Federal regulations · Through 2026-08-25 · Newer source version available

19 CFR 141.85: Pro forma invoice.

A pro forma invoice submitted in accordance with any provision of this chapter shall be in substantially the following form:
Pro Forma Invoice
Importers Statement Of Value Or The Price Paid In The Form Of An Invoice
Not being in possession of a commercial seller's or shipper's invoice I request that you accept the statement of value or the price paid in the form of an invoice submitted below:
Name of shipper
address ________________________
Name of seller
address ________________________;.
Name of consignee
address ________________________.
Name of purchaser
address ________________________.
The merchandise (has) (has not) been purchased or agreed to be purchased by me.
The prices, or in the case of consigned goods the values, given below are true and correct to the best of my knowledge and belief, and are based upon: (Check basis with an “X”)
(a) The price paid or agreed to be paid (__) as per order dated ____________.
(b) Advices from exporter by letter (—) by cable (__) dated ____________.
(c) Comparative values of shipments previously received (__) dated ____________.
(d) Knowledge of the market in the country of exportation (__) ____________.
(e) Knowledge of the market in the United States (if U.S. Value) (__) ____________.
(f) Advice by CBP (__) ____________.
(g) Other (__) ____________.
A—Case marks numbers B—Manufacturer's item No. symbol or brand C—Quantities and full description D—Unit purchase price (currency) E—Total purchase price (currency) F—Unit foreign value G—Total foreign value
Check which of the charges below are, and which are not included in the prices listed in columns “D” and “E”:
Amount Included Not included
Packing
Cartage
Inlandfreight
Wharfage and loading abroad
Lighterage
Ocean freight
U.S. duties
Other charges (identify by name and amount)
Total
Country of origin ________________________.
If any other invoice is received, I will immediately file it with an authorized CBP official.
(Signature of person
making invoice)
(Title and firm name)
Date

Where this section sits in the code

Title 19—Customs Duties
CHAPTER I—U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE TREASURY
PART 141—ENTRY OF MERCHANDISE
Subpart F—Invoices

A pro forma invoice submitted in accordance with any provision of this chapter shall be in substantially the following form:

Pro Forma Invoice

Importers Statement Of Value Or The Price Paid In The Form Of An Invoice

Not being in possession of a commercial seller's or shipper's invoice I request that you accept the statement of value or the price paid in the form of an invoice submitted below:

Name of shipper

address ________________________

Name of seller

address ________________________;.

Name of consignee

address ________________________.

Name of purchaser

address ________________________.

The merchandise (has) (has not) been purchased or agreed to be purchased by me.

The prices, or in the case of consigned goods the values, given below are true and correct to the best of my knowledge and belief, and are based upon: (Check basis with an “X”)

(a) The price paid or agreed to be paid (__) as per order dated ____________.

(b) Advices from exporter by letter (—) by cable (__) dated ____________.

(d) Knowledge of the market in the country of exportation (__) ____________.

(e) Knowledge of the market in the United States (if U.S. Value) (__) ____________.

(f) Advice by CBP (__) ____________.

(g) Other (__) ____________.

A—Case marks numbers B—Manufacturer's item No. symbol or brand C—Quantities and full description D—Unit purchase price (currency) E—Total purchase price (currency) F—Unit foreign value G—Total foreign value

Check which of the charges below are, and which are not included in the prices listed in columns “D” and “E”:

Amount Included Not included

Packing

Cartage

Inlandfreight

Wharfage and loading abroad

Lighterage

Ocean freight

U.S. duties

Other charges (identify by name and amount)

Total

Country of origin ________________________.

If any other invoice is received, I will immediately file it with an authorized CBP official.

(Signature of person

making invoice)

(Title and firm name)

Date

Collected 2026-08-27T02:24:40Z. Source file · JSON

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