+-----------------------------------------------------------------------+
| #### Appendix J                                                       |
+-----------------------------------------------------------------------+

##### Forms

+-----------------------------------------------------------------------+
| *This appendix provides samples of forms for use with the*            |
|                                                                       |
| *Automated Commercial System (ACS).*                                  |
+-----------------------------------------------------------------------+

Copies of the Harmonized Tariff Schedule (HTS) Tape Order Form and
Disclaimer Statement, Automated Clearinghouse (ACH) Application Form are
included in this appendix.

These forms may be photocopied. The submitted copy must contain original
signatures.

**Harmonized Tariff Schedule (HTS) Tape Order Form and Disclaimer
Statement**

+-----------------------------------------------------------------------+
| U.S. CUSTOMS AND BORDER PROTECTION                                    |
|                                                                       |
| APPLICATIONS DEVELOPMENT DIVISION                                     |
|                                                                       |
| TARIFF COMPLIANCE                                                     |
|                                                                       |
| 7681 Boston Blvd.                                                     |
|                                                                       |
| ATTN: Jennifer Keeling/Beauregard                                     |
|                                                                       |
| Springfield, VA 20598                                                 |
|                                                                       |
| Filer Number:                                                         |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Contact: |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_                |
|                                                                       |
| Company Name:                                                         |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Phone:       |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_              |
|                                                                       |
| Address:                                                              |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_  |
|                                                                       |
| The Harmonized Tariff Schedule is only available in six tape options. |
| Select only one of the options by placing an "X" in the space         |
| provided below:                                                       |
|                                                                       |
| 1\. \_\_\_\_\_ASCII CD with fixed length, each line is delimited with |
| a Carriage Return Line Feed (CRFL)                                    |
|                                                                       |
| 2\. \_\_\_\_\_CARTRIDGE EBCDIC IBM 3490 FORMAT                        |
|                                                                       |
| 3\. \_\_\_\_\_CARTRIDGE ASCII IBM 3490 FORMAT                         |
|                                                                       |
| 4\. \_\_\_\_\_Other medium may be available. Email <HTS.FILE@dhs.gov> |
| for further information.                                              |
|                                                                       |
| Please check the appropriate block:                                   |
|                                                                       |
| 1.\_\_\_\_\_We are not actively participating in the Automated 2.     |
| \_\_\_\_\_We are actively participating in the ABI                    |
|                                                                       |
| Broker Interface (ABI) program. [Enclosed]{.underline} Program. Our   |
| client representative/contact                                         |
|                                                                       |
| [is our check in the amount of \$500]{.underline}. person at CBP is:  |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_.                                   |
|                                                                       |
| DISCLAIMER STATEMENT                                                  |
|                                                                       |
| It is understood that the Harmonized Tariff Schedule (HTS) tape is    |
| provided as an advisory tool for use by the trade. While CBP extends  |
| significant quality control efforts in producing this tape, the       |
| Service does no guarantee its accuracy or its completeness.           |
|                                                                       |
| The undersigned user or agent will not hold the U.S. Customs and      |
| Border Protection responsible for the accuracy nor completeness of    |
| the HTS information provided on the automated tape that is purchased  |
| through this request. Likewise, the undersigned will not hold the     |
| U.S. Customs and Border Protection responsible for the application of |
| HTS data to specific CBP entry transactions that will be generated    |
| using the HTS data contained on the tape.                             |
|                                                                       |
| In submitting this order, the purchaser/recipient acknowledges that   |
| use of the HTS data contained on the automated tape is solely at his  |
| own risk and agrees to hold the U.S. Customs and Border Protection    |
| harmless for refunds or damage incurred from its use.                 |
|                                                                       |
| \_\_\_\_\_\                                                           |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
| \_\_\_\_\_\                                                           |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| (Signature) (Title) print                                             |
|                                                                       |
| \_\_\_\_\_\                                                           |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
| \_\_\_\_\_\                                                           |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| (Company Name) print (Date Signed)                                    |
+-----------------------------------------------------------------------+

