Term Project paper
Certificate of Origin Template
Certificate of Origin Exporter Name and Address Blanket Period: (DD/MM/YYYY)
FROM:
Tax Identification Number TO: Producer Name and Address Importer Name and Address:
Tax Identification Number: Tax Identific a t ion Number: Description of Good(s) TARRIF PREFERENCE PRODUCER NET CO UNTRY
CLASSIFICATION CREITERION COST OF NUMBER ORIGIN
I CERTIFY THAT:
• Information prov ided in this certificate is based on facts and is accurate and I assume the responsibility for proving such
representations. I understand that I am liable for any false sta tement or material omission made on or in concern with this
document.
• I agree to maintain and present upon request documen1ation necessary to support this certif icate and to inform, in
w rit ing, al persons to w hom this certif icate w as given of any changes that w ould af fect accuracy or validity of this
certif icate.
• This certif icate consists of ________ pages including all attachments
Authorized Signature: COM PANY: Name: (Print or Type) TITLE: Date: DD/MM/YYYY I Ph: xxxxxxxxxxxxxxx Fax: xxxxxxxxxxxxxxxxxx I Customs Form:
e.g. "free"
i.e., Rate of Duty from the HTS)
- Period From: 11/14/2018
- Exporter Name and Address: Melbourne Enterprises, LLC FIU College of Business 11200 SW 8 Street Miami, Florida 33199
- Importer Name and Address: XYZ Imports, LLC 123 Broadway Ave Montreal, QC T11 4RE Canada
- Description of Product: 2-Liter plastic bottles
- Period To: 03/31/2019
- 10-digit HS number: 3923.30.0090
- Country: US
- Name: Louis Melbourne
- Company name: Melbourne Enterprises, LLC
- Title: CEO
- Duty rate (e:
- g:
- , free): free