NORTH AMERICAN FREE TRADE AGREEMENT
CERTIFICATE OF ORIGIN

Exporter's Name and Address:

Producer's Name and Address:

Importer's Name and Address:

  Description of Good(s) HS tarif
Classification
Number
Preference
Criterion
Producer Country of Origin  
  .

  I 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 validly of this Certificate
  - the goods originated in the theory of one or more of the Parties, and comply with the origin requirements specified for those goods in the North American Free
    Trade Agreement, and unless specifically exempted in Article 411 or Annex 401, there has been no further production or any other operation outside the territories of
    the Parties; and
  - this Certificate consists of   pages, including all attachments.

Company:

Name:

Title:

Telephone:

 )   - 

Fax:

 )   - 
 

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