YOUR ADDRESS EMAIL Principal (name and address of the company) , (place) for: P.M.S.T. Transmeble International Sp. z o. o. ul. M.Konopnickiej 19/2 60-771 Poznań ORDER TO GUARANTEE THE CUSTOMS DEBT IN THE CUSTOMS CLEARANCE PROCEDURE We commission P.M.S.T. Transmeble International Sp. z o. o.to guarantee the customs debt in the temporary admission procedure, in accordance with the following dispositions and information. Sender / Product owner Customs Office Expected opening date of the procedure Expected closing date of the procedure Type of the product Value of the product/currency Value of the customs debt, subject to guarantee At the same time, we take full responsibility for the proper implementation of the temporary admission procedure We declare that, in the case of the unfinished procedure, or its termination with violation of legal regulations, we undertake to cover – at the first written request of P.M.S.T. Transmeble International Sp. z o. o., all customs debt, taxes and other charges incurred as a result of violation of the terms and conditions laid down for the temporary admission procedure. ........................................................................ Principal – signature and stamp of the authorized person