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Form #765Department of the Treasury US Customs Service Lien Notice
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CF 3485 - Lien Notice - Free Legal Form
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DEPARTMENT OF THE TREASURY UNITED STATES CUSTOMS SERVICE Form Approved. OMB No. 1515-0046 LIEN NOTICE 19 U.S.C. 66, 1564; 19 CFR 141.112 1. PORT 2. CUSTOMS ASSIGNED NO. 4. DATE OF ARRIVAL3. DATE OF NOTICE 5. NAME OF CONSIGNEE/IMPORTER 6. NAME OF CARRIER 7. B/L NO. OR CF 7512 NO. 8. LOCATION OF GOODS 9. MARKS AND NUMBERS 10. NO. OF PACKAGES 11. REMARKS A. Freight B. Charges C. Contributions to General Average D. TOTAL 14. NAME AND ADDRESS OF LIENHOLDER 15. SIGNATURE AND TITLE OF LIENHOLDER
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