Private Importation

Full Inventory of Goods
Number of Items Full Description of Goods Price Paid or Payable
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     



I, ________________________, declare that the above inventory is a complete list of all goods in the consignment, and that all details are true and correct. I understand that should goods be detected that are no on the above inventory, or that any other importations provided is false, they will be subject to seizure and penalties under the Customs and Excise Act.
Signed:
Date: