Appendix V to Part 390 - Sample Qualified Trade Affidavit
46:8.0.1.12.58.0.24.15.5 : Appendix V
Appendix V to Part 390 - Sample Qualified Trade Affidavit affidavit
State of County of I, ___, (Name) being duly sworn, depose and say:
1. That I am the ___ (Title) of ___. (Name of party)
2. That I am fully acquainted with and have knowledge of the
operations of all qualified agreement vessels owned or operated by
my company and identified in Capital Construction Fund Agreement,
MA/CCF ___.
3. That I have full knowledge of the trading restrictions and
liquidated damages provisions pertaining to qualified agreement
vessels, as stipulated in46 U.S.C. 53501 et seq, and in the
rules and regulations of 46 CFR Part 390.
4. That based on my inspection of Company records and to the
best of my knowledge and belief, except as noted below in statement
5 of this affidavit, during the period _____ (Beginning of taxable
year) through _____ (End of taxable year) my company operated its
qualified agreement vessels only in the United States, foreign,
Great Lakes, and noncontiguous domestic trade in accordance with
Capital Construction Fund Agreement, MA/CCF ___.
5. Exceptions to statement 4 of this Affidavit are as follows
(indicate exceptions below or attach a supplemental statement if
additional space is needed; if there are no exceptions, write
“none”):
(Affiant)
Subscribed and sworn to before me, a Notary Public in and for
the State, City and County above named, this ______ day of
________, 19__.
(Notary Public) My commission expires ____________, 19__ [41 FR
39751, Sept. 16, 1976; 74 FR 17097, Apr. 14, 2009]