516-371-0775
mail@interfreight.net
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SLI Export Declaration
SLI Export Declaration
INTERFREIGHT HARMONIZED LOGISTICS INC. SHIPPER’S LETTER OF INSTRUCTIONS (SLI)
1. USPPI Name:
3. Freight Location Company Name:
5. Forwarding Agent:
INTERFREIGHT HARMONIZED LOGISTICS INC
2. USPPI Address Including Zip Code:
4. Freight Location Address (if not box #2):
221 SHERIDAN BLVD.
2.1. USPPI Address Including Zip Code:
4.1. Freight Location Address (if not box #2)
221 INWOOD, NEW YORK 11096
2.2. USPPI Address Including Zip Code:
4.2. Freight Location Address (if not box #2)
PHONE: 1 516 371 0775
2.3. USPPI Address Including Zip Code:
4.3. Freight Location Address (if not box #2)
mail@interfreight.net
6. USPPI EIN (IRS) No:
6. USPPI EIN (IRS) No:
7. Related Party Indicator (select one):
7. Related Party Indicator (related):
Related
7. Related Party Indicator (non-related):
Non-Related
8. USPPI Reference#:
8. USPPI Reference#:
9. Routed Export Transaction (select one):
9. Routed Export Transaction (yes):
Yes
9. Routed Export Transaction (no):
No
10. Ultimate Consignee Name & Address:
11. Ultimate Consignee Type (select one):
12. Intermediate Consignee Name & Address:
10.1. Ultimate Consignee Name & Address:
11.1. Ultimate Consignee Type (Direct Consumer):
Direct Consumer
12.1. Intermediate Consignee Name & Address:
10.2. Ultimate Consignee Name & Address:
11.2. Ultimate Consignee Type (Government Entity):
Government Entity
12.2. Intermediate Consignee Name & Address:
10.3. Ultimate Consignee Name & Address:
11.3. Ultimate Consignee Type (Reseller):
Reseller
12.3. Intermediate Consignee Name & Address:
10.4. Ultimate Consignee Name & Address:
11.4. Ultimate Consignee Type (Other/Unknown):
Other/Unknown
12.4. Intermediate Consignee Name & Address:
13. Are any of the goods intended for “Military End Use” or to a “Military End User” in the countries listed in 15 CFR 744.21(a). Refer to 15 CFR744.21(f) and (g) for definitions of “Military End Use” and “Military End User”.
13. Are any of the goods intended for "Military End Use" or to a "Military End User" in the countries listed in 15 CFR 744.21(a). Refer to 15 CFR744.21(f) and (g) for definitions of "Military End Use" and "Military End User".
Yes
No
14. State of Origin:
14. State of Origin:
17. In-Bond Code:
17. In-Bond Code:
20. TIB / Carnet?
15. Country of Ultimate Destination:
15. Country of Ultimate Destination:
18. Entry Number:
18. Entry Number:
20. TIB / Carnet? (Yes)
Yes
16. Hazardous Material:
16. Hazardous Material:
Yes
No
19. FTZ Identifier:
19. FTZ Identifier:
20. TIB / Carnet? (No)
No
Is shipment Prepaid or Collect:
Is shipment Prepaid or Collect:
Prepaid
Collect
Ship Via:
Ship Via:
Ocean
Air
Do you Require Insurance:
Do you Require Insurance:
Yes
No
THIS SLI IS TO CONFIRM THAT FROM THIS DATE FORWARD, WE AUTHORIZE INTERFREIGHT HARMONIZED LOGISTICS INC. AND/OR SUBSIDIARY R.A.V. SERVICES INC. OR THEIR DESIGNATED AGENT TO SCREEN ALL OUR AIRFEIGHT CARGO. WE ACKNOWLEDGFE RECEIPT OF INTERFREIGHTS TERMS AND CONDITION OF SERVICE GOVERNING ALL TRANSACTIONS BETWEEN THE PARTIES.
