Docstoc

Sample Affidavit for Witness

Document Sample
Sample Affidavit for Witness Powered By Docstoc
					                                                                                 COMMERCIAL INVOICE/PACKING LIST



Sender:          (Exhibitor Name)                                       Consignee:                      (Exhibitor Name)                License:                      If Applicable
  Exhibiting Name                                                         MEBA 2008                                                     Carnet:                       If Applicable     REMARKS ( " X " each item)
  Exhibitor Address                                                       Airport Expo, Dubai, United Arab Emirates                     IRS No.:                       Enter IRS #       A: TEMPORARY IMPORT
  State, City, Zip                                                        Hall/Stand No                                                 Pieces:                                           B. PERMANENT IMPORT
  Phone/Fax/Email                                                         NOA: FEI                                                      Weight:                                            C: GIVEN AWAY/SOLD
                                                                                                             Dims (Inches)
 Total    Item                                                                                                       LxW
 Pieces    No.   QTY                          Description of Contents                       Origin     Kilo         xH         CBM            HTS         A     B    C     Item Value ($)      Total Value ($)
1 of 5      1      2                  Wide-screen video units Model # 839ZA                USA           444 59 28 42           1.14      8544.20.0000     X                     1,200.00                2,400.00
                                             S/N's X039593, X038904

            2      4                 Aluminum Support Stands for Video Units                 USA                                          9023.00.0000     X                           75.00                300.00


            3      1                     Remote Control Channel Selection                    USA                                          9023.00.0000     X                          105.00                105.00

            4      2                  Auto Playback Tape Decks Model #7603                   USA                                          8518.21.0000     X                          359.00                718.00

2 of 5      1      3                       Display Panels with Graphics                      USA          125   96   36   36     2.04     9023.00.0000     X                          500.00              1,500.00

            2      3                          Header Panels w/ Logo                          USA                                          9023.00.0000     X                          125.00                375.00




                                                                                                                                                        CIF Total Value:                       $          5,398.00
The shipper hereby authorizes TWI and their agent, in his name and behalf, to prepare any export documentation, to sign and accept
any documents relating to said shipment and forward this shipment in accordance with the conditions of carriage. The values listed on              Authorized Signature:
this document represent fair-market value. These commodities, technology or software were exported from the United States in                                       Date:
accordance with Export Administration Regulations. Diversion contrary to U.S. law prohibited.
                                                                                   COMMERCIAL INVOICE/PACKING LIST



Sender:          (Exhibitor Name)                                          Consignee:                       (Exhibitor Name)             License:                      If Applicable
  Exhibiting Name                                                             MEBA 2008                                                  Carnet:                       If Applicable     REMARKS ( " X " each item)
  Exhibitor Address                                                           Airport Expo, Dubai, United Arab Emirates                  IRS No.:                       Enter IRS #       A: TEMPORARY IMPORT
  State, City, Zip                                                            Hall/Stand No                                              Pieces:                                           B. PERMANENT IMPORT
  Phone/Fax/Email                                                             NOA: FEI                                                   Weight:                                            C: GIVEN AWAY/SOLD
                                                                                                                 Dims (Inches)
 Total    Item                                                                                                           LxW
 Pieces    No.   QTY                             Description of Contents                        Origin     Kilo         xH       CBM           HTS         A     B    C     Item Value ($)      Total Value ($)
3 of 5      1      1                1/25th Scale Model of X-15 Field Antenna Module            USA           179 60 36 42         1.49     9023.00.0000          X                1,900.00                1,900.00
                                                    (Non Operative)

            2      1                          Wood Base for Scale Model                       USA                                          9023.00.0000          X                     250.00                250.00




                                                                                                                                                         CIF Total Value:                       $          2,150.00
The shipper hereby authorizes TWI and their agent, in his name and behalf, to prepare any export documentation, to sign and accept
any documents relating to said shipment and forward this shipment in accordance with the conditions of carriage. The values listed on               Authorized Signature:
this document represent fair-market value. These commodities, technology or software were exported from the United States in                                        Date:
accordance with Export Administration Regulations. Diversion contrary to U.S. law prohibited.
                                                                                 COMMERCIAL INVOICE/PACKING LIST



Sender:          (Exhibitor Name)                                      Consignee:                      (Exhibitor Name)                 License:                      If Applicable
  Exhibiting Name                                                        MEBA 2008                                                      Carnet:                       If Applicable     REMARKS ( " X " each item)
  Exhibitor Address                                                      Airport Expo, Dubai, United Arab Emirates                      IRS No.:                       Enter IRS #       A: TEMPORARY IMPORT
  State, City, Zip                                                       Hall/Stand No                                                  Pieces:                                           B. PERMANENT IMPORT
  Phone/Fax/Email                                                        NOA: FEI                                                       Weight:                                            C: GIVEN AWAY/SOLD
                                                                                                            Dims (Inches)
 Total    Item                                                                                                      LxW
 Pieces    No.   QTY                          Description of Contents                      Origin     Kilo         xH          CBM            HTS         A     B    C     Item Value ($)      Total Value ($)
4 of 5      1    2000                       Assorted Product Brochures                    USA            39 24 15 18            0.11      4911.10.0050               X                0.05                100.00

