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TO:

The Attorney General, the Department of Commerce, and/or the United States International Trade Commission:

PLEASE TAKE NOTICE that a civil action has been commenced pursuant to 28 U.S.C. § 1581(c) to contest the determination described below.

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(If applicable, date of publication in Federal Register of notice of contested determination)

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INTERNATIONAL TRADE

SERVICE OF SUMMONS BY THE CLERK

If this action, described in 28 U.S.C. § 1581(c),

is commenced to contest a determination listed in section

516A (a) (2) of the Tariff Act. of 1930, the action is commenced

by filing a summons only, and the clerk of the court is required to make service of the summons. For that purpose, list below the complete name and mailing address of each defendant to be

served.

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You are hereby summoned and required to serve upon plaintiff's attorney, whose name and address is set out below,

an answer to the complaint which is herewith served upon you, */

within 20 days after service of this summons upon you, exclusive of the day of service. If you fail to do so, judgment by default will be taken against you for the relief demanded in the complaint.

L.S.

Signature of Plaintiff's

Attorney

Clerk of the Court

Date

4/ If the United States

Name, Address and
Telephone Number of

Plaintiff's Attorney

or an officer or agency thereof

is a defendant, the time to be inserted as to it is 60 days, except that in an action described in 28 U.S.C. § 1581(f) the time to be inserted is 10 days.

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Appraisal

19 USC 1516

Classification

Exclusion
Rate of Duty

28 USC 1581(c) – Tariff Act of 1930, Section 516A(a)(1) or Section 516A(a)(2) - 19 USC 1516a

Rate of Duty

Redelivery

(Cite the specific subparagraph and clause of Section 516A(a)(1) or 516A(a)(2), and provide a brief description of the administrative determination you are contesting.)

Subparagraph and Clause.

Agency

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28 USC 1581(1) (Cite any applicable statute and provide a brief statement describing

Jurisdictional basis.)

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RELATED CASE

To your knowledge, does this action involve a common question of law or fact with another action previously decided or now pending?

Decided

Pending

PLAINTIFF

COURT NUMBER

(Use reverse side if additional space is required.)

11-611 O-83 - Vol. 1256 QL 3

JUDGE

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