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Form FFC 168 Treasury Department FOREIGN FUNDS CONTROL [[underline]] REPORT [[/underline]] [[underline]] (This report must be executed in duplicate and attached to application Form TFE-1 under the provisions of T. D. 51072, relating to the release of art objects from customs custody.) [[/underline]] 1. (a) Entry No.: (b) Port of entry: (c) Date of importation: (d) Country of export: (e) Date of export shipment: 2. Description of art object - (a) Category (painting, sculpture, ceramics, etc.): (b) Title of work, if any: (c) Material composition: (d) Dimensions (without frame, mat, or pedestal, etc.): (e) Name of foreign country in which art object was created: (f) Name of artist or craftsman: (g) Approximate date of work: (h) Distinctive markings, if any: 3. State whether the art object has been exhibited in any exhibition, museum or gallery-- If so, give details: 4. Information concerning the consignor: (a) Name: (b) Address: (c) Nationality, under Executive Order No. 8389, as amended: 5. Information concerning the consignee: (a) Name: (b) Address: (c) Nationality, under Executive Order No. 8389, as amended: