Customs Power Of Attorney/designation As Export Forwarding Agent Form And Acknowledgement Of Terms And Conditions (Page 3 of 6) in pdf

Customs Power Of Attorney/designation As Export Forwarding Agent Form And Acknowledgement Of Terms And Conditions Page 3

CORPORATE CERTIFICATION

(To be made by an officer other than the one who executes the Power of Attorney)

, certify that I am the

, organized under the laws of the State of

that

who signed this Power of Attorney on behalf of the donor, is the

of said corporation; and that said

Power of Attorney was duly signed, attested for and on 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

now in my possession or custody. I further certify that the resolution is in

accordance with the Articles of Incorporation and By-Laws of said corporation.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said corporation, at the City

of ______________________________, this ________ day of ___________________________, 20_____.

_____________________________________________________

_____________________________

(Signature)

(Date)

INDIVIDUAL OR PARTNERSHIP CERTIFICATION

City:

County:

SS:

State:

On this ________________ day of ________________________________, 20____, personally appeared before me

_______________________________________________ residing at _____________________________________

_________________________________________, personally known or sufficiently identified to me, who certifies that

___________________________________________________ (is) (are) the individual(s) who executed the foregoing

instrument and acknowledge it to be __________________________________________________ free act and deed.

________________________________________________

(Notary Public)

UN009 01/09

Customs Power Of Attorney/designation As Export Forwarding Agent Form And Acknowledgement Of Terms And Conditions Page 3