E648 – CSA Revenue Summary

A link to the Portable Document Format (PDF) of this form is provided below. The content of the form is duplicated in HTML following the PDF link.

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Identification

Current month revenue distribution

Other assessments

Assessment totals

Bank remittance date (Y M D)
Amount:

I, (name) of (company) declare that to the best of my knowledge and belief this statement is true, correct, complete, and supported by records available to the Canada Border Services Agency on demand.

Instructions

Identification

Current month revenue distribution

Other assessments

Assessment totals

Sample – Additional Line Object Code Descriptions

Codes may vary depending on the importer. The table of codes is listed in Customs Memorandum D17-1-7.

CSA Revenue Summary – Continuation

Identification

Current month revenue distribution

Other assessments

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