Long-Term Supplier's Declaration of Origin

LONG-TERM SUPPLIER'S DECLARATION OF ORIGIN

The supplier may issue this declaration on the request of the buyer, who uses it as evidence when he applies for a certificate of origin for the exportation of the goods. It should only be used within the European Community. The text in the frame below, suitably completed in conformity with the footnotes, constitutes the declaration of origin. The footnotes do not have to be reproduced. This declaration is to be placed on the supplier's letter paper.

I, the undersigned, declare that the goods described below: ...... ) ...... ) ...... which are regularly supplied to ...... ) are produced ) - in the European Community, namely in ...... ), and satisfy the rules of origin governing Community Customs Code according to Regulation (EEC) 2913/92 articles 22 to 26 and/or Regulation (EEC) 2454/93 annex 10 and 11. - outside the European Community and originate in ...... ). This declaration is valid for all further shipments of these products dispatched from ...... to ...... ). I undertake to inform ...... 3) immediately if this declaration is no longer valid.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 re- quire...... (place and date) (name and function in company)

...... (signature)

IMPORTANT ! This declaration is not valid for goods having preferential origin status and which qualify for move- ment certificates EUR.1. For such use the “long-term declaration for products having preferential status” according to Regulation (EEC) 1207/2001 is applicable.