[Code of Federal Regulations]
[Title 19, Volume 2]
[Revised as of April 1, 2003]
From the U.S. Government Printing Office via GPO Access
[CITE: 19CFR141.33]

[Page 14]
 
                        TITLE 19--CUSTOMS DUTIES
 
  CHAPTER I--UNITED STATES CUSTOMS SERVICE, DEPARTMENT OF THE TREASURY
 
PART 141--ENTRY OF MERCHANDISE--Table of Contents
 
                      Subpart C--Powers of Attorney
 
Sec. 141.33  Alternative form for noncommercial shipment.

    An individual (but not a partnership, association, or corporation) 
who is not a regular importer may appoint another individual as his 
unpaid agent for Customs purposes by executing a power of attorney 
applicable to a single noncommercial shipment by writing, printing, or 
stamping on the invoice, or on a separate paper attached thereto, the 
following statement:

--------------------------; of
          (Name)
________________________________________________________________________
          (Address)
is hereby authorized to execute, as an unpaid agent who has knowledge of 
the facts, pursuant to the provisions of section 485(f), Tariff Act of 
1930, as amended, the consignee's and owner's declarations provided for 
in section 485 (a) and (d), Tariff Act of 1930, as amended, and to enter 
on my behalf or for my account the goods described in the attached 
invoice which contains a true and complete statement of the facts 
concerning the shipment.
    Date ------------, 19--.
________________________________________________________________________
                                                 (Signature of importer)
  ______________________________________________________________________
                                                         (Address)