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United States Environmental Protection Agency Declaration Form Importation of Motor Vehicles and Motor Vehicle Engines Subject to Federal Air Pollution Regulations

This form must be submitted to the U.S. Customs and Border Protection (Customs) (42 USC 7522,1601:19 CFR 12.73) for each motor vehicle (including motorcyeles, disassembled vehicles, kit cars, light-duty vehicle/motorcycle engines) imported into the U,S., except that this form is not required for motor vehicles that are imported by their original manufacturer and are new and are covered by an EPA certificate ofconformity and bear an EPA emission control label. One Ibrm per shipment may be used, with attachments including all information required to fully describe each vehicle or engine as below. Check the box below indicating the provisions under which you are importing this vehicle or engine. Offroad vehictes/engines and hearry-duty engines must use form 3520-21' Note: Although only imports usirrg codes G, I, K L, M-3, and O require specilic written authorization from EPA, Customs may request EPA review of importer documentation and eligibility for any import using this form. A nonconfornring vehicle that is ineligible for the exemptions or exclusions listed below, must be imported througlt an independent commercial importer (ICI) under codes A, C, J, or Z. For codes A, C, J, and Z, EPA does not authorize the release to the vehicle owner. Penalties: Any person who knowingly makes any false or fraudulent statement, or omits or conceals a material fact can be fined up to $250,000 or imprisoned for up to 5 years, or both (18 USC 1001). Any person who improperly imports a motor vehicle (including a motorcycle) or engine may be fined upto $32,500 per vehicle or engine (42 USC 7524), and may be subject to forfeiture of the entire importation bond, if applicable (40 CFR 85.1513), and the U.S. Customs