Transcription of FREE TRADE AGREEMENT CERTIFICATE OF ORIGIN
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PROTECTED when completedBFREE TRADE AGREEMENT CERTIFICATE OF ORIGIN For goods exported to or from Canada - Not for use under NAFTAP lease Print or Type1 Exporter's Name and Address:2 Blanket Period:fromDD - MM - YYtoDD- MM - YY3 Producer's Name and Address:4 Importer's Name and Address:5 Description of GoodsHS tariff classification numberPreference criterionProducerGross weight or other quantity678910I certify that: the information on this document is true and accurate, and I assume the responsibility for proving such representations. I understand that I am liable for any false statements or material omissions made on or in connection with this document; I agree to maintain, and present upon request, documentation necessary to support this CERTIFICATE , and to inform, in writing, all persons to whom the CERTIFICATE was given, of any changes that would affect the accuracy or validity of this CERTIFICATE .
FREE TRADE AGREEMENT CERTIFICATE OF ORIGIN INSTRUCTIONS FOR GOODS EXPORTED TO OR FROM CANADA - NOT FOR USE UNDER NAFTA For purposes of obtaining preferential tariff treatment, this document must be completed legibly and in full by the exporter and be in the possession
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