Term Project paper

profilericardo.cova001
4673CertofOriginsample.pdf

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)

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  1. Period From: 11/14/2018
  2. Exporter Name and Address: Melbourne Enterprises, LLC FIU College of Business 11200 SW 8 Street Miami, Florida 33199
  3. Importer Name and Address: XYZ Imports, LLC 123 Broadway Ave Montreal, QC T11 4RE Canada
  4. Description of Product: 2-Liter plastic bottles
  5. Period To: 03/31/2019
  6. 10-digit HS number: 3923.30.0090
  7. Country: US
  8. Name: Louis Melbourne
  9. Company name: Melbourne Enterprises, LLC
  10. Title: CEO
  11. Duty rate (e:
    1. g:
      1. , free): free