**ACH Application**

+-----------------------------------------------------------------------+
| ACH APPLICATION                                                       |
|                                                                       |
| U.S. Customs and Border Protection Automated Clearinghouse Daily      |
| Statement Payment Program                                             |
|                                                                       |
| (This form will be used to communicate account information to Mellon  |
| Bank)                                                                 |
|                                                                       |
| Date: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_                        |
|                                                                       |
| Action to be taken: Add Change Delete                                 |
|                                                                       |
| Current ACH Payer Unit Number:                                        |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Requested Effective Date:  |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_                                |
|                                                                       |
| (Allow at least two business days.)                                   |
|                                                                       |
| Payer Company Name:                                                   |
| \_                                                                    |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\ |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| Payer Company Address:                                                |
| \_                                                                    |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\ |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| \_                                                                    |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\ |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| Payer Contact Name:                                                   |
| \_                                                                    |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\ |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| Payer Telephone: ( ) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ FAX: (  |
| ) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_                              |
|                                                                       |
| Importer Number:                                                      |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ OR 3     |
| digit filer code: \_\_ \_\_ \_\_                                      |
|                                                                       |
| (include suffix)                                                      |
|                                                                       |
| Bank Name:                                                            |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_    |
| Address: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_                     |
|                                                                       |
| Telephone: ( )                                                        |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_          |
|                                                                       |
| Bank must be a National Automated Clearinghouse Association (NACHA)   |
| participant.                                                          |
|                                                                       |
| ACH Bank Transit ACH Bank                                             |
|                                                                       |
| Routing Number: \_ \_ \_ \_ \_ \_ \_ \_ \_ Account Number: \_ \_ \_   |
| \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_ \_                                   |
|                                                                       |
| To ensure the accuracy of the account information, it is requested    |
| that written verification (obtained from your bank) be completed and  |
| accompany this application. The ACH payer will be responsible for     |
| defaults that result from incomplete or erroneous account information |
| when written verification is not submitted and certified by bank      |
| personnel. Please verify that the bank transit routing and account    |
| numbers on the ACH application and bank specifications sheet match    |
| before forwarding to the Accounting Services Division.                |
|                                                                       |
| Name of CBP Broker/Filer: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ 3  |
| digit filer code: \_\_ \_\_ \_\_                                      |
|                                                                       |
| Contact Name:                                                         |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_          |
| Telephone: ( ) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_                       |
|                                                                       |
| CBP ABI Client Representative of CBP Broker/Filer                     |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_                              |
|                                                                       |
| \_\_\_\_\_\_\_\_\_\_\_\                                               |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
| \_\_\_\_\_\                                                           |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| Name of Authorizing Company Official Signature of Authorizing Company |
| Official                                                              |
|                                                                       |
| (Please type or print)                                                |
|                                                                       |
| This application should be faxed, mailed or e-mailed to the ACH       |
| Coordinator at:                                                       |
|                                                                       |
| U.S. Customs and Border Protection Telephone: (317) 298-1200 Ext.     |
| 1098                                                                  |
|                                                                       |
| ACH Applications FAX : (317) 298-1259                                 |
|                                                                       |
| P.O. Box 68901                                                        |
|                                                                       |
| Indianapolis, IN 46268 Email: ACH-Customs@dhs.gov                     |
|                                                                       |
| This section to be completed by the U.S. Customs and Border           |
| Protection                                                            |
|                                                                       |
| ACH Payer Unit Number \_ \_ \_ \_ \_ \_ (assigned by CBP) Effective   |
| Date \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_             |
|                                                                       |
| > (Effective date is the first date ACH payment authorizations may be |
| > sent by CBP Broker/Filer)                                           |
+-----------------------------------------------------------------------+

Automated Clearinghouse (ACH) Application Form

A separate ACH Application Form must be completed for each bank account
if multiple accounts are used in the Automated Clearinghouse (ACH). To
receive notification of the assigned Payer's Unit Number quickly, print
the FAX telephone number in the upper right-hand corner of the form. If
a broker is providing the form on behalf of the client, the client's FAX
number should be provided.

