Certificate Of Origin printable pdf download

Certificate Of Origin

Certificate of Origin

The undersigned _____________________________________________(Owner or Agent) for

_____________________________________________________(Shipper’s Name and Address)

declares the following listed goods shipped on _______________________ (Name of Carrier)

on ________________(shipment date) consigned to__________________________________

are the products of the United States of America.

Marks and

No. of Pkgs Boxes or Cases

Weight in

of Item

Kilos

Full

Description

Numbers

Gross

Net

State of ____________________________________________

Country of __________________________________________

Sworn to me ________________________________________

This day of ___________________________20_

_______________________________________________

(Signature of Owner or Agent)

The ________________________, a recognized Chamber of Commerce under the laws of the

State of _________________________ has examined the manufacturer’s invoice or shipper’s

affidavit concerning the origin of the merchandise and, according to the best of its knowledge and

belief, finds the products named originated in the United States of America, (North America).

Secretary _________________________________

Certificate Of Origin