            2     150                        Corporate Annual Reports                        USA                                          4911.10.0050               X                  0.50                  75.00

            3      1                           Magazine Ad Reprints                          USA                                          4911.10.0050               X                105.00                105.00

5 of 5      1    1000                   Ball-Point Pens with Company Logo                    USA           58   24   42   12     0.20     4911.10.0050               X                  0.10                100.00

            2     100                            Company T-Shirts                            USA                                          4911.10.0051               X                  1.50                150.00

            3     500                        Company Product Poster                          USA                                          4911.10.0051               X                  0.10                  50.00




                                                                                                                                                        CIF Total Value:                       $            580.00
The shipper hereby authorizes TWI and their agent, in his name and behalf, to prepare any export documentation, to sign and accept
any documents relating to said shipment and forward this shipment in accordance with the conditions of carriage. The values listed on              Authorized Signature:
this document represent fair-market value. These commodities, technology or software were exported from the United States in                                       Date:
accordance with Export Administration Regulations. Diversion contrary to U.S. law prohibited.
                                                                                  COMMERCIAL INVOICE/PACKING LIST



Sender:          (Exhibitor Name)                                         Consignee:                      (Exhibitor Name)               License:
  Exhibiting Name                                                           MEBA 2008                                                    Carnet:                                        REMARKS ( " X " each item)
  Exhibitor Address                                                         Airport Expo, Dubai, United Arab Emirates                    IRS No.:                                       A: TEMPORARY IMPORT
  State, City, Zip                                                          Hall/Stand No                                                Pieces:                                          B. PERMANENT IMPORT
  Phone/Fax/Email                                                           NOA: FEI                                                     Weight:                                              C: GIVEN AWAY/SOLD
                                                                                                               Dims (Inches)
 Total     Item                                                                                                        LxW
 Pieces     No.   QTY                         Description of Contents                          Origin    Kilo         xH        CBM            HTS          A     B    C     Item Value ($)       Total Value ($)




                                                                                                                                                          CIF Total Value:                    $                      -
The shipper hereby authorizes TWI and their agent, in his name and behalf, to prepare any export documentation, to sign and accept any
documents relating to said shipment and forward this shipment in accordance with the conditions of carriage. The values listed on this               Authorized Signature:
document represent fair-market value. These commodities, technology or software were exported from the United States in accordance                                   Date:
with Export Administration Regulations. Diversion contrary to U.S. law prohibited.
                                                                   CUSTOMS POWER OF ATTORNEY
                                                                                                                                                                                               (Check appropriate box)
I.R.S. #:                                                                                                   Bond Amount:                                                                            Individual
                                                                                                                                                                                                    Partnership
                                                                                                             Surety Code:                                                                           Corporation
                                                                                                                                                                                                    Sole Proprietorship

KNOW ALL MEN BY THESE PRESENTS: That,



a corporation doing business under the laws of the State of                                                          or a

doing business as                                                                                             residing at

having an office and place of business at                                                                                                              , hereby consitutes and appoints each of the following persons

