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For more information please see www. epa.gov/otaq/imports/index. htm. HS-7 Rev. 05-2006 OVER 75124 M34d. US Department of Transportation National Highway Traffic Safety Administration DECLARATION OMB No. 2127-0002 Public Law 100 562 49 USC Chap. 301 Importation of Motor Vehicles and Motor Vehicle Equipment Subject to Federal Motor Vehicle Safety Bumper and Theft Prevention Standards PORT OF ENTRY CUSTOMS PORT CODE CUSTOMS ENTRY NO MAKE OF VEHICLE MODEL YEAR ENTRY DATE VEHICLE IDENTIFICATION NUMBER VIN REGISTERED IMPORTER NAME AND NHTSA REGISTRATION NUMBER Required when Box 3 is checked VEHICLE ELIGIBILITY NO. 591. 5 g Attachment Copy of manufacturer s confirmation letter. The vehicle does not conform to all applicable Federal Motor Vehicle Safety and Bumper Standards but does conform to applicable Federal Theft Prevention Standards but I am eligible to import it because NHTSA has determined that the model and model year of the vehicle to be imported is eligible for importation into the United States and the vehicle is not a salvage motor vehicle or a reconstructed motor vehicle and I have furnished a bond which is attached to this declaration in an amount equal to 150 percent of the entered value of the vehicle as determined by the Secretary of the Treasury. I am temporarily importing the vehicle for personal use for a period not to exceed 1 year and will not sell it during that time and c. I will export it not later than the end of 1 year after entry and the declaration contains my passport number and country of issue. 591. 5 d d. Passport No. Country of Issue Prevention Standards but I am eligible to import it because all of the following conditions exist The vehicle was not manufactured primarily for use on the public roads and thus is not a motor vehicle subject to the Federal Motor Vehicle Safety Bumper and Theft Prevention Standards or the equipment item is not a system part or component of a motor vehicle and thus is not an item of motor vehicle equipment subject to the Federal Motor Vehicle Safety Standards. If the Administrator of NHTSA determines that the vehicle has not been brought into conformity with all such standards within 120 days after importation then I state that I will deliver such vehicle to the Secretary of Homeland Security for export or abandon it to the United States 591. 8 and that a. I have registered with NHTSA pursuant to 49 CFR Part 592 and such registration is not suspended and has not been revoked or b. I have executed a contract or other agreement which is attached to this declaration with an importer who has registered with NHTSA and whose registration is not suspended and has not been revoked. 591. Box 3 DESCRIPTION OF MERCHANDISE IF MOTOR VEHICLE EQUIPMENT The vehicle is 25 or more years old or the equipment item was manufactured on a date when no applicable Federal Motor Vehicle Safety Standard or Theft Prevention Standard was in effect. Date of manufacture 591. 5 i 2A. The vehicle or equipment item conforms to all applicable Federal Motor Vehicle Safety Standards or the vehicle does not conform solely because readily attachable equipment items that will be attached to it before it is offered for sale to the first purchaser for purposes other than resale are not attached and Bumper and Theft Prevention Standards and bears a certification label or tag to that effect permanently affixed by the original manufacturer to the vehicle or affixed by the manufacturer to the equipment item or to its delivery container in accordance with applicable National Highway The vehicle or equipment does not conform to all applicable Federal Motor Vehicle Safety and Bumper Standards but is being imported solely for the purpose of research investigations demonstrations or training or competitive racing events and I state that I will comply with the applicable restrictions on importers of such merchandise as specified in 49 CFR 591.