Power Of Attorney Form And Instructions Page 4

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be paid with a separate check payable to “U.S. Customs and Border Protection” which shall be delivered to U.S. Customs by the broker.
Importers who wish to utilize this procedure must contact our office in advance to arrange timely receipt of duty checks.
PARTNERSHIP CERTIFICATION (11a)
I _______________________________________________, certify that I am a partner of ______________________________________
__________________________________________, doing business at_____________________________________________________
________________________________________________, and authorized to sign the Power of Attorney on behalf of the partnership.
The following are the names of our partners:
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signature_________________________________________
date________________________
CORPORATE CERTIFICATION (11b) Non-resident (Foreign) Corporation
(To be made by an officer of other than the one who executes the power of attorney)
I, ___________________________________________________ , certify that I am the
CFO______ of
______ COMPANY _________________________________ , organized under the laws of ____ISRAEL_____________________ that
___NAME OF CEO__________ of said corporations is authorized to sign the power of attorney, and that said power of attorney was duly
signed, and attested to for and in behalf of said corporation by authority of its governing body as the same appears in a resolution of the Board
of Directors passed at a regular meeting held on the ________ day of _______________ , 20 _____ , I further certify that the
resolution is in accordance with the articles of incorporation and bylaws of said corporation and was executed in accordance with the laws of
the State or Country of Incorporation.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said corporation, at the City of __________________________
this ________ day of _________________________ , 20 ______ .
We designated _________________________________________, ____________________________________________,
(name)
(address)
to accept Service of Process on our behalf
______________________________________________________
__________________________________________________
(Signature)
(Date)

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