Authority allowing Customs Clearance Agents to use a Traders
EORI or C&E Registration (TAN) Account to pay Customs
Taxes or Excise Duties
To: The Revenue Commissioners, Customs Division, eCustoms Accounts Unit,
Government Ofces, Nenagh, Co. Tipperary, E45 T611.
VAT / EORI. No
Please complete in BLOCK LETTERS
Tel. No. Fax No.
Name of Applicant
(“I / We Trading as”
Full Name of Signatory
Please continue overleaf
Customs and Excise Clearance Agent Form
Please ensure that each EORI / C&E Registration (TAN) is correct. Incorrect Numbers will lead to delays in processing
CUSTOMS CLEARANCE AGENTS
*I / We hereby authorise the
agents shown (
insert here total number of agents listed)
below to request payment of amounts of duties and taxes due by *me / us or by *my / our authorised Associated Traders and
to quote accordingly the EORI / C&E Registration (TAN) shown above.
(*Delete as necessary)
** This form must be signed by a Director or Company Secretary in the case
of a limited or other incorporated company, by a partner in case of a
partnership, or by the proprietor in the case of a sole proprietorship.
Full Name Agents’ EORI / C&E Registration (TAN)
D D M M Y Y Y Y