place and date

Letter of Authorization:
To act as a representative: indirect / direct (delete as appropriate)

Authorize the company:

NOVA POST POLAND SP.Z O.O.

ul. Mineralna 15
02-274 Warszawa
NIP: 5272765848 Regon: 364176702 KRS: 0000611957 EORI: PL527276584800000
to be made for or on behalf of and for the benefit of

Name and surname / name of the company, registered office of the person granting the authorization

VAT nr. : Company code: EORI:

Individual tax number (PESEL)

(in case of private person):

Сontact person:

Phone number:

Email address for communication regarding customs clearance:

All activities and formalities provided for in the provisions of customs law related to foreign trade in goods,
including in particular:

1. Examination and sampling of goods prior to customs declaration.

2. Preparing the necessary documents and making a customs declaration.
3. Payment of import duties and other fees.
4. Picking up the goods after they are released.
5. Providing security for the amount resulting from the customs debt.
6. Submission of appeals and other applications subject to consideration by the customs authorities.

NOVA POST POLAND SP.Z O.O.

ul. Mineralna 15, 02-274 Warszawa
REGON: 364176702 NIP: 5272765848 KRS: 0000611957
7. Prepare, submit, sign and receive all documents related to legalizing A.TR, EUR1. transport certificates, certificates of
origin and other documents, certificates, decisions, etc. related to trade in goods on behalf of the company and
representing the entity before all state administration authorities and operating on the PUESC platform.

The right to perform the activities covered by the power of attorney belongs to all persons employed at NOVA POST
POLAND SP.Z O.O. who have the powers of a customs agent, regardless of staff turnover.

At the same time, I agree to grant further authorization.

This authorization is*:
a) one time for shipment _____________________
b) timely until _______________,
с) permanent

*- delete unnecessary

At the same time, I declare that we bear full responsibility for the correctness of the data contained in
documents provided for customs clearance, compliance with the deadlines resulting from the UCC, the Tax Ordinance,
the Value Added Tax Act, delivery of tax returns to all Customs Offices in the implementation of deferred VAT, and tax
liabilities resulting from the application of customs and tax procedures.

Signature of the customs agent Stamp and legible signatures of persons authorized
acting on behalf of the customs to represent the company or legible signature in
agency the case of a private person

The authorization should be accompanied by a confirmation of payment of stamp duty in the amount of PLN 17, on
account: 94 1020 4027 0000 1602 1262 0763 Poznań City Hall. In the title, please write: stamp duty for NOVA POST
POLAND SP.Z O.O. authorization.

NOVA POST POLAND SP.Z O.O.

ul. Mineralna 15, 02-274 Warszawa
REGON: 364176702 NIP: 5272765848 KRS: 0000611957