CUSTOMS POWER OF ATTORNEY
and
Acknowledgement of Terms and Conditions of Service
KNOW ALL MEN BY THESE PRESENTS: That; ✓ ________________________________________________________________ doing
(Full name of individual, partnership, corporation, sole proprietorship, or Limited Liability Company) (Identify)
business as a ___________________________________________________ under the laws of the State of _______________________
(Individual, partnership, corporation, sole proprietorship, or Limited Liability Company) (Insert one)
residing or having a principal place of business at __________________________________________________ , hereby constitutes and
appoints Saratoga Forwarding Co., Inc., its officers, employees, and/or specifically authorized agents, t o 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 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 maybe 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 s a i d 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 455, Tariff Act of 1930, as amended, or
affidavits or statements 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 necessary to be done in the premises as fully as s a i d
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 i n the United States after the expiration 2 years from the dates of
its execution);
Grantor acknowledges receipt of Saratoga Forwarding Co., 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.
I N W I T N E S S W HE R E O F , the said ___________________________________________________________________________
(Full name of company)
caused these presents to be sealed a n d s i g n ed : (Signature) ________________________________________________________
(Capacity) __________________________________________ Date: ______________________________________________________
Witness:
,
(if required) ___________________________________________________________________________________________
If you are the importer of record, payment to the broker will not relieve you of liability for Customs and Border Protection (CBP) charges (duties,
taxes or other debts owed CBP) 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 " Customs and Border Protection" which shall be delivered to CBP by the broker. Importers who wish to
utilize this procedure must contact our office in advance to arrange timely receipt of duty checks.
Copyright 1995, National Customs Brokers and Forwarders Association of America, Inc. (Revised 07/04)
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LLC
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