Customs Border Declaration

Customs Border Declaration

Parties

WHEREAS

WHEREAS, Declarant Name: intends to enter or transit goods at the border and requires declaration, assessment of duties, and facilitation of lawful clearance; and

WHEREAS, Authorized Customs Agent: is duly authorized to act on behalf of the Declarant for the limited purpose of preparing, filing and representing the Declarant in customs clearance proceedings under the terms set forth herein; and

WHEREAS, the parties desire to record the nature of the goods, the services to be performed, the financial terms for such services and the respective obligations and certifications of the parties.

Arrival and Conveyance Information

Port of Entry:     Date of Arrival:

Conveyance (flight/vessel/vehicle):     Bill/Manifest No.:

Scope of Work (Goods Description and Services)

The Declarant provides the following description of goods and authorizes the Agent to perform the listed services. The Agent shall act only within the authority granted below and in accordance with applicable laws and regulations.

Goods for commercial use: Yes     Permits or licenses required: Yes

Payment Terms

Declarant agrees to pay the Agent for services rendered and any assessed duties, taxes and fees as follows.

Term and Termination

This Declaration and the accompanying authority for the Agent to act commences on and shall continue until unless earlier terminated in accordance with this section.

Either party may terminate this Declaration upon days' written notice to the other party. Termination shall not relieve the Declarant of liability for duties, taxes, fees or costs incurred prior to termination nor for fees due for services performed.

Confidentiality

Each party shall maintain in confidence all non-public information disclosed by the other party in connection with this Declaration and shall not disclose such information except (a) as required by law, (b) to its employees or contractors who have a need to know in order to effect the services described herein and who are bound by confidentiality obligations no less protective than those herein, or (c) with the prior written consent of the disclosing party. Confidential information does not include information that is or becomes publicly available other than through breach of this obligation.

Governing Law

This Declaration shall be governed by and construed in accordance with the substantive laws of the jurisdiction of the port of entry, without regard to conflict of law principles. The parties submit to the exclusive jurisdiction of the courts located therein for any dispute arising out of or relating to this Declaration.

Entire Agreement

This Declaration, including the Scope of Work and payment provisions set forth above, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior agreements, understandings, negotiations and representations, whether written or oral.

Certification and Declaration

By signing below, the Declarant certifies under penalty of perjury that the information provided in this Customs Border Declaration is true, correct and complete to the best of the Declarant's knowledge. The Declarant acknowledges that knowingly filing a false declaration or making a false statement may subject the Declarant to civil and criminal penalties.

Consent to inspection and verification: The Declarant consents to inspection of the declared goods, supporting documentation and records by the Agent or authorized officials as necessary to verify compliance with applicable laws and regulations.

I certify: I hereby declare the accuracy of the information above and authorize the Agent to act on my behalf limited to the scope described herein.

Electronic consent to processing and signature: I consent to electronic processing of this Declaration and accept electronic signature as an original for all purposes.

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