ATTACHMENT A DATA ELEMENTS FOR THE UNITED STATES-KOREA FREE TRADE AGREEMENT CERTIFICATION OF ORIGIN 1. Name and address of the importer: The legal name, address, telephone, and e-mail of the importer of record of the good.
2. Name and address of the exporter: The legal name, address, telephone, and e-mail of the exporter of the good.(If defferent from the producer).
3. Name and address of the producer: The legal name, address, telephone and e-mail of the producer of the good.(If known).
4. Description of good: The description of a good shall be sufficiently detailed to relate it to the invoice and the Harmonized System(HS) nomenclature.
5. HS tariff classification number: The HS tariff classification, to six or more digits, as specified for each good in the Rules of Origin.
6. Preference criterion: The rule of origin set forth in General Note 33(b) or Article 6.1 of the Agreement. In the case of a product-specific rule specified in General Note 33(o) or Annex 4-A or 6-A of the Agreement, please be specific as to which rule was applied.
7. Single shipment: Provide the commercial invoice number.
8. Multiple shipments of identical goods: Provide the blanket period in "mm/dd/yyyy to mm/dd/yyyy" format. (12-month maximum)
9. Authorized signature, company, title, telephone, fax, e-mail, and certification date: The signee must have access to the underlying records and the legal authority to bind the company. This field shall include signature, company, title, telephone, fax, and e-mail.
10. Certification 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 commection with this document; I agree to maintain and present upon request, documentation necessary to support these representations; The goods comply with all requirements for preferential tariff treatment specified for those goods in the United States-Korea Free Trade Agreement; and This document consists of ____pages, including all attachments. Signature: Title: Phone Number: Email Address: Date: