EFTA00521842.pdf

sly ix IB cmruw Ste. CUSTOMS POWER OF ATTORNEY INSTRUCTIONS Before transacting Customs business in the name of his principal, a customhouse broker is required to obtain a valid power of attorney per 19 CFR 141.31. The Power of Attorney form must be filled out completely and accurately. 1. Federal Identification Number, Social Security Number or Customs Assigned Number (if a foreign corporation). Leave blank if no number assigned 2. Check the appropriate box 3. Full name of the Individual, Partnership or Corporation (as it appears on your corporate records), sole proprietorship or Limited Liability Company 4. Enter the appropriate category checked in (2) above 5. State of residence or incorporation 6. Individual, Partnership or Corporation full address 7. Grantor's initial 8. Same as Section (3). Full name of the Individual, Partnership or Corporation 9. Signature of individual or for partnerships, one partner. For corporations, an officer of the corporation. (President, Vice President, Treasurer or Secretary of the corporation). Other titles are acceptable if accompanied by Articles of Incorporation, a resolution of the Board of Directors, or a letter from the Corporate Secretary authorizing the named office to sign for the corporation. Title of the person signing, Example: Owner, President, Vice President, CEO etc.) 10. Grantor's title II. Fill in the date 12. It is generally not necessary to have a witness sign unless your Partnership rules require one NOTE: The Power of Attorney must be notarized or provide a copy of the grantor's passport or U.S. issued identification. EFTA00521842  CUSTOMS POWER OF ATTORNEY And Acknowledgement of Terms and Conditions o Individual (2 ) Tat I.D. Number (1) o Partnership ❑ Corporation ❑ Sole Proprietorship ❑ Limited lAabllity Company KNOW ALL MEN BY THESE PRESENTS: That, 4 (3) doing business as a 4 (4) under the laws of the Slate of 4 (5) . residing or having a principal place of business at 4 (6) . hereby constitutes and appoints IBC Customs Brokerage, its officers, employees and/or specifically authorized agents to act for and on its behalf as true and lawful agent and attorney of the grantor for and in the name, place and stead of said grantor, from this date, in the United States (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 or any other documents required by law or regulation in connection with the importation, exportation, transportation, of any merchandise in or through the customs territory, shipped or consigned by or to said grantor; Perform any act or condition which may be required by law or regulation in connection with such merchandise deliverable to said grantor; to receive any merchandise; Make endorsements on bills of lading conferring authority to transfer title, make entry or collect drawback; and make, sign, declare or swear to any statement or certificated 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 or statements in connection with the entry of merchandise; Sign and swear to any document and 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; Authorized other Customs Brokers duly licensed within the territory to act as grantor's agent; to receive, endorse and collect checks issued for Customs duty refunds in grantor's name draws, on the Treasurer of the United States; if the grantor is a nonresident of the United States, to accept service of process on behalf of the grantor; And generally to transact Customs business, including filing of claims or protests under section 514 of the Tariff Act of 1930, or pursuant to other laws of the territories, 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 and authority to do anything whatever requisite and news arty to be done in the premises as fully as said grantor could do if present and acting, hereby ratifying and confirming all that the said agent and attorney shall lawfully do by virtue of these presents; This power of attorney to remain full force and effect until revocation in writing is duly given to and received by grantee (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 2 years from the dates of its execution); Appointment as Forwarding Agent Grantor authorizes the above Grantee to act within the territory as lawful agent and sign or endorse export documents (i.e., commercial invoices, bill of lading, insurance certificates, drafts and any other document) necessary for the completion of an export on the grantor's behalf as may be required under law and regulation in the territory and to appoint forwarding agents n grantor's behalf; Grantor acknowledges receipt of se (7) Terms and Conditions of Service governing all transactions between the Parties. If the Grantor is a Limited Liability Company, the signatory certifies that he/she has full authority to execute this power on behalf of the Grantor. IN WITNESS WHEREOF, the said 4 (8) Caused these presents to be sealed and signed: (Signature) si (9) (Capacity) 4 (10) Date: 4 (11) Witness: (if required) (12) If you are the importer of record, payment to the broker will not relieve you of the liability for U.S. Customs charges (duties, taxes or other debts owed Customs) in the event 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 "Bureau of Customs and Border Protection" which shall be delivered to Customs by the broker. Importers who wish to utilize this procedure must contact our office in advance to arrange timely receipt of duty checks. EFTA00521843