Windows Internet Explorer© is required to properly see and complete the bond application..
Once this form is completed and checked for accuracy, please print a copy
and have signed by the
appropriate party. Then fax a copy to
(310)216-1545 and mail the original along with your check
payable to David W. Bailey CHB for $500.00 (Cost of $50,000 bond for
twelve months) to
David W. Bailey CHB at P.O. Box 91172,
Los Angeles, CA 90009. An original signature on a bond
application is required by Customs. Please sign with a blue or black ballpoint
pen, never red.
1. Importer Name
Corporations: Please put the complete legal name of the
corporation.
Partnerships: Please put the full legal names of all the
partners and the name of the partnership.
For example, John Doe and Mary Doe dba ABC Enterprises.
Sole Proprietorships: Please put the full legal name of the
owner and the (dba).
Example, John Doe dba ABC Enterprises
Individual: Please put your full legal name.
2. Importer I.D.
I f you are a
corporation, please indicate your Federal I.D. number. This is also known as
your Tax I.D. or FEIN number
(Federal Employer Identification Number). If you are other
than a corporation, please indicate your Social Security
number. Partnership, please put a check mark by the partner's
name who's social security number is being used.
3. Street
Please use your physical address and not a P.O. Box.
4. City
Put the name of your city here.
5. State
Your two digit State Code will go here
6. Zip Code
Put your Zip Code with it's extension (if known) here.
7. Merchandise
Give a brief description of the goods you are or plan on
importing.
8. Country of Origin
Put the name of country where the goods are
manufactured, grown or produced.
9. Total Imported
Put the totals for value of goods imported in the last
twelve months, the duty paid in the last twelve months and the number
of times you imported in the last twelve months.
Then, give the estimates of these same three items for the next
twelve
months.
10. Bond Amount Requested
For a Continuous Bond the U.S. Customs Service requires that the
bond cover 10 percent of the importer's annual
duty obligation. The minimum bond accepted is $50,000. One example
would be, the importer pays annually $20,000
in duty. Ten percent of $20,000 is $2,000. The importer
would be required by Customs to obtain a bond for the
minimum $50,000. Another example would be, the importer pays duty
annually of $2,500,000. The importer would
then be required to have a bond in the amount of $250,000. Anything
over the $50,000 minimum requires prior
approval from Customs.
12. Type of Business
Your choices are sole proprietorship,
partnership, corporation or individual. Please choose only one. A click
of the mouse or a tap on the space bar will
put a check mark in the box.
13. By
Type in the signer's name. Include the
middle initial, if it is a part of the legal name.
14. Title
Corporation: Only the following persons are
allowed to sign a power of attorney on behalf of the corporation:
Any executive officer, i.e. Chairman of the Board, CEO, CFO, COO, President,
Vice President,
Treasurer or Secretary of the Corporation.
Partnership: Only one partner's signature is
required and the word "Partner" should be put as capacity.
Sole Proprietorship: The owner will sign the form
and show his or her capacity as "Owner".
Individual: The named party will sign this form
and show his or her capacity as "Individual"
15. Date
Please type the date the form is signed
16. Signature
Please sign the form legibly. Black ink is
preferable, especially since it faxes well. No facsimiled or stamped signatures
please.