Customs Power Of Attorney Form printable pdf download

CUSTOMS POWER OF ATTORNEY

Designation as Importer Security Filing Agent and

Acknowledgement of Terms and Conditions of Service

Choose Appropriate Box:

Individual

Partnership

Corporation

Sole Proprietorship

Limited Liability

Company

KNOW ALL MEN BY THESE PRESENTS: That, 1

doing

(Full name of Individual, Partnership, Corporation, Sole Proprietorship, or Limited Liability Company) (Identify)

business as a 2

under the laws of the State of 3

(Individual, Partnership, Corporation, Sole Proprietorship, or Limited Liability Company) (Insert one)

residing or having a principal place of business at 4

hereby constitutes and appoints International Brokerage Inc., 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 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 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 though 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 to make, sign, declare, or swear

to any statement or certificate 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 the 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;

Authorize 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 drawn 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 necessary 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 documents) 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;

Grantor acknowledges receipt of International Brokerage Inc. 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, 5

(Full name of company)

has caused these presents to be sealed and signed: (Signature) 6 __________________________________________

(Must be signed by an officer; Pres., V.P., Sec., Treas., Owner, Member)

(Name and Capacity) 7

(Date) 8

Witness: (if required) 9

10 EIN #

If you are the importer of record, payment to the broker will not relieve you of 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 the “U.S. Customs Service” ,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.

Customs Power Of Attorney Form

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