(1) Check appropriate box:                                      CUSTOMS POWER OF ATTORNEY
Individual
Partnership
Corporation
Sole Proprietorship
(2) Federal I.D. or Social Security Number

KNOW ALL MEN BY THESE PRESENTS:  That, (3)

a corporation doing business under the laws of the State of  (4)    or a  (5)
doing business as (6) residing at  (7) 
having an office and place of business at (8)
hereby constitutes and appoints David W. Bailey CHB and any employees specifically authorized by power of attorney filed with the district director of customs with power to grant power of attorney on behalf of the principle to licensed brokers in other districts as true and lawful agent and attorney of the grantor named above for and in the name, place and stead of said grantor from this date and in all the Customs Districts. an in no other name, to make, endorse, sign, declare, or swear to any entry, withdrawal, declaration, certificate, bill of lading, carnet or other document required by law or regulation in connection with the importation, transportation, or exportation of any merchandise shipped or consigned by or to said grantor; to perform any act or condition which may be required by law or regulation in connection with such merchandise; to receive any merchandise deliverable to said grantor;
   To make endorsements on bills of lading conferring authority to transfer title, make entry or collect drawback, and to make, sign, declare, or swear to any statement, supplemental statement, schedule, supplemental schedule, certificate of delivery, abstract of manufacturing records, declaration of proprietor on drawback entry, declaration of exporter on drawback entry, or any other affidavit or document which may be required by law or regulation for drawback purposes , regardless of whether  such bill of lading, sworn statement, schedule, certificate, abstract, declaration, or other affidavit or document is intended for filing in any customs district;
   To sign, seal and deliver for and as the act of said grantor any bond required by law or regulation in connection with the entry or withdrawal of imported merchandise or merchandise exported with or without the benefit of drawback, or in connection with the entry, clearance, lading, unlading, or navigation of any vessel or other means of conveyance owned or operated by said grantor, any any and all bonds which may be voluntarily given and accepted under applicable laws and regulations, consignee's and owners declarations provided for in section 485, Tariff Act of 1930, as amended, or affidavits in connection with the entry of the merchandise;
   To sign and swear to any document and to perform any act that may be necessary or required by law or regulation in connection with the entering, clearing, lading, unlading, or operation of any vessel or other means of conveyance owned or operated by said grantor;
   To authorize other Customs Brokers to act as grantor's agent; to receive, endorse and collect checks issued for Customs duty refunds in grantor's name drawn on the Treasurer of the United States; if the grantor is a nonresident of the United States, to accept service of process on behalf of the grantor;
   And generally to transact at the customhouses in any district any and all customs business, including making, signing, and filing of protests under section 514 of the Tariff Act of 1930, in which said grantor is or may be concerned or interested and which may properly be transacted or performed by an agent and attorney, giving to said agent and attorney full power and authority to do anything whatever requisite and necessary to be done in the premises as fully as said grantor could do if present and acting, hereby ratifying and confirming all that the said agent and attorney shall lawfully do by virtue of these presents; the foregoing power of attorney to remain in full force and effect until notice of revocation in writing is duly given to and received by the District Director of Customs. If the donor of this power of attorney is a partnership, the said power shall in no case have any force or effect after the expiration of 2 years from the date of its execution.
   IN WITNESS WHEREOF, the said  (9)

has caused these presents to be sealed and signed: (Signature) (10)    ____________________________________________________________

(Capacity)  (11)    (Date) (12) 

   Customs power of attorney of residents (including resident corporation) shall be without power of substitution except for the purpose of executing shipper's export declarations. However, a power of attorney executed in the favor of a licensed custom broker may specify that the power of attorney is granted to the customs broker to act through any of its licensed officers or any employees specifically authorized to act for such customs broker by power of attorney.
If you are the importer of record, payment to the broker will not relieve you of liability for Customs charges (duties, taxes or other debts owed Customs) in the event the charges are not paid by the broker. Therefore, if you pay by check, Customs charges may be paid with a separate check payable to the "U.S. Customs Service" which shall be delivered to Customs by the broker.
Importers who wish to utilize this procedure must contact our office in order to arrange timely receipt of duty checks.