Definitions for the data elements reported on the ACH Application Form
are defined below:

+------------------+---------------------------------------------------+
| **Data Element** | **Description**                                   |
+------------------+---------------------------------------------------+
| Add              | Check this box if the action is to add new        |
|                  | banking account data.                             |
+------------------+---------------------------------------------------+
| **Change**       | Check this box if the action is to change banking |
|                  | account data already on file or to change company |
|                  | address or contact information.                   |
+------------------+---------------------------------------------------+
| **Delete**       | Check this box if the action is to delete the ACH |
|                  | payer's unit number. Deleting the record will     |
|                  | prevent its future use in the ACH payment         |
|                  | authorization transaction.                        |
+------------------+---------------------------------------------------+
| **Current ACH    | The current ACH payer unit number for which the   |
| Payer Unit       | change or delete is requested.                    |
| Number**         |                                                   |
+------------------+---------------------------------------------------+
| Requested        | The date the change is to take place. Effective   |
| Effective Date   | dates for changes should be at least two business |
|                  | days in the future.                               |
+------------------+---------------------------------------------------+
| **Payer Company  | The name of the company which relates to the bank |
| Name**           | account information being provided.               |
+------------------+---------------------------------------------------+
| **Payer Company  | The city, state and ZIP code of the company which |
| Address**        | relates to the bank account information being     |
|                  | provided.                                         |
+------------------+---------------------------------------------------+
| **Payer Contact  | The name of the contact person for the related    |
| Name**           | payer company name.                               |
+------------------+---------------------------------------------------+
| **Payer          | The telephone and FAX number of the company       |
| Telephone/ FAX** | responsible for the ACH payment.                  |
+------------------+---------------------------------------------------+
| Importer Number  | The 12-position (IRS), or 11-position (SSN)       |
| or               | number or the 3-position filer code identifying   |
|                  | the payer to which the ACH payer unit number will |
| 3-Digit Filer    | be assigned.                                      |
| Code             |                                                   |
+------------------+---------------------------------------------------+
| **Bank Name**    | The name of the bank related to bank account      |
|                  | information.                                      |
+------------------+---------------------------------------------------+
| **Address**      | The address of the bank related to the bank       |
|                  | account information.                              |
+------------------+---------------------------------------------------+
| **Telephone**    | The telephone number of the bank related to the   |
|                  | bank account information.                         |
+------------------+---------------------------------------------------+
| **ACH Bank       | A 9-position number identifying the location of   |
| Transit Routing  | the bank where the bank account is located. This  |
| Number**         | number is obtained from the bank. It is the       |
|                  | responsibility of the payer to ensure that the    |
|                  | information provided is correct.                  |
+------------------+---------------------------------------------------+
| **ACH Bank       | The bank account number which is to be used in    |
| Account Number** | the ACH payment process. This number is obtained  |
|                  | from the bank. It is the responsibility of the    |
|                  | payer to ensure that the information provided is  |
|                  | correct.                                          |
+------------------+---------------------------------------------------+

  ------------------ ----------------------------------------------------
  **Data Element**   **Description**

  **Name of CBP      The name of the CBP Broker/Filer the payer will use
  Broker/Filer**     in the ACH payment authorization transmission. If
                     payer uses more than one CBP Broker/Filer, provided
                     the name of only one.

  **3-Digit Filer    The filer code of the related CBP Broker/Filer the
  Code**             payer will sue in the ACH payment authorization
                     transmission.

  **Contact Name**   The name of a contact person of the related CBP
                     Broker/Filer name.

  **Telephone**      The telephone number of the related CBP Broker/Filer
                     contact name.

  **CBP** **ABI      The name of the ABI Client Representative of the
  Client             related CBP Broker/Filer the payer will use in the
  Representative of  ACH payment authorization transmission.
  CBP**              
  **Broker/Filer**   

  **Name of          The name of the company official who is authorized
  Authorizing        to release the information provided on the form.
  Company Official** 

  **Signature of     A legible signature of the company official who is
  Authorizing        authorized to release the information on the form.
  Company Official** 

  **ACH Payer Unit   The six-digit ACH payer unit number assigned by CBP
  Number**           in "ADD" actions. This number will be used in the
                     ACH payment authorization transmission to CBP.

  **Effective Date** Provided by CBP. The date the first ACH payment
                     authorization may be transmitted to CBP by the
                     payer's filer.
  ------------------ ----------------------------------------------------

**Importation of Motor Vehicle Equipment Subject to Federal Motor
Vehicle Safety, Bumper and Theft Prevention Standards**

The sample of this form has been removed. Contact your client
representative for a copy.

