Temporary Import Customs Clearance Authorization
Date:
To:
Customs Office:
We hereby authorize:
Authorized Representative / Company:
Address:
Contact Number:
to act on our behalf for the purpose of arranging for customs clearance of the temporarily imported goods described below, in accordance with the applicable customs laws and regulations.
Goods Description
| No. |
Item Description |
Quantity |
Value |
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Purpose of Importation (Event/Use):
Expected Re-export Date:
This authorization is valid for the temporary importation and customs clearance processes only and does not grant any rights to transfer ownership or otherwise dispose of the goods.
Authorized by (Importer):
Name:
Title:
Signature:
Date:
Authorized Representative (if applicable):
Name:
Title:
Signature:
Date:
Notes:
- This authorization must be presented along with accompanying import documents at the time of clearance.
- All information provided above must be accurate and complete.