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Form preview Usps cn22 forms Com/privacypolicy. Do not duplicate without USPS approval. Reverse Sender s Instructions USPS Customs Declaration CN 22 From IMPORTANT The item/parcel may be opened officially. Customs Declaration CN 22 Sender s Declaration Instructions for Completing Customs Declaration Please retain this copy and the detached customer copy from page 2 for your records. You will need the information c ontained on these pages if you contact us about the a rticle s you mailed* A PS Form 2976 Customs Declaration CN22 Sender s Declaration must be used on all First-Class Mail International packagesize items small packets Priority Mail International Small Flat Rate Boxes M-bags and certain Express Mail International items. Refer to the International Mail Manual IMM at pe. usps. com for additional information* Also use this form on a First-Class Mail International mailpiece or Priority Mail International Flat Rate Envelopes if ANY of the following applies JJ The mailpiece weighs 16 ounces or more the maximum weight limit is 4 pounds The mailpiece contains dutiable goods. NOTE Priority Mail International Flat Rate Envelopes and First-Class Mail International large envelopes flats containing only documents weighing under 16 ounces and meeting the flat-size characteristics do not require a PS Form 2976. Do not use this form for mailpieces that 1 Contain items valued over 400 2 Require an export license 3 Contain goods non-documents destined to Iran Sudan or Syria or 4 Contain goods destined to Cuba or North Korea other than gift parcels or humanitarian donations as defined by 15 CFR 740. 12. For APO FPO and DPO destinations use PS Form 2976 when sending certain items all domestic mail classes. Refer to the current Overseas Military/Diplomatic Mail section of the latest Postal Bulletin at usps. com for additional information* Regardless of value and weight mail sent to from and between U*S* possessions and territories Freely Associated States and APO/FPO/DPO addresses may require a customs form* Refer to Domestic Mail Manual Section 608. 2. 4 for additional information* Goods may be subject to restrictions. It is the responsibility of the mailer to inquire about and abide by any import and export regulations and restrictions e*g* quarantine pharmaceutical etc* and to properly complete this form* FROM Sender information and TO Addressee information sections Enter both the sender s and addressee s full name and full address in the blocks provided* Please provide the telephone/fax number or email address of both the sender and addressee as such information will facilitate customs clearance and delivery. PS Form 2976 September 2012 Additional instructions and Privacy Statement continued on reverse of this page. Sender s Instructions Check the box specifying the category of the item* If the international shipment contains dangerous goods that are approved for mailing check the box for Dangerous Goods. Mailability information for international shipments is available in Publication 52 Hazardous Restricted and Perishable Mail chapter 6 and in IMM Part 135.
Form preview Nevada declaration paternity f... State of Nevada Declaration of Paternity THIS IS A LEGAL DOCUMENT. TYPE OR PRINT IN BLACK INK. Parents are to be given a copy of this completed document prior to sending to the Office of Vital Records see bottom of page. You may need to hire a private attorney to assist you. 9. Unless you can show special circumstances of fraud duress or material mistake of fact under Nevada law you may not be able to petition the court to declare that you are not the legal father of the child. You may need to hire a private attorney to assist you. 10. This declaration of paternity can be revoked or rescinded within 60 days after the filing with the state registrar or within 60 days after you turn 18 years old whichever is later. You may need to hire a private attorney to assist you. 10. This declaration of paternity can be revoked or rescinded within 60 days after the filing with the state registrar or within 60 days after you turn 18 years old whichever is later. However your name will remain on the birth certificate until a court declares that you are not the legal father of this child. Mailing Instructions Please mail the completed form to the office of Vital Records 4150 Technology Way Suite 104 Carson City Nevada 89706. I consent to adding the name of the man signing this form to the birth certificate of the child s birth certificate SIGNATURE OF FATHER DATE SIGNED WITNESS OF MOTHER S SIGNATURE Once this document is signed by all parties please provide copies to the mother father and hospital. The