Certification Of Finances - U.s. Customs Power Of Attorney

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Department of the Treasury

U.S. CUSTOMS POWER OF ATTORNEY

U. S. Customs Service

141.32, C.R.

Contact:

Phone:

Check the appropriate box:

Fax:

Individual

Partnership

Corporation

Sole Proprietorship

Limited Liability Co.

Fed ID or SS#

KNOW ALL MEN BY THESE PRESENTS: That,

(Full name of individual, partnership, corporation, sole proprietorship, or limited liability company)

N/A

doing business as a

Individual

under the laws of the State of

(Individual, parternship, corporation, sole proprietorship. or limited liability company) (choose one)

N/A

residing or having a principal place of business at

hereby constitutes and appoints

its subsidiaries, related companies, agents and/or representatives and its officers, employees, and/or specfically authorized subagent brokers, to act for and on its behalf as a true and

lawful agent and attorney of the grantor for and in the name, place and stead of said grantor, from this date, in the United States (the “territory”) either in writing, electronically, or by

other authorized means, to:

Make, endorse, sign, declare, or swear to any customs entry, withdrawal, declaration, certificate, bill of lading, carnet or any other documents required by law or regulation in conncetion

with the importation, exportation, transportation, of any merchandise in or through the customs territory, shipped or consigned by or to said grantor;

Perform any act or condition which may be required by law or regulation in connection with such merchandise deliverable to said grantor; to receive any merchandise;

Make endorsements on bills of lading conferring authority to transfer title; make entry or collect drawback; and to make, sign, declare, or swear to any statement or certificate required

by law or regulation for drawback purposes, regardless of whether such document is intended for filing with Customs;

Sign, seal, and deliver for and as the act of said grantor any bond required by law or regulation in connection with the entry or withdrawal of imported merchandise or merchandise

exported with or without benefit of drwaback, or in connection with the entry, clearance, lading, unlading, or navigation of any vessel or other means of conveyance owned or operated

by said grantor, and any and all bonds which may be voluntarily given and accepted under applicable laws and regulations, consignee’s and owner’s declarations provided for

in section 485, Tariff Act of 1930, as amended, or affidavits or statements in connection with the entry of merchandise;

Sign and swear to any document and to perform any act that may be necessary or required by law or regulation in connection with the entering, clearing, lading, unlading, or operation

of any vessel or other means of conveyance owned or operated by said grantor;

Authorize other Customs Brokers duly licensed within the territory to act as grantor’s agent; to receive, endorse and collect checks issued for Customs duty refunds in grantor’s name

drawn on the Treasurer of the United States; if the grantor is a nonresident of the United States, to accept service of process on behalf of the grantor;

And generally to transact Customs business, including filing of claims or protests under section 514 of the Tariff Act of 1930, or pursuant to other laws of the territories, in which said

grantor is or may be concerned or interested and which may properly be transacted or performed by an agent and attorney; Waives right to receive a seperate invoice when charges are

collected though a freight forwarder per CFR19;

Giving to said agent and attorney full power and authority to do anything whatever requisite and necessary to be done in the premises of complying with importing and exporting

regulations as fully as said grantor could do if present and acting, hereby ratifying and confirming all that the said agent and attorney shall lawfully do by virtue of these presents;

This power of attorney to remain full force and effect until revocation in writing is duly given to and received by grantee (if the donor of this power of attorney is a partnership, the said

power shall in no case have any force or effect in the United States after the expiration 2 years from the dates of its execution);

Appointment as Forwarding Agent: Grantor authorizes the above Grantee to act within the territory as lawful agent and sign or endorse export documents (i.e., commercial invoices, bill

of lading, insurance certificates, drafts and any other document) necessary for the completion of an export on grantor’s behalf as may be required under law and regulation in the territory

and to appoint forwarding agents on grantor's behalf;

Per CFR 19 Part 111.24 the importer waives confidentiality requirements and authorizes release of entry and all file documentation to grantor’s freight forwarder/third party. Per CFR 19

Part 111.36 the importer waives their right to a direct invoice when brokers charges are collected by or through the forwarder.

IN WITNESS WHEREOF, the said

(Full name of person, partnership, corporation, sole proprietorship, or limited liability company)

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

(Print Name)

Owner

(Capacity)

(Date)

Witness or Corporate Seal (if required) on following Certification page

If you are the importer of record, payment to the broker will not relieve you of liability for U.S. Customs charges (duties, taxes or other debts owed Customs) in the event the charges are not paid

by the broker. Therefore, if you pay by check, Customs charges may be paid with a separate check payable to the "U.S. Customs Service" which shall be delivered to Customs by the broker.