U.S. Customs and Border Protection Vehicle/Equipment Export Worksheet

Description of Vehicle or Equipment
VIN / Serial Number:
Year:
Make:
Model:
Title Information
Transporting Information
Name: (Person / Company / Individual transporting the vehicle)
Telephone:
Name of U.S. Border Crossing:
Estimated Date of Export:
U.S. Address of Seller / Owner
Name:
Address :
City:
State:
Zip Code:
Telephone:
Cellular:
Canadian Address of Purchaser / Owner / Ultimate Consignee
Name:
Address :
City:
Province:
Postal Code:
Telephone:
Cellular:

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