# An Act respecting the Customs/Schedule
## Schedule—Forms

DECLARATION OF THE OWNER, CONSIGNEE OR IMPORTER, WITH THE BILL OF ENTRY.
I, the undersigned, __________, hereby solemnly declare that the within Bill of Entry contains a true account of the goods, imported in the __________ whereof __________ is Master, (or by the Railway,) or as the case may be from __________, and whereof I (or as the case may be)— am (or is or are) the owner (Importer or consignee) that the Invoice herewith produced is the true and only Invoice (I, or as the case may be) have (or has) received or expect or expects to receive of the said goods, and that the prices of the goods, as mentioned in the Invoice, exhibit the actual cost (or the fair market value) of the said goods at the time and place of exportation, and that no discounts for cash are made in the said invoice prices.
    Signed at __________, on the __________ day of __________, 18__, in presence of __________
* To be signed in the presence of the Collector, or of the Attorney or Agent making the entry, or of a Justice of the Peace or a Consul.
OATH OR AFFIRMATION OF AN OWNER, CONSIGNEE OR IMPORTER OR HIS AGENT.
Dominion of Canada.
Port of __________
I, __________, do solemnly and truly swear (or affirm) that I (or as the case may be) am (or that the firm of __________ of which I am a partner) is the owner (consignee or importer) of the goods mentioned in the Invoice now produced by me and hereunto annexed and signed by me, and that such Invoice is the true and only Invoice received by me (or us) or which I (or we) expect to receive of all the goods, imported in the __________, whereof __________ is Master, from __________, for account of me (or as the case may be) ; that nothing has been on my part, nor to my knowledge on the part of any other person, done, concealed or suppressed, whereby Her Majesty the Queen may be defrauded of any part of the duty lawfully due on the said goods; and I do further solemnly and truly swear (or affirm) that the Invoice now produced by me exhibits to my personal knowledge the actual cost (or fair market value of the said goods, at the time when the same were thence exported to Canada, in the markets in __________ without any deduction or discount for cash or otherwise howsoever: So help me God.
    Sworn (or affirmed) before me, this __________ day of __________, 18__.
OATH OR AFFIRMATION OF AN AGENT OF THE OWNER, CONSIGNEE OR IMPORTER.
Dominion of Canada,
Port of __________
I, __________, do solemnly and truly swear (or affirm) that I am the authorized agent of (as the case may be) and that I have the means of knowing and do know that the Invoice now presented by me to the Collector of Customs for the Port of __________ is the true and only Invoice by him (or them) received of all the goods, imported in the __________ , whereof __________ is Master, from __________, for his (or their) account ; that nothing has been on my part, nor to my knowledge, on the part of any other person, done, concealed or suppressed, whereby Her Majesty the Queen may be defrauded of any part of the duty lawfully due on the said goods ; and I do further solemnly and truly swear (or affirm) that, to the best of my knowledge and belief, the said is (or are) the owner (or owners) of the goods, mentioned in the said Bill of Entry hereunto annexed, as therein respectively stated and that the Invoice now produced by me exhibits the actual cost (or fair market value) of the said goods at the time when the same were thence exported to Canada, in the markets in __________ of the said goods, without any deduction or discount for cash or otherwise howsoever : So help me God.
    Sworn (or affirmed) before one, this __________ day of __________, 18__.
OATH OR AFFIRMATION OF AN OWNER, CONSIGNEE, IMPORTER OR AGENT, ON ENTERING MERCHANDIZE, WITHOUT INVOICE.
Dominion of Canada,
Port of __________
I, __________, do solemnly and truly swear (or affirm) that the Bill of Entry now delivered by me to the Collector of Customs for the Port of __________, contains a just and true Account of all the goods, imported for me or on my account, or on account of __________ for whom I am authorized to enter the same, in the whereof __________ is Master, from __________; that the Bill of Lading now produced by me is the true, genuine, and only Bill of Lading by me received of the said goods ; and that I have not received, and do not know of any Invoice, or other account whatever having been received of the said goods ; I do further swear (or affirm) that if I hereafter discover any other or greater quantity of goods, than is contained in the entry aforesaid, or receive or obtain a knowledge of any Invoice of the whole or any part thereof, I will immediately report the same to the Collector of this Port ; I also swear (or affirm) that nothing has been concealed or suppressed in the entry aforesaid whereby to avoid the just payment of the duties imposed by the laws of the Dominion of Canada; and that all matters are justly and truly expressed therein to the best of my knowledge and belief: So help me God.
    Sworn (or affirmed) before me, this __________ day of __________, 18__.
The wording of any of these Oaths or Affirmations may be changed to suit the circumstances of the case, and the provisions of the law; and the Oath or Affirmation will be sufficient, provided the requisite facts are distinctly stated and sworn to or affirmed.
All the foregoing forms in this Schedule may be altered, or new forms substituted under Section 39.
APPOINTMENT OF AN ATTORNEY OR AGENT.
Dominion of Canada.
Know all men by these presents, that I or we (A. B. & Co.) have appointed and do hereby appoint C. D. of __________ (residence, profession, &c.) to be my (or our) true and lawful Attorney and Agent, for me (or us) and in my (or our) name to transact all business which I (or we) may have with the Collector at the Port of __________, or relating to the Department of the Customs at the said Port, and to execute, sign, seal and deliver for me (or us) and in my (or our) name all Bonds, Entries and other Instruments in writing relating to any such Business as aforesaid, hereby ratifying and confirming all that my (or our) said Attorney and Agent shall do in the behalf aforesaid.
In witness whereof, I (or we) have signed these presents, and sealed and delivered the same as my (or our) act and deed, at __________; in the said Dominion, this __________ day of __________ one thousand eight hundred and __________.
By __________
| In presence of | E. F. |
| | and G. H. |
OATH OF THE MASTER OF A VESSEL REPORTED INWARDS.
I, __________ master of the ship or vessel called the __________ of __________ tons measurement or thereabouts, last cleared from the port of __________, do solemnly swear that since the said vessel was so cleared, I have not broken bulk, nor has any part of her cargo been discharged or landed, or moved from the said vessel ; and I do further swear that the manifest now exhibited by me and hereto annexed loth, to the best of my knowledge and belief, contain a full, true, and correct account of all the goods, wares, and merchandize laden on board such vessel at the said port of __________, or at any other port or place during her present voyage. So help me God.
| Sworn to at __________ this day of __________ 186_, before me, | ${\Bigg \}$ | |
| Collector. | ${\Bigg \}$ | Master. |