Form T1 - Non-Disclosure Of Residential Address
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Non-disclosure of residential address.
Company Officer.
Section 150(11) Companies Act 2014
Companies Act 2014 (Section 150(11))(Requirement
that the usual residential address of an officer of a company
appear on the register kept by the Registrar shall not apply)
Regulations 2015
CRO receipt date stamp
This form does not appear on the public record
To be completed where a company officer wishes to use the registered office address on the public record
instead of their usual residential address. Only available to company officers who successfully apply for
an exemption under section 150(11) Companies Act 2014. Must be sent to this address:
The Companies Registration Office, Bloom House, Gloucester Place Lower, Dublin 1.
I hereby apply for the exclusion of my residential address from the public record
New application for
maintained by the Registrar of Companies.
exemption
note one
This application is supported by the attached supporting statement from an officer of
the Garda Síochána, not below the rank of Chief Superintendent.
Signature
Name
in blockcapitals
Date
Form T1 is accompanying the following form:
Enter description of form type - Form A1, application to incorporate an Irish company,
Form B10 - appointment of director/secretary etc.
Related Company
number
where applicable
Related Company
name
in full
WARNING TO APPLICANT:
PLEASE ENSURE THAT THE COMPANY'S REGISTERED OFFICE ADDRESS IS ENTERED INTO
ANY FORMS THAT REQUIRE YOUR RESIDENTIAL ADDRESS TO BE FILED SUBSEQUENT TO THE
GRANTING OF THE EXEMPTION.
PLEASE NOTE THAT IF THE COMPANY OR YOURSELF DISCLOSES YOUR RESIDENTIAL ADDRESS
ON ANY FUTURE SUBMISSIONS, THE EXEMPTION IS CANCELLED AND THE CRO ACCEPTS NO
LIABILITY FOR THE DISCLOSURE OF THE ADDRESS.
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