I.R.S. # TITLE 19 CFR 141.32
or S.S.
Phone:
Fax:
KNOW ALL MEN BY THESE PRESENTS: That,
Corporation doing business under the laws for the State of
or
a
doing business as residing at
or having an office and place of business at , hereby constitutes and appoints
IN WITNESS WHEREOF, the said_____________________________________________________________________________________________
has caused these presents to be sealed and signed: (signature) _________________________________________________DATE___________
(Capacity)____________________________________ WITNESS:_____________________________________________
CUSTOMS POWER OF ATTORNEY
(Full name of Person, Partnership, or Corporation, or Sole proprietorship) (Identify)
COMPANY POWER OF ATTORNEYS CAN ONLY BE SIGNED BY AN OFFICER OF THE COMPANY; PRESIDENT, VICE-PRESIDENT, TREASURER, OR SECRETARY OF THE CORPORATION.
INDIVIDUAL POWER OF ATTORNEYS MUST BE SIGNED BY SAID INDIVIDUAL
and its authorized agents and employees as a true and lawful agent and grantor named above for and in the name, place and stead of said grantor from this date and in all Customs District(s), and in no other name,
to make, endorse, sign, declare, or swear to any entry, withdrawal, declaration, certificate, bill of lading, carnet or other document required by law or regulation in connection with the importation, transportation, or
exportation of any merchandise, shipped or consigned by or to said grantor, to perform any act or condition which may be required by law or regulation in connection with such merchandise; to receive any merchandise
deliverable to said grantor;
To make endorsements on bills of lading, conferring authority to make entry and collect drawback, and to make, sign, declare, or swear to any statement, supplemental statement, schedule, supplemental schedule,
ceritficate of delivery, certificate of manufacture, certificate of manufacture and delivery, abstract of manufacturing records, declaration of proprietor or drawback entry, declaration of exporter on drawback entry, or any
other affidavit or document which may be required by law or regulation for drawback purposes, regardless of whether such bill of lading, sworn statement, schedule, certificate, abstract, declaration, or other affidavit or
document is intended for filing in said district or in any other customs district.
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 in 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 in connection with the entry of merchandise.
To 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.
And generally to transact customs business, including marking, signing, and filing of protests under section 514 of the Tariff Act of 1930, 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 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: the foregoing power of attorney to remain in full force and effect until the ______ day
of ________, 20___or until notice of revocation in writing is duly given to and received by the grantee. If the donor of this power of attorney is a partnership, the said power of attorney shall in no case have any force or
effect after the expiration of 2 years from the date of its receipt in the office of the District Director of Customs of the said district(s).
With the power to 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.
Section 111.29 (b) (1) CFR 19
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 owed U.S. Customs) in the event charges are not paid by the broker. Therefore, if
you pay by check, Customs charges may be paid with a seperate check payable to the "U.S. Customs Service" which can be delivered to Customs by the broker. Importers who wish to utilize this procedure must contact
in advance to arrange timely receipt of duty checks.
Check Entity Type
o Individual
o
P
artnership
o
C
orporation
o
S
ole Proprietor
JAMES RANDALL MARTIN - CHB
2550 NW 72ND AVE STE 310 DORAL FL, 33122
