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Revised Laws of Saint Lucia (2021)

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Schedule 3

(Regulation 11)

CERTIFICATE OF ORIGIN

Exporter (Name, full address, country)			Exporter's Ref. No. CARIBBEAN COMMON MARKET COMBINED DECLARATION BY EXPORTER AND CERTIFICATE OF ORIGIN Country of Issue .......................................... (country) See notes overleaf
Consignee (Name, full address, country)
Transport information (vessel/aircraft, place of loading, etc.)			Country of Origin		Country of Destination
			For Official Use
Item Number	Marks and numbers of packages	Number and kind of packages, description of goods	Origin criterion (see notes overleaf)	Gross weight or other quantity		Number and date of invoices
CERTIFICATION It is hereby certified, on the basis of control carried out, that the declaration by the exporter is correct.			DECLARATION BY THE EXPORTER I, the undersigned, hereby declare that the above details and statements are correct; that all the goods were produced in ........................ (country) and that they comply with the provisions governing the determination of origin set out in Articles 14 and 16 of and Schedule II to the Annex to the Treaty establishing the Caribbean Community.
............................................................			..........................................................
Place and date, signature and stamp of certifying authority			Place and date, signature of authorised signatory

NOTES FOR THE PREPARATION OF THIS FORM
A. Origin Criterion—
The criterion on the basis of which Common Market origin is claimed must be stated in the column headed “Origin Criterion” against each item in the manner indicated below this—
If each article comprised in the item has been—
(a)	wholly produced within the Common Market;	The letters “CM” must be inserted;
(b)	produced using materials imported from outside the Common Market or of undetermined origin in such a manner that the article falls to be classified in a tariff heading different from that in which any of those materials is classified, in accordance with the provisions of Article 14 of the Annex to the Treaty establishing the Caribbean Community;	The tariff heading number of the finished product preceded by the letter “X” must be inserted;
(c)	produced in accordance with the conditions specified for that article in List referred to in Article 14 of the Annex to the Treaty establishing the Caribbean Community and set out in Schedule II thereto;	The tariff heading number of the finished product preceded by the Letter “L” must be inserted and where the condition to be satisfied is a percentage value-added condition the value of materials imported from outside the Common Market or of undetermined origin which have been used in the production of that article expressed as a percentage of the export price of the article must be inserted in brackets immediately following the tariff heading number.
B. The completion of this Form implies that the producer and exporter will furnish to the appropriate authorities such information and supporting evidence as they may as necessary require for the purpose of verifying these declarations.
C. PERSONS WHO FURNISH OR CAUSE TO BE FURNISHED UNTRUE DECLARATIONS RENDER THEMSELVES LIABLE TO PENALTIES.

INVOICE
SELLER (Name, full address, country)			INVOICE DATE AND NO.					CUSTOMER'S ORDER NO.
			OTHER REFERENCES
			BUYER (IF OTHER THAN CONSIGNEE)
			PRESENTING BANK
			COUNTRY OF ORIGIN OF GOODS
PORT OF LADING			TERMS AND CONDITIONS OF DELIVERY AND PAYMENT
COUNTRY OF FINAL DESTINATION		SHIP/AIR/ETC.
OTHER TRANSPORT INFORMATION			CURRENCY OF SALE
MARKS AND NUMBERS	DESCRIPTION OF GOODS					GROSS WEIGHT kg				CUBE, M³
NO. & KIND OF PKGS.	SPECIFICATION OF COMMODITIES (IN CODE AND/OR IN FULL)			NET WEIGHT kg	QUANTITY			UNIT PRICE		AMOUNT
IT IS HEREBY CERTIFIED THAT THIS INVOICE SHOWS THE ACTUAL PRICE OF THE GOODS DESCRIBED, THAT NO OTHER INVOICE HAS BEEN OR WILL BE ISSUED AND THAT ALL PARTICULARS ARE TRUE AND CORRECT.				PACKING
				FREIGHT
				OTHER COSTS (SPECIFY)
				INSURANCE
SIGNATURE AND STATUS OF AUTHORISED PERSON				TOTAL INVOICE AMOUNT

2. Interpretation

4. Customs duty on goods of caribbean community market origin or common market area origin

5. Regulations for determining origin and place of consignment of goods

7. Oils and Fats Agreement

8. Verification of origin of exported goods

9. Penalty for untrue documents of origin for goods exported

10. Application of Act to subsequent agreements

11. Regulations and orders