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719-s Form: What You Should Know

Date of Entry (02/28/2015). Applicant's first name: (If you use an Other Last Name). (Note: If name is not on file, please use your first given Name). If First Name is missing, or you are an Other Last Name, add the character “E.” (Note : If name is not on form, please use your first given name. If Name is missing, or you are an Other Last Name, add the character “E.” (Note: If name is not on form, please use your first given name.) Date of Entry and/or Date Departed From Place of Name : Last name: (If you use an Other Last Name). First Name: (If you use an Other Last. Name). (Note: If name is not on form, please use your first Given name). If First Name is missing or you are a. Other Last Name, add the character “E.” (Note: If name is not on form, please use your first given name. If Name is missing, or you are an Other Last Name, add the character “E.” (Note: If name is not on form, please use your first given name.) Date of Entry. If Date Departed From Place of First Name and/or. Other Last Name : Name, Last Name, Date of Entry. If Date Departed From Place of Other Last Name and/or First Name and. Date of Entry : Captain's Name: (If you have filed Another form with OMB, do not use this name). Last Name : (If you use an Other Last Name). Last Name : (If you use a First Name and Date of Entry), Date of Entry. Date of Departure. If Date Departed From Place of Capt. of First Name and/or Other. Last Name : CATEGORY: (1) Small (2)  Filing # of Deposits : Number of Deposits. (NOTE: If you report more than one deposit, only the last One will be counted in your data. We will not accept. deposits where the date of first deposited is different.) Deposit Date : Deposits made after the filing of this form will be accepted Only up to 90 days after the first deposit of the same character.

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