C- Air International CHB 6053 W Century Blvd, Ste 650, Los Angeles, Ca 90045 which may act through any of its licensed officers or
employees duly authorized to sign documents by power of attorney on file with U.S. Customs [Sections 111.3(b) (1) and 141.43(c) CFR]
 as a true and lawful agent and attorney of the grantor named above for and in the name, place,               laws and regulations, consignee's and owner's declarations provided for in section 485, Tariff
 and stead of said grantor from this date and in all Customs Districts, and in no other name,                 Act of 1930, as amended, or affidavits in connection with the entry of merchandise;
 to make, endorse, sign, declare, or swear to any entry, withdrawal, declaration, certificate, bill               To sign and swear to any document and to perform any act that may be necessary or required
 of lading, carnet or other document required by law or regulation in connection with the impor-              by law or regulation in connection with the entering, clearing, lading, unlading, or operation of
 tation, transportation, or exportation of any merchandise shipped or consigned by or to said                 any vessel or other means of conveyance owned or operated by said grantor;
 grantor; to perform any act or condition which may be required by law or regulation in connec-                   To authorize other Customs Brokers to act as grantor's agent; to receive, endorse and collect
 tion with such merchandise; to receive any merchandise deliverable to said grantor;                          checks issued for Customs duty refunds in grantor's name drawn on the Treasurer of the United
      To make endorsements on bills of lading conferring authority to transfer title, make entry or           States; if the grantor is a nonresident of the United States, to accept service of process on
 collect drawback, and to make, sign, declare, or swear to any stement, supplemental state-                   behalf of the grantor;
 ment, schedule, supplemental schedule, certificate of delivery, certificate of manufacture, cer-                 And generally to transact at the customhouses in any district any and all customs business,
 tificate of manufacture and delivery, abstract of manufacturing records, declaration of proprietor           including making, signing, and filing of protests under section 514 of the Tariff Act of 1930,
 on drawback entry, declaration of exporter on drawback entry, or any other affidavit or                      in which said grantor is or may be concerned or interested and which may properly be trans-
 document which may be required by law or regulation for drawback purposes, regardless of                     acted or performed by an agent and attorney, giving to said agent and attorney full power and
 whether such bill of lading, sworn statement, schedule, certificate, abstract, declaration, or other         authority to do anything whatever requisite and necessary to be done in the premises as fully
 affidavit or document is intended for filing in any customs district;                                        as said grantor could do if present and acting, hereby ratifying and confirming all that the said
      To sign, seal, and deliver for and as the act of said grantor any bond required by law or               agent and attorney shall lawfully do by virtue of these presents; the foregoing power of attorney
 regulation in connection with the entry or withdrawal of imported merchandise or merchandise                 to remain in full force and effect until the            day of                      ,        , or until
 exported with or without benefit of drawback, or in connection with the entry, clearance, lading,            notice of revoction in this writing is duly given to and received by a District Director of Customs.
 unlading or navigation of any vessel or other means of conveyance owned or operated by said                  If the donor of this power of attorney is a partnership, the said power shall in no case have
 grantor, and any and all bonds which may be voluntarily given and accepted under applicable                  any force or effect after the expiration of 2 years from the date of its execution.

IN WITNESS WHEREOF, the said

has caused these presents to be sealed and signed: (Signature)

(Capacity)                                                                                                                                                            (Date)

WITNESS:


                                                                                                 (Corportate Seal)
(OPTIONAL)                                           INDIVIDUAL OR PARTNERSHIP CERTIFICATION                                                                                        (OPTIONAL)
CITY
COUNTY                                                                             SS#:
STATE
on this             day of                     ,                , personally appeared before me

residing at                                                                                                                         , personally known or sufficiently identified to me, who certifies that

                                  (is) (are) the individual(s) who executed the foregoing instrument and acknowledge it to be                                                          free act and deed.



                                                                                             (Notory Public)




                                                                       CORPORATE CERTIFICATION
                                                          (To be made by an officer other than the one who executes the power of attorney)

I,                                                                                  , certify that I am the

of                                                                          , organized under the laws of the State of

that                                                         , who signed this power of attorney on behalf of the donor, is the
of said corporation; and that said power of attorney was duly signed, and attested for and in behalf of said corporation by authority of its governing body as the same appears in a resolution
of the Board of Directors passed at a regular meeting held on the                day of                 ,now in my possession or custody. I further certify that the resolution in in accordance with
the articles of incorporation and bylaws of said corporation
IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said corporation, at the City of                                                                            this            day of

                                                                            ,                (year)



                                                           (Signature)                                                                                               (Date)
     If the corporation has no corporate seal, the fact shall be stated, in which case a scroll or adhesive shall appear in the appropriate, designated place.
   Customs powers of attorney of residents (including resident corporations) shall be without power of substitution except for the purpose of executing shipper's export declarations. However,
a power of attorney executed in favor of a licensed customs broker may specify that the power of attorney is granted to the customs broker to act through any of its licensed officers of
any employee secifically authorized to act for such customs broker by power of attorney.
   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 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 the "U.S. Customs Service" 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.
DIRECTIONS FOR COMPLETING THE CUSTOMS POWER OF ATTORNEY

