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Application For Foreign-Trade Zone Activity Permit: U.S.Customs and Border Protection

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OMB Control Number: 1651-0029; Expiration Date: 02/28/2022

DEPARTMENT OF HOMELAND SECURITY 1. ZONE NO. AND LOCATION (Address)


U.S.Customs and Border Protection
APPLICATION FOR
FOREIGN-TRADE ZONE
ACTIVITY PERMIT 2. ZONE ADMISSION NO. 3. APPLICATION DATE
19 CFR 146.52, 146.66
4. TYPE OF ACTIVITY FOR WHICH PERMIT REQUESTED
Manipulate Manufacture Exhibit Destroy Temporary Removal
5. FULL DESCRIPTION OF THE ACTIVITY (Include designation of the exact place in zone where the operation is to be performed and, in the case of a
proposed manipulation or manufacture, a statement as to whether merchandise with one zone status is to be packed, commingled, or combined with
merchandise having different zone status. If additional space required, attach separate sheet. If first application for manufacturing of this kind, state whether
Foreign-Trade Zones board has occurred in proposed operation.)

6. 7. 8. 9. 10. 11.
ZONE LOT NO.
OR UNIQUE MARKS AND DESCRIPTION OF MERCHANDISE QUANTITY WEIGHTS, ZONE
IDENTIFIER NUMBERS MEASURES STATUS

If any merchandise is to be manipulated in any way or manufactured, I agree to maintain the records provided for in sections 146.21(a), 146.23, and 146.52(d)
of the Customs Regulations and to make them available to CBP officers for inspection.
12. APPLICANT FIRM NAME 13. BY (Signature) 14. TITLE

APPROVED BY FOREIGN- 15. BY (Signature) 16. TITLE


TRADE ZONE OPERATOR
PERMIT
The application made above is hereby approved and permission is granted to manipulate, manufacture, exhibit, destroy, or temporarily removed, as
requested, on condition that the applicable regulations are complied with and the records required to be maintained will be available for inspection.

17. PORT DIRECTOR OF CBP: By (Signature) 18. TITLE 19. DATE

FTZ OPERATOR'S
20. TO THE PORT DIRECTOR OF CBP:
I certify that the goods described herein have been disposed of as directed except as noted below.

21. FOR THE FTZ OPERATOR: (Signature) 22. TITLE 23. DATE

CBP Form 216 (2/19) Page 1 of 2


Paperwork Reduction Act Statement: An agency may not conduct or sponsor an information collection and a person is not required to respond to this
information unless it displays a current valid OMB control number and an expiration date. The control number for this collection is 1651-0029. The estimated
average time to complete this application is 10 minutes. If you have any comments regarding the burden estimate you can write to U.S. Customs and Border
Protection, Office of Regulations and Rulings, 90 K Street NE, Washington, DC 20229.

CBP Form 216 (2/19) Page 2 of 2

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