CERTIFICATE OF ORIGIN FOR EXPORTS OUTSIDE OF THE CENTRAL PLANETS Reference Number DExporter BPreducer Unknown (tan) SC a the producer of ‘and that they comply with the ‘righ requlroments speciied for those goods inthe alliance Export Agreement for goods shipped outsde of the Cental Planets. Signature of Exporter as Producer. Signature of Cortiying Official Tho undersigned hereby declares thatthe above statements and details are correct that all the goods were produced in he Core and thal they comply with the origin requirements specif from those goods in the Atlance Export Agreement for goods shipped Dutside ofthe Cental Planets. The signature ofthe exporier mus be verted and witnessed oy an Allance Notary Publ. Signature of Exporter. ‘Sworn to before me this. Signature of Notary PublicCERTIFICATE OF ORIGIN FOR EXPORTS OUTSIDE OF THE CENTRAL PLANETS List any additional information here before adding attachments the exporteripreducsr of goods. 2. State the full egal name and address of exporter/producer's rig filianee Postal Code (APC). ‘more than one producer's good the producer Is unknown I's acceptable to state "UNKNOWN 3 State the full egal name and Address of the consignee's Business, including the planet, ‘sterol, orbital habitation or the multiple consi Slate “UNKNOWN” or “VARIOUS 4-List all nown means for the transport of goods and lst th routes taken during shipping. 5- Listthe stock numbers for ‘each good shipped (List here on ef packages and include 2 Seteription of each good through F) is applicable. The fules of origin are contained in the Allanes Origin of Goods- ‘Annex 401. Additional rules a ‘eseribed in Annex 703.2 (certain A (goods) and Sutomatic data processing ‘Goods & thelr pars). NOTE: In ‘tdar to be enkided to preferential tariff treatment, each good must meet at least one ofthe erteria 8. State thé gross weight and the quantily of each good as, described infield 6 ETT 9 State the local date and time land the invoice number of goods. ‘Time should reflect per of origin. 410-This ald must be completed, Signed, and dated by the ‘exporter When the Certificate ‘completed by the producer for Use by the exporter, it must be completed, signed, and dated rod ney) SSeS