Docstoc

air_carrier_wksht

Document Sample
air_carrier_wksht Powered By Docstoc
					                                  AIR PASSENGER USER FEE CALCULATION WORKSHEET




   Company Name:                                                                  Tax ID Number:

           Address:                                                              Contact Person:

                                                                                             Phone:     (    )

               City:                                                                           Fax:     (    )

              State:                                Zip:                                     Email:

          Customs Air Passenger User Fee Calculation (CUF)                             Applicable Calendar Year
                                                 No. of Tickets for Which Fees
                        Month                           Were Collected                  Fee                       Total
                                                                                     @ $5.50 =
                                                                                     @ $5.50 =
                                                                                     @ $5.50 =

          Payment Schedule:
          January, February, March - Due May 1                                      Total CUF Due
          April, May, June - Due July 31
          July, August, September - Due October 31
          October, November, December - Due January 31


          Immigration Air Passenger User Fee Calculation (IUF)                         Applicable Calendar Year

                                                 No. of Tickets for Which Fees
                        Month                           Were Collected                  Fee                       Total
                                                                                     @ $7.00 =
                                                                                     @ $7.00 =
                                                                                     @ $7.00 =
                                                                                     @ $7.00 =
          Payment Schedule:
          January, February, March - Due May 1                                       Total IUF Due
          April, May, June - Due July 31
          July, August - Due September 20
          September - Due January 31
          October, November, December - Due January 31

                                                                          Total CUF and IUF Due

                                                                 SIGNATURE

    LATE PAYMENTS WILL BE SUBJECT TO INTEREST, PENALTIES, AND/OR LIQUIDATED DAMAGES.

Mail Payments to :      U.S. Customs and Border Protection                       For customer service contact:
                        Revenue Division
                        Debt Management Branch                                   Penny Brown          (317) 614-4471
                        Attn: User Fee Team                                      Matt Maple           (317) 614-4491
                        6650 Telecom Drive, Suite 100                            Email                CUFIUFHelp@cbp.dhs.gov
                        Indianapolis, IN 46278                                   Fax #                (317) 715-9407


Please contact one of the above customer service representatives for wire transfer or ACH Credit payment information. CBP is not
responsible for any charges incurred when using these payment methods.

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:50
posted:4/15/2011
language:English
pages:1