Power Of Attorney Form

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Power of Attorney
[1]Legal Status of issuing party
Check Appropriate box
Individual
Partnership
Corporation
Sole Proprietorship
LLC
IRS EIN# or Social Security Number: [2]
KNOW ALL MEN BY THESE PRESENTS that [3]:
a [4]
doing business as [5]
under the laws of the State of [6]
Residing or having a principal place of business at [7]
hereby constitutes and appoints Andrews Air Corporation d/b/a
Mainfreight San Francisco, a California corporation, its officers, employees, and/or specifically authorized agents to act for and on its
behalf as a true and lawful agent and attorney of the grantor from this date for and in the name, place and stead of said grantor from this
date and in Customs Districts All (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, shipper’s export
declaration, commercial invoice, insurance certificate, draft or any other documents required by law or regulation in connection with the
importation, exportation or transportation, of any merchandise into, out of or through the territory, shipped or consigned by or to said grantor;
Perform any act or condition, which may be required by law or regulation of the Department of Commerce, Department of the Treasury or
any other governmental agency in connection with such merchandise deliverable to or shipped by said grantor; to receive any merchandise;
Make endorsements on bills of lading conferring authority to transfer title, make entry or to collect drawback; and to make, sign, declare, or
swear to any statement, schedule, certificate, abstract, affidavit or other document which may be 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 drawback, 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 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;
Receive, endorse and collect checks issued for Customs duty refunds in grantor’s name drawn on the Treasurer of the United States;
Authorize other Customs Brokers duly licensed within the territory to act as grantor’s agent;
Act within the territory as lawful agent and sign or endorse export documents (e.g., commercial invoice, bill of lading, insurance certificate,
draft 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;
If the grantor is a nonresident of the United States, either by grantee, or by subagents appointed hereunder, to accept service of process on
behalf of the grantor;
And generally to transact Customs business, including making, signing and filing of claims or protests under section 514 of the Tariff Act of
1930, as amended, or pursuant to other laws of the territory, in which said grantor is or may be concerned or interested and which may
properly be transacted or performed by an agent and attorney. Giving to said agent and attorney full power of attorney to do anything
whatever requisite and necessary to be done in the premises as fully as to said grantor could so if present and acting, hereby ratify and
confirming all that the said agent and attorney shall lawfully do by virtue of these presents;
This power of attorney to remain in full force and effect until revocation in writing is duly given to and received by grantee and a District
Director of Customs (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 of two (2) years from the date of its execution); If the grantor is a Limited Liability Company, the signatory
certifies that he/she has full authority to execute the power on behalf of the Grantor.
The undersigned represents that all information contained herein is true and correct as of date of execution and acknowledges
receipt of and agreement to Mainfreight San Francisco Terms and Conditions of Service governing all transactions between
Parties (as printed on the back of this document).
IN WITNESS WHEREOF, the said [8]
has caused these presents to be signed:
Signature) [9]
Capacity [10]
Date [11]
Witness [12]
NOTICE TO IMPORTER: Per CODE OF FEDERAL REGULATIONS (CFR) Title 19-1-111.29(b): “If you are the importer of record, payment
to the broker will not relieve you of liability for Customs Charges (duties, taxes, or other debts owed to Customs) in the event that 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. If you wish to make your check payable directly to U.S.
Customs Service, arrangements must be made with Mainfreight San Francisco prior to time of entry to arrange timely receipt of you duty
check.

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