CUSTOMS POWER OF ATTORNEY - Old Dominion …

1 MA CO4A (08/14) Page 1 of 4 MALLORY ALEXANDER INTERNATIONAL LOGISTICS Box 30209 4294 Swinnea Road Memphis, TN USA 38118 PHONE FAX FEDERAL MARITIME COMMISSION freight FORWARDER LICENSE NO. 172NF INTERNATIONAL AIR CARGO AGENTS IATA NO. 44 52150 NATIONAL PERMIT NO. 99 00023 domestic freight FORWARDER CUSTOMS POWER OF ATTORNEY (1) Select one : Corporation Individual Sole Proprietorship Limited Partnership Limited Liability Company General Partnership Non Resident of USA (2) Employer Identification Number: KNOW ALL MEN BY THESE PRESENTS: That, (3) (hereinafter Importer ) a corporation doing business under the laws of the State of (4) or a (5) doing business as (6) residing at or having a principle place of business at (7) hereby constitutes and appoints MALLORY ALEXANDER INTERNATIONAL LOGISTICS, (hereinafter Mallory )

2 , to act through any of its licensed officers or any other employee specifically authorized to act for such corporation by POWER of ATTORNEY filed with the District Director of CUSTOMS as a true and lawful agent and ATTORNEY of the gr antor named above for and in the name, place, and stead of said grantor from this date and in all CUSTOMS Districts, and 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.

3 To make endorsements on bills of lading conferring au thority 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, certificate of manufacture, certificate of manufacture and 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.

4 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 benefit of drawback, or in connection with the entry, clearance, lading, unlading or navigation of any v essel or other means of conveyance owned or operated by said grantor, and any and all bonds which may be voluntarily given and accepted under applicable laws and regulations, consignee's and owner's declarations provided for in section 485, Tariff Act of 1930, as amended, or affidavits in connection with the entry of 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 issue Powers of ATTORNEY on behalf of the grantor of this POWER of ATTORNEY to other CUSTOMS house brokers to transact CUSTOMS business on behalf of the grantor; to receive, endorse and collect checks issued for CUSTOMS duty refunds in grantor's name drawn on the Treasurer of the United States.

5 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 CUSTOMS houses in any district any and all CUSTOMS business, including making, signing, and filling of protests under section 514 of the Tariff 1930, in which said gr antor 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 rat ifying and confirming all that the said agent and ATTORNEY shall lawfully do by virtue of these presents.

6 The foregoing POWER of ATTORNEY to remain in full force and effect until the (8) day of , or until notice of revocation in writing is duly given to and received by a 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 two years from the date of its execution. If the Grantor is a Limited Liability Company, the signatory certifies that he/she has full authority to execute this POWER of ATTORNEY on behalf of the Grantor. In the execution of this document, it is expressly understood that payment to the grantee, if a broker, does not relieve the grantor of liability for CUSTOMS charges (duties, taxes, or other debts owed CUSTOMS ) in the event the charges are no paid by the broker.

7 Therefore, if payment is by check, CUSTOMS charges may be paid with a separate check payable to "US CUSTOMS and Border Protection", which shall be delivered to CUSTOMS by the broker. In the execution of this document, it is understood that MALLORY ALEXANDER INTERNATIONAL LOGISTICS, , its parent, its divisions and its wholly owned subsidiaries, limit their liability to the extent provided for under law and in accordance with MALLORY ALEXANDER INTERNATIONAL LOGISTICS, Terms and Conditions of Service; a written copy which grantor hereby acknowledges having received. IN WITNESS WHEREOF, the said (9) has caused these presents to be sealed and signed: Signature (10) Capacity (11) Date (12) Witness (13) MA CO4A (08/14) Page 2 of 4 MALLORY ALEXANDER INTERNATIONAL LOGISTICS Box 30209 4294 Swinnea Road Memphis, TN USA 38118 PHONE FAX FEDERAL MARITIME COMMISSION freight FORWARDER LICENSE NO.

8 172NF INTERNATIONAL AIR CARGO AGENTS IATA NO. 44 52150 NATIONAL PERMIT NO. 99 00023 domestic freight FORWARDER POA Instructions 1. Mark the appropriate box. 2. Indicate the Importer of Record s (IOR) Employer Identification Number (EIN), also known as the Federal Tax Identification Number. If the IOR is an individual, indicate the Social Security Number. 3. Indicate the legal name of the IOR. It must be the full legal name associated with the number listed in step two. 4. If the IOR is a corporation, list the state in which the IOR is doing business. Otherwise, leave blank. 5. If the IOR is not a corporation, list the type of company marked in step one.

9 Otherwise, leave blank. 6. If the IOR is not a corporation and a Doing Business As name exists, list that name. Otherwise, leave blank. 7. List the physical address of the IOR, including the address, city, state, and zip code. If a foreign IOR, also include the country. (Must be complete no box.) 8. Indicate the date that the POA should expire. Date entered should be at least 30 business days from the date of execution. If not limited, it will be valid until revoked by written notification. A Partnership POA will automatically expire two years from the date of issue. 9. List th e name of the IOR indicated in step three. 10. Signature of the authorized representative of the IOR.

10 If the IOR is a corporation and the Corporate Certification is not completed, this step must be signed by the President, Vice President, Treasurer, Secretary, CEO, COO, or CFO. If the IOR is not a corporation, this step must be signed by a Partner, Member, Director, Owner, or the Individual. 11. Indicate the title of the signatory. 12. Indicate the date signed by the signatory. 13. Signature of the individual that witnessed the signing of step ten. (Not mandatory.) INDIVIDUAL OR PARTNERSHIP CERTIFICATION CITY: } SS: COUNTY: STATE: On this day of , , personally appeared before me residing at , personally known or sufficiently identified to me, who certifies that (is) (are) the individual(s) who executed the foregoing instrument and acknowledge it to be free act and deed.