1. IRS #
Indicate your company’s federal identification number (corporations or any business with
a payroll). MUST have a copy of IRS TAX RECEIPT OR 941 FORM to ACTIVATE or CHANGE information with US Customs.
All others (individuals) indicate your social security number
2. “Know all men by these presents: That”
Fill in full legal name of Individual, Partners, Corporation or Owner (if sole proprietorship).
If you are importing for your own personal account, fill in your full name. If the customs
power of attorney is for a Partnership, fill in the full legal names of each partner. If more
space is required, attach a rider listing the names and indicate this on the customs power.
of attorney.
3. “A corporation doing business under the laws of the state of”
If you are a Corporation, fill in the name of the state under whose laws you are
incorporated. All others please leave blank.
4. “Or a”
Indicate if Individual, Partnership or Sole Proprietorship. If you’re a Corporation, leave blank.
5. “Doing business as”
Enter the assumed name under which you do business, if applicable. Otherwise leave
blank.
6. “Residing at”
If you are an individual importing for your own personal account, enter your residential
address.
7. “Having an office and place of business at”
Enter your business address.
8. “In witness whereof, the said”
Fill in the name that you put on the first line of the customs power of attorney.
9. “Has caused these presents to be sealed and signed: Signature”
Corporations : Must be signed by a corporate officer
                    (Pres, V.P., Secretary of Corp., Treasurer, CFO)
Partnership: Only one partner is required to sign on behalf of all.
Sole Proprietorship: Must be signed by the owner of the company.
Individual: Him/herself
10. "Print Name"
Printed name of the person who signed #9
11. "Capacity"
Enter the name and title or capacity of the person who signs the customs power of
attorney.
12. “Date”
Fill in date the form is signed.
13. "Witness"
Signature of person witnessing the completion of this form.
14. "Corporate Seal"
Emboss with your company stamp (optional).
                                                                   CUSTOMS POWER OF ATTORNEY
                                                                                                                                                                                                 (Check appropriate box)
I.R.S. #:                                   <1>                                                                Bond Amount:                                                                           Individual
                                                                                                                                                                                                      Partnership
                                                                                                               Surety Code:                                                                           Corporation
                                                                                                                                                                                                      Sole Proprietorship

KNOW ALL MEN BY THESE PRESENTS: That,                                   <2>


a corporation doing business under the laws of the State of                             <3>                          or a                                     <4>
doing business as                                   <5>                                                         residing at                                           <6>
having an office and place of business at                                               <7>                                                              , hereby consitutes and appoints each of the following persons




 as a true and lawful agent and attorney of the grantor named above for and in the name, place,                 laws and regulations, consignee's and owner's declarations provided for in section 485, Tariff
 and stead of said grantor from this date and in all Customs Districts, and in no other name,                   Act of 1930, as amended, or affidavits in connection with the entry of merchandise;
 to make, endorse, sign, declare, or swear to any entry, withdrawal, declaration, certificate, bill                 To sign and swear to any document and to perform any act that may be necessary or required
 of lading, carnet or other document required by law or regulation in connection with the impor-                by law or regulation in connection with the entering, clearing, lading, unlading, or operation of
 tation, transportation, or exportation of any merchandise shipped or consigned by or to said                   any vessel or other means of conveyance owned or operated by said grantor;
 grantor; to perform any act or condition which may be required by law or regulation in connec-                     To authorize other Customs Brokers to act as grantor's agent; to receive, endorse and collect
 tion with such merchandise; to receive any merchandise deliverable to said grantor;                            checks issued for Customs duty refunds in grantor's name drawn on the Treasurer of the United
      To make endorsements on bills of lading conferring authority to transfer title, make entry or             States; if the grantor is a nonresident of the United States, to accept service of process on
 collect drawback, and to make, sign, declare, or swear to any stement, supplemental state-                     behalf of the grantor;
 ment, schedule, supplemental schedule, certificate of delivery, certificate of manufacture, cer-                   And generally to transact at the customhouses in any district any and all customs business,
 tificate of manufacture and delivery, abstract of manufacturing records, declaration of proprietor             including making, signing, and filing of protests under section 514 of the Tariff Act of 1930,
 on drawback entry, declaration of exporter on drawback entry, or any other affidavit or                        in which said grantor is or may be concerned or interested and which may properly be trans-
 document which may be required by law or regulation for drawback purposes, regardless of                       acted or performed by an agent and attorney, giving to said agent and attorney full power and
 whether such bill of lading, sworn statement, schedule, certificate, abstract, declaration, or other           authority to do anything whatever requisite and necessary to be done in the premises as fully
 affidavit or document is intended for filing in any customs district;                                          as said grantor could do if present and acting, hereby ratifying and confirming all that the said
      To sign, seal, and deliver for and as the act of said grantor any bond required by law or                 agent and attorney shall lawfully do by virtue of these presents; the foregoing power of attorney
 regulation in connection with the entry or withdrawal of imported merchandise or merchandise                   to remain in full force and effect until the            day of                      ,        , or until
 exported with or without benefit of drawback, or in connection with the entry, clearance, lading,              notice of revoction in this writing is duly given to and received by a District Director of Customs.
 unlading or navigation of any vessel or other means of conveyance owned or operated by said                    If the donor of this power of attorney is a partnership, the said power shall in no case have
 grantor, and any and all bonds which may be voluntarily given and accepted under applicable                    any force or effect after the expiration of 2 years from the date of its execution.

IN WITNESS WHEREOF, the said                                            <8>
has caused these presents to be sealed and signed: (Signature)                          <9>                                                                   <10>
(Capacity)                            <11>                                                                                                                              (Date)                    <12>
WITNESS:                                            <13>
                                                                                                        <14>
                                                                                                 (Corportate Seal)

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:102
posted:7/28/2011
language:English
pages:8
Description: Sample Affidavit for Witness document sample