Cbp Form 434 - North American Free Trade Agreement Certificate Of Origin
ADVERTISEMENT
1
2DEPARTMENT OF HOMELAND SECURITY
OMB No. 1651-0098
U.S. Customs and Border Protection
Exp. 10-31-2016
NORTH AMERICAN FREE TRADE AGREEMENT
CERTIFICATE OF ORIGIN
19CFR 181.11, 181.22
Please Print or Type
1. EXPORTER NAME AND ADDRESS
2. BLANKET PERIOD
From:
January 1, 2016
Various
To:
December 31, 2016
TAX IDENTIFICATION NUMBER: Various
3. PRODUCER NAME AND ADDRESS
4. IMPORTER NAME AND ADDRESS
Evonik Cyro LLC
299 Jefferson Road
Various
Parsippany, New Jersey, U.S.A.
07054
TAX IDENTIFICATION NUMBER:
32-0252469
TAX IDENTIFICATION NUMBER:
Various
6.
HS Tariff
7.
10.
Classification
Preference
8.
9.
Country of
5.
Description of Goods
Number
Criterion
Producer
Net Cost
Origin
ACRYLITE® extruded acrylic sheet
3920.51.5000
B
Yes
No
US
ACRYLITE® framing grade sheet
3920.51.5000
B
Yes
No
US
ACRYLITE® non-glare (P99) sheet
3920.51.5000
B
Yes
No
US
ACRYLITE® UV filtering (OP3) sheet
3920.51.5000
B
Yes
No
US
ACRYLITE® UV filtering mar resistant (OP3 MR) sheet
3920.51.1000
B
Yes
No
US
ACRYLITE® UV filtering non-glare (OP3 P99) sheet
3920.51.5000
B
Yes
No
US
ACRYLITE® LED light guiding edge lit sheet
3920.51.5000
B
Yes
No
US
ACRYLITE® LED sign grade acrylic sheet
3920.59.8000
B
Yes
No
US
ACRYLITE® LED diffused sign grade acrylic sheet
3920.59.8000
B
Yes
No
US
ACRYLITE® Reflections sheet
3920.51.5000
B
Yes
No
US
ACRYLITE® POP Touch acrylic sheet
3920.51.5000
B
Yes
No
US
ACRYLITE® digital print
3920.51.5000
B
Yes
No
US
ACRYLITE® Renewed acrylic sheet
3920.51.5000
B
Yes
No
US
ACRYLITE® Optical anti-reflective acrylic sheet
3920.51.5000
B
Yes
No
US
ACRYLITE® Optical mar resistant sheet
3920.51.5000
B
Yes
No
US
3920.59.8000
B
Yes
No
US
ACRYLITE® Resist impact modified (excluding Resist 75)
ACRYLITE® Textures (FFV / FFX) acrylic sheet
3920.51.5000
B
Yes
No
US
ACRYLITE® Solar sheets
3920.51.5000
B
Yes
No
US
ACRYLITE® markerboard acrylic sheet
3920.51.5000
B
Yes
No
US
I CERTIFY THAT:
THE INFORMATION ON THIS DOCUMENT IS TRUE AND ACCURATE AND I ASSUME THE RESPONSIBILITY FOR PROVING SUCH REPRESENTATIONS. I
UNDERSTAND THAT I AM LIABLE FOR ANY FALSE STATEMENTS OR MATERIAL OMISSIONS MADE ON OR IN CONNECTION WITH THIS DOCUMENT.
I AGREE TO MANTAIN, AND PRESENT UPON REQUEST UPON REQUEST, DOCUMENTATION NECESSARY TO SUPPORT THIS CERTIFICATE, AND TO
INFORM, IN WRITING, ALL PERSONS TO WHOM THE CERTIFICATE WAS GIVEN OF ANY CHANGES THAT COULD AFFECT THE ACCURACY OR VALIDIY OF
THIS CERTIFICATE:
THE GOODS INDICATED AS NAFTA QUALIFIED ORIGINATED IN THE TERRITORY OF ONE OR MORE OF THE PARTIES, AND COMPLY WITH THE ORIGIN
REQUIREMENTS SPECIFIED FOR THOSE GOODS IN THE NORTH AMERICAN FREE TRADE AGREEMENT, AND UNLESS SPECIFICALLY EXEMPETED IN
ARTICLE 411 OR ANNEX 401, THERE HAS BEEN NO FURTHER PRODUCTION OR ANY OTHER OPERATION OUTSIDE THE TERRITORIES OF THE PARTIES;
AND THIS CERTIFICATE CONSISTS OF TWO (2) PAGE, INCLUDING ALL ATTACHMENTS.
11a. AUTHORIZED SIGNATURE
11b. COMPANY
Evonik Cyro LLC
11.
11c. NAME (Print or Type)
11d. TITLE
Kyle E. Van Evra
Manager, Logistics Strategy and Services
11e. DATE (MM/DD/YYYY)
11f. TELEPHONE NUMBER
12/1/2015
(Voice) 973-929-8000 (Facsimile) 973-929-8390
CBP Form 434
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal