CUSTOMS POWER OF ATTORNEY
DESIGNATION OF EXPORT FORWARDING AGENT
and
Acknowledgement of Terms and Conditions
YOUR FEDERAL TAX IDENTIFICATION NUMBER
ARE YOU RELATED TO THE SUPPLIER?
Yes No
Check appropiate box
Individual
Partnership
Corporation
Sole Propietorship
Individual
Limited Liability Company
KNOW ALL MEN BY THESE PRESENTS: That,
doing business as a under the laws
of the State of
residing or having a principal place of business at
hereby constitutes and appoints Partida Brokerage, Inc. (FMC License 1042),
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 other authorized means, to:
Make, endorse, sign, declare, or swear to any customs entry, withdrawal,
declaration, certificate, bill of lading, carnet or other document 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 to make, sign, declare, or
swear to any statement, or certificate which may be required by law or
regulation for drawback purposes, regardless of whether such document
is intended for filing with Customs.
To 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 regulation, consignee's and owner's
declarations provided for in section 485, Tariff Act of 1930, as amended,
or affidavits in connection with the entry of 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 and 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 of 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 after the expiration of 2 years from the date 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 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 Partida 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 of behalf of the Grantor.
IN WITNESS WHEREOF, the said
has caused these to be sealed and signed: (signature)___________________________________________________
(capacity) Date
Witness (if required): for a Corporation, Power of Attorney MUST be signed
by one of the following: President, Vice-President, Secretary, Treasurer.
IMPORTANT: If you are the importer of record, payment to the Broker will
not relieve you of liability for Customs charges (duties, taxes or other
debts) 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 'U.S. Custom 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.
¹ This data is not necessary if you are or plan to order from multiple
vendors