEHOLD EFFECTS 1. OWNER OF HOUSEHOLD GOODS (Last Name,
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How to fill out a supplemental declaration form:

01
Start by carefully reading the instructions provided with the form. Make sure you understand the purpose of the form and the information required.
02
Provide your personal details, such as your name, address, and contact information accurately. Double-check for any typos or errors.
03
Clearly indicate the purpose of the supplemental declaration form. This could be related to a specific event, declaration, or request.
04
Attach any supporting documents or evidence required by the form. Ensure these documents are relevant and follow any specific guidelines provided.
05
Review the form and all the information you have filled in. Make sure there are no missing fields and that everything is filled out correctly. Address any discrepancies or errors before submitting the form.
06
Sign and date the form according to the instructions provided. This serves as your declaration and confirmation that the information you have provided is true and accurate.

Who needs a supplemental declaration form:

01
Individuals who have additional information or details to declare that are not covered by the initial form or application may need to fill out a supplemental declaration form.
02
It is often required in legal, immigration, or administrative processes where additional information is necessary to complete a thorough evaluation or assessment.
03
Specific industries or sectors, such as customs and international trade, may require supplemental declaration forms to declare goods, taxes, or compliance with regulations.
Note: It is important to check with the relevant authority or organization to determine if you need to fill out a supplemental declaration form in your specific situation.
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