AUSFTA – DECLARATION



Suppliers Letter head

AUSFTA – DECLARATION

The following declaration refers to the following consignment:-

Ship/Plane……………………………………………………………….

Bill of Lading/MAWB/HAWB…………………………………………..

Invoice Number…………………………………………………………

I declare that the goods arriving on the above details are of “USA Originating Goods” as defined in the US Free Trade Agreement Implementation Act 2004 and as such are entitled to the preferential rate of Customs Duty as specified in the US Free Trade Agreement Implementation (Customs Tariff) Act 2004.

□ Section 153YB Customs Act – Goods Wholly obtained or produced entirely in the US.

□ Section 153YC Customs Act – Goods produced entirely in the US or in the US and Australia exclusively from originating materials.

□ Section 153YE Customs Act – Goods (except clothing and textiles) produced entirely in the US or in Australia from non originating materials.

□ Section 153YF Customs Act – Goods that are Chemicals, Plastics or Rubber.

□ Section 153YH Customs Act – Goods that are clothing or textiles produced entirely in the US or in the US and Australia from non-originating materials or a combination of non-originating and originating materials.

Please tick relevant box which is applicable to your goods.

If required by Australian Customs, I am able to produce evidence that the “US Originating Goods” does not meet the criteria as specified as above.

Please claim preference YES / NO

Date Name Printed Company Name

…………………………………………….

Authorised Signature

*** It is important to note that any false or misleading statement made to the acceptance of this declaration may lead to penalties under Custom Act Section 243T***

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