CUSTOMS POWER OF ATTORNEY form

"*" indicates required fields

CUSTOMS POWER OF ATTORNEY
And Acknowledgement of Terms and Conditions of Service

KNOWN BY ALL MEN BY THESE PRESENTS: That,

Select business entities:*

Hereby constitutes and appoints HARMONIZED CUSTOMS BROKERS 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 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 may be required by law or regulation in connection with such merchandise deliverable to said grantor; to receive any
merchandise:
Make endorsements on bill of lading conferring authority to transfer title; make entry or collect drawback; and to make, sign, declare, or swear to any
statement or certificated 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 b e 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 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 on 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 protest 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};
Grantor acknowledges receipt of Harmonized Customs Brokers Inc. Terms and Condition 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.

MM slash DD slash YYYY

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 owned
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 “U.S. Customs” 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.