PoA Instructions For Completion - DB Schenker · PoA Instructions For Completion PoA Instructions...
Transcript of PoA Instructions For Completion - DB Schenker · PoA Instructions For Completion PoA Instructions...
PoA Instructions For Completion
PoA Instructions For Completion Dept./Contact: PM Customs – PoA Team Rev #2 – Feb / 2014 Page 1 of 2 Valid until next revision
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PoA Instructions For Completion
PoA Instructions For Completion Dept./Contact: PM Customs – PoA Team Rev #2 – Feb / 2014 Page 2 of 2 Valid until next revision
Field # Corporation / LLC Partnership / LP / LLP Individual Sole Proprietor Non‐Resident Entity
1 EIN ID# / Federal ID# / IRS # EIN ID# / Federal ID# / IRS # Not applicable, leave blank EIN ID# / Federal ID# / IRS # Not applicable, leave blank
2 Not applicable, leave blank Not applicable, leave blank Social Security Number Social Security Number Not applicable, leave blank
3 Not applicable, leave blank Not applicable, leave blank Not applicable, leave blank Not applicable, leave blank Customs assigned Importer Number
4 Check the Corporation or LLC box
Check the Partnership / LP or LLP box
Check the Individual box Check the Sole Proprietor box Check the Other box and write in the business entity type
5 Full name as it appears on corporate records
Full names of all Partners Full name of the Individual Full name as it appears on tax records or individuals name
Full name as it appears on organizations records
6 Fill in any applicable alternate name that business is being conducted in
Fill in the name that you are doing business under
Fill in any applicable alternate name that the business is being conducted in
Fill in any applicable alternate name that business is being conducted in
Fill in any applicable alternate name that business is being conducted in
7 Name of state of incorporation Not applicable, leave blank Not applicable, leave blank Not applicable, leave blank Not applicable, leave blank
8 Complete address of the business
Complete address of the business Fill in complete home address Complete address of the business
Complete address of the business
9 Same as line 5 Name of the general partner that is signing the PoA
Same as line 5 Same as line 5 Same as line 5
10 Signature of an officer of the corporate
Signature of the person on line 9 Signature of the individual Signature of Sole Proprietor Signature of authorized individual
11 Name of the person signing on line 10
Name of the person signing on line 10
Name of the person signing on line 10
Name of the person signing on line 10
Name of the person signing on line 10
12 Title of person signing on line 9 Title of person signing on line 9 Individual Title of person signing on line 9
Title of person signing on line 9
13 Date of Power of Attorney completed
Date of Power of Attorney completed
Date of Power of Attorney completed
Date of Power of Attorney completed
Date of Power of Attorney completed