Declaration For Free Entry Of Unaccompanied Articles (Page 4 of 4) in pdf

POWER OF ATTORNEY

Department of the Treasury

Check appropriate box:

U.S. Customs Service

Individual

19 CFR 141.32

Partnership

Corporation

Sole Proprietorship

KNOW ALL MEN BY THESE PRESENTS: That,

(Full Name of person, partnership, or corporation, sole proprietorship; Identify)

a corporation doing business under the laws of the State of

or a

doing business as

residing at

having an office and place of business at

, hereby constitutes and appoints each of

the following persons

(Give Full Name of each agent designated)

as a true and lawful agent and attorney of the grantor named

navigation of any vessel or other means of conveyance owned

above for and in the name, place, and stead of said grantor

or operated by said grantor, and any and all bonds which may

from this date and in Customs Port _____________________.

be voluntarily given and accepted under applicable laws and

and in no other name, to make, endorse, sign, declare, or swear

regulations, consignee’s and owner’s declarations provided for

to any entry, withdrawal, declaration, certificate, bill of lading,

in a section 485, Tariff Act of 1930, as amended, or affidavits

or other document required by law or regulation in connection

in connection with the entry of merchandise;

with the importation, transportation, or exportation of any

merchandise shipped or consigned by or to said grantor; to

To sign and swear to any document and to perform any

perform any act or condition which may be required by law or

act that may be necessary or required by law or regulation in

regulation in connection with such merchandise; to receive any

connection with the entering, clearing, lading, unlading, or

merchandise deliverable to said grantor;

operation of any vessel or other means of conveyance owned or

operated by said grantor;

To make endorsements on bills of lading conferring

authority to make entry and collect drawback, and to make,

And generally to transact at the customhouses in said port

sign, declare, or swear to any statement, supplemental

any and all customs business, including making, signing, and

statement, schedule, supplemental schedule, certificate of

filing of protests under section 514 of the Tariff Act of 1930, in

delivery, certificate of manufacture, certificate of manufacture

which said grantor is or may be concerned or interested and

and delivery, abstract of manufacture records, declaration of

which may properly be transacted or performed by an agent and

proprietor on drawback entry, declaration of exporter on

attorney, giving to said agent and attorney full power and

drawback entry, or any other affidavit or document which may

authority to do anything whatever requisite and necessary to be

be required by law or regulation for drawback purposes,

done in the premises as fully as said grantor could do if present

regardless of whether such bill of lading, sworn statement,

and acting, hereby ratifying and confirming all that the said

schedule, certificate, abstract, declaration, or other affidavit or

agent and attorney shall lawfully do by virtue of these presents;

document is intended for filing in said port or in any other

the foregoing power of attorney to remain in full force and

customs port;

effect until the __________ day of _____________20____, or

until notice of revocation in writing is duly given to and

To sign, seal and deliver for and as the act of said

received by the Port Director of Customs of the port aforesaid.

grantor any bond required by law or regulation in connection

If the donor of this power of attorney is a partnership, the said

with the entry or withdrawal of imported merchandise or

power shall in no case have any force or effect after the

merchandise exported with or without benefit of drawback, or

expiration of 2 years from the date of its receipt in the office of

in connection with the entry, clearance, lading, unlading or

the Port Director of Customs of the said port.

IN WITNESS WHEREOF, the said

has caused these presents to be sealed and signed: (Signature)

(Capacity)

(Date)

WITNESS:

(Corporate seal)*(Optional)

Customs Form 5291 (120195)

Declaration For Free Entry Of Unaccompanied Articles Page 4

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