Customs Clearance Power of Attorney

Principal (Company/Individual):

Address:

Tax ID Number:

Phone:

hereby appoints as its Customs Broker/Agent to perform customs clearance on its behalf.

Broker/Agent Name:

Broker/Agent Address:

Authorization

The undersigned authorizes the above appointed Broker/Agent to perform all acts necessary and requisite for the clearance and entry of goods, including the execution of documents on behalf of the Principal, within the customs territory specified.

Applicable for Goods Imported/Exported through:

Effective Date: Expiration Date:

Signature of Principal

Name & Title

Date

Signature of Broker/Agent

Name & Title

Date