Form 5291 PDF Details

Form 5291 is used to request a waiver of the 4950 excise tax penalty for failure to file Form 3520, Annual Return To Report Transactions With Foreign Trusts and Receipt of Certain Foreign Gifts. This form must be filed by the due date of the return, including extensions. The waiver applies if you can show that reasonable cause existed for not filing the form. There is a $10,000 annual limit on the amount of foreign income that can be excluded from your gross income, so it's important to understand when this tax applies to you. For more information on Form 5291 and other forms related to foreign income, please consult with a tax professional.

QuestionAnswer
Form NameForm 5291
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namescustoms form 5291 120195, customs form 5291 power, customs form 5291 of, vip signatory conferring

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Department of Treasury

U.S. Customs Service

19 CFR 141.32

POWER OF ATTORNEY

Check appropriate box: (1)

Individual

Partnership

Corporation

Sole Proprietorship

IRS No / SS No.(2) ________________________________ DOB required for SS No. _________________

KNOW ALL MEN BY THESE PRESENTS: That (3) ___________________________________________________________________

(full name of person, partnership, or corporation, or sole proprietorships; identify)

a corporation doing business under the laws of the state of (4) ____________________________ or a _____________________

doing business as or residing at (5) _______________________________________________________________________________

having and office and place of business at (6) _______________________________________________________________________,

hereby constitutes and appoints Jane Kim VIP Customs Service Inc , its officers and duly authorized employees.

as a true and lawful agent and attorney of the grantor named above for and in the name, place, and stead of said grantor from this date and in Customs Port _____ and no other name, to make,

endorse, sign, declare, or swear to any entry, withdrawal, declaration, certificate, bill of lading, or other document required by law or regulation in connection with importation, transportation, or exportation of any merchandise shipped or consigned by or to said grantor; to perform any act or condition which may be required by law or regulation in connection with such merchandise; to receive any merchandise deliverable to said grantor;

To make endorsements on bills of lading conferring authority to make entry and collect drawback, and to make, sign, declare, or swear to any statement, supplemental statement, schedule, supplemental schedule, certificate of delivery, certificate of manufacture of certificate of manufacture and delivery, abstract of manufacturing records, declaration of proprietor on drawback entry, declaration of exporter on drawback entry , or any other affidavit or document which may be required by law or regulation for drawback purposes, regardless of whether such bill of lading, sworn statement, schedule, certificate, abstract, declaration, or other affidavit or document is intended for filing in said port or in any other customs port;

To sign, seal, and deliver for and as the act of said grantor any bond required by law or regulation in connection with the entry or withdrawal of imported merchandise or merchandise exported with or without benefit of drawback, or in connection with the entry, clearance, lading, unlading or navigation of any vessel or other means of conveyance owned or operated by said grantor, and any and all bonds which may be voluntarily given and accepted under applicable laws and regulations, consignee’s and owner’s declarations provided for in section 485, Tariff Act of 1930, as amended, or affidavits in connection with the entry of merchandise;

To sign and swear to any document and to perform any act that may be necessary or required by law or regulation in connection with the entering, clearing, lading, unlading, or operation of any vessel or other means of conveyance owned or operated by said grantor;

To authorize other Customs Brokers to act as grantor’s agent; to receive, endorse and collect checks issued for Customs duty refunds in grantor’s name drawn on the Treasurer of the U.S.; if grantor is a nonresident of the US, to accept service of process on behalf of the grantor;

And generally to transact al the customhouses in said port any and all customs business, including making, signing, and filing of protests under section 514 of the Tariff Act of 1930, in which said grantor is or may be concerned or interested and which may property be transacted or performed by an agent and attorney, giving to said agent and attorney full power and authority to do anything whatever requisite and necessary to be done in the premises as fully as said grantor could do if present and acting, hereby ratifying and confirming all that the said agent and attorney shall lawfully do by virtue of these presents; the foregoing, power of attorney to remain in full force and effect until the _______ day of,

20______, or until notice of revocation in writing is duly given to and

received by the Port Director of Customs of the port aforesaid. If the donor of this power of attorney is a partnership, the said power shall in no case have any force or effect after the expiration of 2 years from the date of its receipt in the office of the Port Director of Customs of the said port.

Per 19 CFR Ch. 111.29(b)(1) – If you are the importer of record, payment to the broker will not relieve you of liability for Customs charges (Duty, taxes, or other debts owed to Customs ) in the event the charges are not paid by the broker.

Per 19 CFR Ch. 111.36(c)(2)(i) – This power of attorney waives the requirement for Jane Kim VIP Customs Service Inc. to transmit directly to the importer a true copy of the brokerage charges if the fees and charges are to be collected by or through a forwarder.

IN WITNESS WHEREOF, the said (7) ________________________________________________________________________________

has caused these presents to be sealed and signed: (Signature) (8) _____________________________Print (9)_____________________

(Capacity) (10) ________________________________________________________ (Date) (11) _______________________________

WITNESS: (12) __________________________________________________________________________________________________

__________________________*MUST BE SIGNED BY AN OFFICER OF THE COMPANY* __________________________

Customs Form 5291 (120195)

(Corporate seal) * (Optional)

Jane Kim VIP Customs Service Inc.

1225 W. 190th St. S# 305, Gardena, CA 90248 P# 310.323.3009 F# 310.323.3018 www.vipcus.com

Instructions for completing Customs Power of Attorney

1)Check the appropriate box.

2)Enter the IRS# of the company or SS#.

3)Fill in the legal name of the Corporation, LLC, Partnership (All names of Partnership must be listed), Sole Proprietor, or Individual that will be Importer of Record.

4)State which you are registered in.

5)Write the DBA (doing business as) name.

6)Fill in complete business address.

7)Fill in the legal full name of the business or individual.

8)Signature of the Officer of the Corporations, an employee of the Corporation Authorized Signatory of a Partnership or LLC as listed on partnership agreement or articles or organization.

9)Printed name of officer in #8

10)Capacity or title of officer signing the Power of Attorney (Treasurer, CEO, Secretary, etc.)

11)Date Power of Attorney is signed.

12)Someone who may verify the Capacity of the Officer Signing the Power of Attorney.

Please kindly return the signed power of

attorney by mail to our office.