Power Attorney

POWER OF ATTORNEY INSTRUCTIONS

Customs & Border Protection Regulations Section 141.46 states, “Before transacting Customs business in the name of his principal, a Customhouse Broker is required to obtain a valid Power of Attorney to do so.” Therefore, in order to handle importations through Customs in your name, we must have on file your Power of Attorney. This Power of Attorney islimited to Customs matters only.
Attached is a blank Power of Attorney form in the preferred format, Customs Form 5291. Please follow the instructions carefully. To assist you in completing the form, we have numbered each item to match the corresponding instruction.
*If you are a Corporation, complete items 1, 2, 6, 7, 8, 9, 10, & 11.
*If you are an Individual, Partnership, Sole Proprietorship,Limited Liability Company (LLC) or Unincorporated Association, complete items 1, 3, 4, 5, 6, 7, 8, 9, 10, & 11.
Indicate in check box, if individual, partnership, corporation, or sole proprietor
1. Company’s IRS number or Customs assigned number, Signer’s Social Security Number if individual.
2. Full, legal name of Individual, Partners, Corporation, LLC, Unincorporated Association or Owner(of sole proprietorship). If you are importing for your own personal account, fill in your full name. If the Power of Attorney is for a partnership, fill in the full, legal names of each partner (if more space is required, attach a rider listing the names.
If you attach a rider, so indicate on the Power of Attorney in the appropriate item). If you are a corporation, fill in the full legal nameof the corporation. If you are a sole proprietor, fill in the full, legal name of the owner.
3. Enter the assumed name under which you do business (if applicable - otherwise leave blank).
4. Indicate the name of the State under whose laws you are incorporated (if a corporation -- otherwise leave blank).
5. Enter your residence address for the individual, each partner or the owner of a soleproprietorship (if more room is needed, see instructions for rider in item 1).
6. Enter your business address
7. Enter the date you want the Power of Attorney to expire, if you wish to limit it. If not limited, the document is valid until revoked by written notification to the District Director of Customs in the district where it is filed. Partnership powers of attorney automatically expire 2years from date of issue.
8. Enter name that appears in item 2.
9. Signature of authorizing individual:
> For individual, him/herself
> For Partnership, one partner
> For Corporation, an officer of the corporation (e.g. President, Vice President, Secretary, Treasurer, or Chief Financial Officer). Note if the party signing has any title, other than mentioned, additional documentationsupporting that the individual has the legal authority to bind the corporation may be required.
> For Sole Proprietorship, the owner.
10. Title or capacity of the signer.
11. Enter date the document is signed.
SPECIAL REQUIREMENTS FOR FOREIGN CORPORATIONS: Foreign Corporations completing this form must also provide documentation establishing the authority of the grantor designated to executethe Power of Attorney on behalf of the corporation. This can take the form of a letter on corporate letterhead signed by a second corporate officer in which he states that the person signing the actual Power of Attorney is authorized to do so by the corporation. IJS Global will provide certification statement upon request or as required.
SPECIAL PRINTING INSTRUCTIONS
Please ensure that the nextpage titled “Power of Attorney” prints on one page. It is necessary that the signature line is on the same page as the information about the signor. Depending upon the printer configuration the document may not automatically print on one page. You may need to make adjustments.
Rev: 4

CUSTOMS POWER OF ATTORNEY
Department of Homeland Security
Customs and Border Protection
IRS# / SS#: (1)...