CF 3299 DECLARATION FOR FREE ENTRY OF UNACCOMPANIED ARTICLES

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1 CF 3299 DECLARATION FOR FREE ENTRY OF UNACCOMPANIED ARTICLES

2 IMPORTERS LAST, FIRST & MIDDLE NAME(S ) DATE OF BIRTH DATE ARRIVED IN THE USA ADDRESS IN THE USA FIRST AIRPORT OF ARRIVAL IN THE USA AIRLINE AND FLIGHT NUMBER WHEN ARRIVED IN THE USA NAME AND RELATIONSHIP OF OTHER PEOPLE MOVING WITH YOU NAME AND RELATIONSHIP OF OTHER PEOPLE MOVING WITH YOU DO NOT COMLPETE THIS AREA DO NOT COMLPETE THIS AREA COUNTRY YOU ARE MOVING FROM - YEARS MONTHS CHOOSE ANY THAT APPLY DO NOT COMLPETE THIS AREA UNLESS IT APPLIES TO YOU CHOOSE ANY THAT APPLY

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

4 POA POWER OF ATTORNEY

5 SOCIAL SECURITY OR LEAVE BLANK IF NOT YET ISSUED CHOOSE ONLY 1 THAT APPLIES TO YOU IMPORTERS FULL NAME EXACTLY AS IT IS ON A PASSPORT {{{{{LEAVE BLANK}}}} {{{{{LEAVE BLANK}}}} YOUR USA ADDRESS {{{{{LEAVE BLANK}}}} IMPORTERS FULL NAME EXACTLY AS IT IS ON A PASSPORT IMPORTERS SIGNATURE PLEASE WRITE SELF HERE DATE COMPLETED

6 CITY COUNTY: SS: STATE: INDI V IDU A L O R PA R T N E RSH IP C E R T I F I C A T I O N On this day of, 20, personally appeared before me residing at, personally known or sufficiently identified to me, who certifies that (is) (are) the individuals(s) who executed the foregoing instrument and acknowledge it to be free act and deed. ATTEMPT TO GET A NOTARY PUBLIC CONFIRMATION WITH STAMPS ON BOTH PAGES IN CASE IT IS RECOMMENDED BY US CUSTOMS (Notary Public) C O RPO R A T E C E R T I F I C A T I O N (To be made by an officer of other than the one who executes the power of attorney) I,, certify that I am the of, organized under the laws of the State of that, who signed this power of attorney on behalf of the donor, is the of the said corporation: and that said power of attorney was duly signed, and attested for and in behalf of said corporation by authority of its governing body as the same appears in a resolution of the Board of Directors passed at a regular meeting held on the day of, 20, now in my possession or custody. I further certify that the resolution is in accordance with the articles of incorporation and bylaws of said corporation and was executed in accordance with the laws of the State or Country of Incorporation. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said corporation, at the City of this day of, 20. SIGNATURE DATE

7 SUPPLEMENTAL DECLARATION

8 "#$%&'#()$*%#"+$," '-&-.'&"/+&&$#01.$ &'**2$+$,"%2)$.2%#%"1/,3/# ',%../+*%,1$)*$#&/,%2%,)4/'&$4/2)$33$."& 5- /6,$#/34/'&$4/2)7//)& IMPORTERS NAME F-)%"$/3G1#"4H-.1"1I$,&41* DATE OF BIRTH COUNTRY YOUR PASSPORT HAS BEEN ISSUED IN J-*%&&*/#"8.KL<;BM9<C<L=N>BE COUNTRY OF ISSUANCE & PASSPORT NUMBER O-&/.1%2&$.'#1"(,/-P-#$&1)$,"%21$,,/- Social security if issued If applicable Q-'-&-%))#$&&5R-$+*2/($# Place of residence in the USA Company you will be employed with 55-*/&1"1/,61"4./+*%,( S-3/#$17,%))#$&& The 5F-2$,7"4/3$+*2/(+$," address where your items where before shipping them, your previous residence T-#$%&/,3/#+/01,75H-,%"'#$/3G'&1,$&& What is the purpose of your relocation? Is it business,%+$%,)"$2$*4/,$/3./+*%,(/331.1%2 related, education related, marital status, health, etc 5J-64/.%,0$#13(%G/0$1,3/#+%"1/, Contact information for human resources or your direct supervisor,%+$%,)%))#$&&/33#$174"3/#6%#)$#&? 5O-*%.U$#&%,)&41**1,7%7$,"& Please leave this blank, we will complete it &41*+$,"1"1,$#%#( 5P-*%.U$#&%,)&41**1,7%7$,"& Please leave this blank, we will complete it 5Q-.$#"131.%"1/,%-%L;VKBAW9;AK<%X><;G-1=YKB;>B8ZV>Z[K<>E Sign this docu 5S-&17,%"'#$ What is your position within that company How will you be working with this company in the USA? SELECT THIS OPTION 3/#+11\#.]5OT

Cargo Rates International LLC, OTI# NF Tel/Fax th Avenue South, Seattle, WA 98144, USA

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