For the purpose of obtaining preferential tariff treatment for goods of the Caribbean Basin beneficiary countries, this document must be completed legibly and in full by the exporter and be in the possession of the importer at the time the CBTPA claim is made.
The producer may voluntarily complete a certificate for use by the exporter in filling out their own certificate.
Note: The purchase of a good in the Caribbean Basin beneficiary countries does not render it originating. If the origin of the good cannot be determined, the exporter must assume that the good does not originate.
United States-Caribbean Basin Trade Partnership Act (CBTPA)
CERTIFICATE OF ORIGIN
See Reverse for Instructions and a list of the tariff items with which this certificate may be used.
PLEASE PRINT OR TYPE. SEE INSTRUCTIONS ON REVERSE.
3. Producer's Name and Address
1. Exporter's Name and Address
4. Importer's Name and Address
Invoice or other unique reference number
2. COMPLETE EITHER 2a or 2b
Form Assistant
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(This is a mandatory field.)