sly ix IB cmruw Ste. CUSTOMS POWER OF ATTORNEY INSTRUCTIONS Before transacting Customs business in the name of his principal, a customhouse broker is required to obtain a valid power of attorney per 19 CFR 141.31. The Power of Attorney form must be filled out completely and accurately. 1. Federal Identification Number, Social Security Number or Customs Assigned Number (if a foreign corporation). Leave blank if no number assigned 2. Check the appropriate box 3. Full name of the Individual, Partnership or Corporation (as it appears on your corporate records), sole proprietorship or Limited Liability Company 4. Enter the appropriate category checked in (2) above 5. State of residence or incorporation 6. Individual, Partnership or Corporation full address 7. Grantor's initial 8. Same as Section (3). Full name of the Individual, Partnership or Corporation 9. Signature of individual or for partnerships, one partner. For corporations, an officer of the corporation. (President, Vice President, Treasurer or Secretary of the corporation). Other titles are acceptable if accompanied by Articles of Incorporation, a resolution of the Board of Directors, or a letter from the Corporate Secretary authorizing the named office to sign for the corporation. Title of the person signing, Example: Owner, President, Vice President, CEO etc.) 10. Grantor's title II. Fill in the date 12. It is generally not necessary to have a witness sign unless your Partnership rules require one NOTE: The Power of Attorney must be notarized or provide a copy of the grantor's passport or U.S. issued identification. EFTA00521842