22. Are there any items that require additional Partner Government Agency (PGA) reparting?.
22. Are there any items that require additional Partner Government Agency (PGA) reparting?
Yes
No
23. Gross Weight (kilos)
23. Gross Weight (kilos)
24. SOLAS Certification
24. SOLAS Certification
By Checking the Box 24 certification, I am certifying that the full shipment weight shown in box 23 is the certified Gross Weight which may be added to the container tare weight and used as the Verified Gross Mass (VGM) under Method 2 of the Solas VGM regulation dated July 1, 2016
25. Domestic or Foreign (D/F)
26. Schedule B / HTS Number and Commercial Commodity Description For Vehicles: VIN/Year, Make, Model and Vehicle Title Number are required
27. Quantity in Schedule B / HTS Units
28. DDTC Quantity and DDTC Unit of Measure
29. Shipping Weight (in Kilos)
30. ECCN, EAR99 or USML Category No
31 .S M E (Y/N)
32. Export License No., License Exception Symbol, DDTC Exemption No., DDTC ACM No.or NLR
33. Value at the Port of Export (US Dollars)
34. License Value by item (if applicable) (US Dollars)
25.1. Domestic or Foreign (D/F)
26.1. Schedule B / HTS Number and Commercial Commodity Description For Vehicles: VIN/Year, Make, Model and Vehicle Title Number are required
27.1. Quantity in Schedule B / HTS Units
28.1. DDTC Quantity and DDTC Unit of Measure
29.1. Shipping Weight (in Kilos)
30.1. ECCN, EAR99 or USML Category No
31.1.S M E (Y/N)
32.1. Export License No., License Exception Symbol, DDTC Exemption No., DDTC ACM No.or NLR
33.1. Value at the Port of Export (US Dollars)
34.1. License Value by item (if applicable) (US Dollars)
25.2. Domestic or Foreign (D/F)
26.2. Schedule B / HTS Number and Commercial Commodity Description For Vehicles: VIN/Year, Make, Model and Vehicle Title Number are required
27.2. Quantity in Schedule B / HTS Units
28.2. DDTC Quantity and DDTC Unit of Measure
29.2. Shipping Weight (in Kilos)
30.2. ECCN, EAR99 or USML Category No
31.2.S M E (Y/N)
32.2. Export License No., License Exception Symbol, DDTC Exemption No., DDTC ACM No.or NLR
33.2. Value at the Port of Export (US Dollars)
34.2. License Value by item (if applicable) (US Dollars)
25.3. Domestic or Foreign (D/F)
26.3. Schedule B / HTS Number and Commercial Commodity Description For Vehicles: VIN/Year, Make, Model and Vehicle Title Number are required
27.3. Quantity in Schedule B / HTS Units
28.3. DDTC Quantity and DDTC Unit of Measure
29.3. Shipping Weight (in Kilos)
30.3. ECCN, EAR99 or USML Category No
31.3.S M E (Y/N)
32.3. Export License No., License Exception Symbol, DDTC Exemption No., DDTC ACM No.or NLR
33.3. Value at the Port of Export (US Dollars)
34.3. License Value by item (if applicable) (US Dollars)
25.4. Domestic or Foreign (D/F)
26.4. Schedule B / HTS Number and Commercial Commodity Description For Vehicles: VIN/Year, Make, Model and Vehicle Title Number are required
27.4. Quantity in Schedule B / HTS Units
28.4. DDTC Quantity and DDTC Unit of Measure
29.4. Shipping Weight (in Kilos)
30.4. ECCN, EAR99 or USML Category No
31.4.S M E (Y/N)
32.4. Export License No., License Exception Symbol, DDTC Exemption No., DDTC ACM No.or NLR
33.4. Value at the Port of Export (US Dollars)
34.4. License Value by item (if applicable) (US Dollars)
25.5. Domestic or Foreign (D/F)
26.5. Schedule B / HTS Number and Commercial Commodity Description For Vehicles: VIN/Year, Make, Model and Vehicle Title Number are required
27.5. Quantity in Schedule B / HTS Units
28.5. DDTC Quantity and DDTC Unit of Measure
29.5. Shipping Weight (in Kilos)
30.5. ECCN, EAR99 or USML Category No
31.5.S M E (Y/N)
32.5. Export License No., License Exception Symbol, DDTC Exemption No., DDTC ACM No.or NLR
33.5. Value at the Port of Export (US Dollars)
34.5. License Value by item (if applicable) (US Dollars)
35. DDTC Applicant Registration Number:
35. DDTC Applicant Registration Number:
36. Eligible Party Certification:
36. Eligible Party Certification (Yes)
Yes
36. Eligible Party Certification (No)
No
37
37
Check here if there are any remaining non-licensable Schedule B / HTS Numbers that are valued $2500.00 or less and that do not otherwise require AES filing.
38
38
The USPPI authorizes the above named forwarder to act as its true and lawful agent for purposes of preparing and filing the Electronic Export Information (“EEI”) in accordance with the laws and regulations of the United States.
34. I certify that the statements made and all information contained herein are true and correct. I understand that civil and criminal penalties, including forfeiture and sale, may be imposed for making false and fraudulent statements herein., failing to provide the requested information or for violation of U.S. laws on exportation (13 U.S.C. Sec . 305: 22 U.S.C. Sec. 401, 18 U.S.C. Sec 1001, 50 U.S.C. app. 2410)
39. USPPI E-mail Address:
39. USPPI E-mail Address:
40. USPPI Telephone No.:
40. USPPI Telephone No.:
41. Printed Name of Duly authorized officer or employee:
41. Printed Name of Duly authorized officer or employee:
42. Signature:
43. Title:
43. Title:
44. Date:
44. Date:
MM slash DD slash YYYY
45.
45.
Check here to validate Electronic Signature. Electronic signatures must be typed in all capital letters in Box 38 in order to be valid.