original document must be sent to the Nevada Office of Vital Records 4150 Technology Way Suite 104 Carson City NV 89706 for filing. Rights and Responsibilities of Acknowledging Paternity By Signing This Declaration of Paternity 1. You are acknowledging that you are the legal father of this child which after 60 days creates a legal determination that you are the father. PLEASE READ PAGE 2 BEFORE COMPLETING* SECTION A ALL PARTS OF SECTIONS A B MUST BE COMPLETED AND SECTION D WITNESSED NAME OF CHILD FIRST MIDDLE LAST SEX OF THE CHILD DATE OF BIRTH Month Day Year Child HOSPITAL NAME CITY Place of Birth COUNTY NAME OF FATHER FIRST Father s Information STATE SOCIAL SECURITY NUMBER STATE OR FOREIGN COUNTRY OF BIRTH CURRENT ADDRESS Number Street City State Zip Mother s SECTION B As part of the filing procedure the child s name may be changed at this time from the name appearing on the original birth certificate. A name change requested after this declaration is filed may require a court order. No white-out erasures or cross-outs will be allowed in this section* First Middle Last READ OTHER SIDE BEFORE SIGNING I declare under the penalty of perjury that o The information I have provided is true and correct. I am the legal father of the child named on this declaration* I have read and understand the rights and responsibilities described on the back of this form* I have been orally/audio informed of my rights and responsibilities. I understand that by signing this form I voluntarily consent to the establishment of paternity and accept all of the rights and responsibilities as the legal father of this child.
Form preview B374 form Name Signature When submitting this form by fax mail or by hand you must sign this declaration Date / No written signature is required when this declaration is sent by email As an individual you must include your full name separately in the email or For an organisation you must include the Name and ABN of the organisation separately in the email and the full name of the individual sending the email. PAGE 1 B374 July 2010 YOU MAY PROVIDE ADDITIONAL INFORMATION HERE CUSTOMS AND BORDER PROTECTION USE ONLY PAGE 2 Instructions How to fill in the form Import Declaration N10 Post Additional assistance is available from the Customs Information and Support Centre 1300 363 263 or online at www. Import Declaration N10 - Post APPROVED FORM SECTION 71K AND APPROVED STATEMENT SECTION 71L OF THE CUSTOMS ACT 1901 Submit via Email Print Customs and Border Protection use only PRIVACY NOTICE The Privacy Act 1988 says we must tell you why we are collecting this information how we will use it and if you have to give it to us. The reference number begins with N Q V or W. If you have more than one reference number regarding parcels from the same supplier you can include those numbers in the additional information box on page 2 of the import declaration. COUNTRY OF ORIGIN If known you must tell us the country of origin of the goods. If you are required to hold a permit to import these goods the permit details will also be given to the relevant permit issuing agency. HOW TO FILL IN THIS FORM Instructions on how to complete this form are available from www. customs. gov.au. Please type your answers or print them in BLOCK letters. PLEASE NOTE When sent by mail or fax the declaration must be signed in the box provided in section 4. If you intend to claim that a free trade agreement applies you need to state that here and you must record the country of origin in the Parcel/s information section of the import declaration. You may be required to provide qualifying evidence for any concession you claim. VALUE OF POSTAGE AND INSURANCE You must tell us the true and correct amount paid for posting the goods to you and the amount paid to insure the goods for carriage by post and you must indicate in what currency the amount was paid. GST is calculated by including the postage TOTAL VALUE OF THE GOODS You must tell us the total value of all the goods and in all cases you must indicate in what currency the amount was paid for example 1 400 in US dollars. We require this information under the Customs Act 1901 so we can ensure that your goods are properly cleared for delivery into home consumption* The information you provide will be given to the Australian Quarantine and Inspection Service the Australian Bureau of Statistics and the Australian Taxation Office. If you are required to hold a permit to import these goods the permit details will also be given to the relevant permit issuing agency. HOW TO FILL IN THIS FORM Instructions on how to complete this form are available from www. customs.

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