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) J Date 4 03 /J$ / 19 Witness: (if required) If you we the importer of record, payment to the broker will not relieve you of the liability for U.S. 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 cha
tate of s/ u S , residing or having a principal place of business at 4 Owe Ara MICA' Cflani 4> Gl I roott ° . hereby constitutes and appoints IBC Customs Brokerage, its officers, employees and/or specifically authorized agents to act for and on its behalf as true and lawful agent and attorney of the grantor for
) (Capacity) 4 (10) Witness: (if required) (12) If you are the importer of record, payment to the broker will not relieve you of the liability for U.S. 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 cha
s as a 4 (4) under the laws of the Slate of 4 (5) . residing or having a principal place of business at 4 (6) . hereby constitutes and appoints IBC Customs Brokerage, its officers, employees and/or specifically authorized agents to act for and on its behalf as true and lawful agent and attorney of the grantor for
(Capacity) 4 Date: 4 Witness: (if required) If you are the importer of record. payment to the broker will not relieve you of the liability for U.S. 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 cha
doing business as a 4 under the laws of the State of 4 . residing or having a principal place of business at 4 hereby constitutes and appoints IBC Customs Brokerage. its officers. employees and/or specifically authorized agents to act for and on its behalf as true and lawful agent and attorney of the grantor for
Entities connected to both U.S. Customs and IBC Customs Brokerage