Segundo ejemplo

1. >>PREPARED ON COMPANY LETTERHEAD<<
(Containing: Company Name, Company Address, Company phone number)
MANUFACTURER’S AFFIDAVIT OF ORIGIN FOR YARN
I, ________________, ___________________of ___________________, do hereby certify that
the yarn described below and used in forming the fabric sold to _____________________ during
the period from ______________ to _______________ was sold and/or processed by us as
checked below:
( ) The yarn was produced in the United States (check one of the following):
( ) ..Wholly of U.S.A. originating fibers and/or other materials.
( ) .. In whole or in part of fibers and/or other materials originating in Canada,
Mexico, and/or the USA
( ) ..In whole of in part of fibers and/or materials imported from countries other
than the three NAFTA countries.
The address of the U.S. manufacturing facility used to produce the U.S.
originating yarn is:
______________________________
______________________________
______________________________
( ) The yarn was produced in Canada (check one of the following):
( ) .. Wholly of Canadian originating fibers and/or other materials.
( ) .. In whole or in part of fibers and/or other materials originating in Canada,
Mexico, and/or the USA.
( ) .. In whole or in part of fibers and/or other materials imported from countries
other than the three NAFTA countries.
( ) The yarn was produced in Mexico (check one of the following):
( ) .. Wholly of Mexican originating fibers and/or other materials.
( ) .. In whole or in part of fibers and/or other materials originating in Canada,
Mexico, and/or the USA.
( ) .. In whole or in part of fibers and/or other materials imported from countries
other than the three NAFTA countries.
( ) The yarn was not formed in a NAFTA country and is product of _________________.
I further certify that the goods covered by this statement are not, and will not be, the subject of
a claim for drawback by the manufacturer should the goods be exported from the U.S.
Yarn Style No., Name and/or Description:
Lot: #_____________________ Lot: #_____________________
Lot: #_____________________ Lot: #_____________________
Lot: #_____________________ Lot: #_____________________
Signature: ________________________
Date: ________________________