**Department of Transportation**

## Data elements that may be required if certain boxes are checked on the Declaration for Importation of Motor Vehicle Equipment Subject to Federal Motor Vehicle Safety, Bumper and Theft Prevention Standards (HS7) are listed below:

+---+-------+---------------------------------------------------+----+
| * | **R   | **Data Element**                                  | ## |
| * | ecord |                                                   | ## |
| B | Id    |                                                   | ## |
| o | entif |                                                   | #  |
| x | ier** |                                                   | No |
| * |       |                                                   | te |
| * |       |                                                   |    |
+---+-------+---------------------------------------------------+----+
| 1 | DT01  | ###### Box Number and Box Certification           |    |
+---+-------+---------------------------------------------------+----+
|   | DT02  | ###### Optional                                   |    |
+---+-------+---------------------------------------------------+----+
| 2 | DT01  | Box Number, Box Certification, Clarification Code |    |
| A |       |                                                   |    |
+---+-------+---------------------------------------------------+----+
|   | DT02  | Optional                                          | 1  |
+---+-------+---------------------------------------------------+----+
|   | DT03  | Optional                                          | 1  |
+---+-------+---------------------------------------------------+----+
| 2 | DT01  | Box Number, Box Certification, Official Orders    |    |
| B |       | Certification, Substantiating Statement           |    |
|   |       | Certification                                     |    |
+---+-------+---------------------------------------------------+----+
|   | DT02  | Required                                          |    |
+---+-------+---------------------------------------------------+----+
| 3 | DT01  | Box Number, Box Certification, DOT Bond Code and  |    |
|   |       | copy of contract                                  |    |
+---+-------+---------------------------------------------------+----+
|   | DT02  | Make, Model, Year, Vehicle Identification Number, |    |
|   |       | NHTSA Registered Importer Number, and Vehicle     |    |
|   |       | Eligibility Number                                |    |
+---+-------+---------------------------------------------------+----+
| 4 | DT01  | Box Number and Box Certification                  |    |
+---+-------+---------------------------------------------------+----+
|   | DT02  | Optional                                          |    |
+---+-------+---------------------------------------------------+----+
| 5 | DT01  | Box Number, Box Certification, Passport Number,   |    |
|   |       | and International Organization for                |    |
|   |       | Standardization (ISO) Country Code                |    |
+---+-------+---------------------------------------------------+----+
|   | DT02  | Make, Model, Year and Vehicle Identification      |    |
|   |       | Number                                            |    |
+---+-------+---------------------------------------------------+----+
| 6 | DT01  | Box Number, Box Certification, Official Orders    |    |
|   |       | Certification, and ISO Country Code               |    |
+---+-------+---------------------------------------------------+----+
|   | DT02  | Make, Model, Year and Vehicle Identification      |    |
|   |       | Number                                            |    |
+---+-------+---------------------------------------------------+----+
| 7 | DT01  | Box Number, Box Certification, Prior Approval     |    |
|   |       | Letter, and Importer's Substantiating Statement   |    |
|   |       | Certification                                     |    |
+---+-------+---------------------------------------------------+----+
|   | DT02  | Optional                                          |    |
+---+-------+---------------------------------------------------+----+
| 8 | DT01  | Box Number, Box Certification, Importer's         |    |
|   |       | Substantiating Statement Certification            |    |
+---+-------+---------------------------------------------------+----+
|   | DT02  | Optional                                          |    |
+---+-------+---------------------------------------------------+----+
| 9 | DT01  | Box Number, Box Certification, Importer's         |    |
|   |       | Substantiating Statement Certification            |    |
+---+-------+---------------------------------------------------+----+
|   | DT02  | Optional                                          |    |
+---+-------+---------------------------------------------------+----+
| 1 |       | Phased out October 1992                           |    |
| 0 |       |                                                   |    |
+---+-------+---------------------------------------------------+----+
| 1 | DT01  | Box Number and Box Certification                  | 2  |
| 1 |       |                                                   |    |
+---+-------+---------------------------------------------------+----+
| 1 | DT01  | Box Number, Box Certification, Official Orders    |    |
| 2 |       | Certification and ISO Country Code                |    |
+---+-------+---------------------------------------------------+----+
|   | DT02  | Make, Model, Year and Vehicle Identification      |    |
|   |       | Number                                            |    |
+---+-------+---------------------------------------------------+----+

**Notes:**

1.  If the DT02 and DT03 records are transmitted, the transaction is
    rejected.

2.  If the DT02 record is transmitted, the transaction is rejected.

**Import Inspection Application and Report (Meat, Poultry and Meat or
Poultry Products), FSIS 9540-1 Form**

The sample of this form has been removed. Contact your client
representative for a copy.