Template non-preferential origin (long term) supplier declaration

Suppliers declaration for products of non-preferential origin - Single use

I, the undersigned, declare that the goods listed on this invoice (1) were produced (2).

I undertake to make available to the Chamber of Commerce any further supporting documents they require.

Place and date:

Name and position:

Signature:

• It should be used within the European Union only.
• This declaration is to be placed on the invoice, packing list or other trade document in which the goods are sufficiently specified. This declaration can also be placed on the supplier’s company letter paper. In that case please refer to the

invoice number.

(1) State the number of the invoice or other document in which the shipment is sufficiently specified. The number needs not to be mentioned if the statement is placed on the invoice.

• When instead of the invoice another document or an annex to the invoice is being used, the kind of document concerned shall be mentioned instead of the word ‘invoice’.
• When the statement concerns only part of the goods listed on the invoice, these should be clearly indicated or marked. Furthermore, this marking should be indicated on the declaration as follows: ‘... listed on this invoice and

marked .................... were produced in .................... and...’

(2) State just the applicable option. If products are delivered of EU origin together with products of non-EU origin, various supplier’s declarations should be issued.

(3) State the country of origin (member state of the European Union); if various goods are of different origins, these origins shall be mentioned to each item.

(4) According to Regulation (EU) 952/2013 art. 61 sub 3. (PB L 269 of 10.10.2013).

(5) State the country of origin; if various goods are of different origins, these origins shall be mentioned to each item.

Verification of this declaration by means of a certificate of origin, issued by the supplier’s regional Chamber of Commerce, may be required by the buyer’s regional Chamber of Commerce.

This declaration is not valid for goods having preferential origin status and which qualify for movement certificates EUR.1, EUR-MED or invoice declaration. For such use the “declaration for products having preferential origin status”according to Regulation (EU) 2015/2447 Annex 22-15 (PB L 343 of 29.12.2015) is applicable.

Suppliers declaration for products of non-preferential origin - Regular use

Long-term suppliers declaration for products of non-preferential origin

I, the undersigned, declare that the goods described below (1)(2)

are produced (4)

⃞ in the European Union, namely in according to the Union Customs Code art. 61 sub 3. (6)

⃞ outside the European Union and originate in (5), and satisfy the rules of origin(7).

This declaration is valid for all shipments of these products dispatched from ______  to ________(8).

I undertake to inform ___________(3) immediately if this declaration is no longer valid.

I undertake to make available to the Chamber of Commerce any further supporting documents they require.

Place and date:

Name and position:

Name and address of the company:

Signature:

• This declaration is to be placed on the supplier’s letter paper.
• The LSO should only be used within the European Union.

Notes for completion of the declaration:

(1) Description of the goods.

(2) Trade description as used on invoices, e.g. model No.

(3) Name of buyer.

(4) State just the applicable option. If products are delivered of EU origin together with products of non-EU origin, various suppliers declarations should be issued.

(5) State the country of origin (member state of the European Union); if various goods are of different origins, these origins shall be mentioned to each item.

(6) According to Regulation (EU) 952/2013 art. 61 sub 3. (PB L 269 of 10.10.2013).

This declaration is not valid for goods having preferential origin status and which qualify for movement certificates EUR.1, EUR-MED or invoice declarations. For such use the “declaration for products having preferential origin status” according to Regulation (EC) 2015/2447, art. 62, annex 22-16 (PB L 343 of 29.12.2015) is applicable.