Statement of Origin (See example below)
Download Word Document of Statement of Origin

 

Your Company Information and Logo

Exporter's Statement of Origin
(Please fill-in your information where it is blue)

We certify that the goods described in attached Purchase Order ____________ were produced in the beneficiary country of The People's Republic of China and that 100% of the ex-factory price of the goods originates in the beneficiary country of The People's Republic of China.

   

Name: ______________________________

Print Name
Print Company

 Date: _______________________