Application Form For An International Business Company (Ibc)

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APPLICATION FORM FOR AN INTERNATIONAL BUSINESS COMPANY (IBC)
_______________________
____________________________________________________
Telephone #
Name of each Director, Officer (circle which--separate form for each person)
_______________________
____________________________________________________
Fax #
Permanent Address
_______________________
_____________________ ________________ _______________________________
Email address
Occupation
Name of Employer Nature of employment if Self Employed
_________________________
________________
____________________________________
Nationality
Date of Birth
Place of Birth
___ SVG IBC, Hybrid or LLC setup fee US$500.00 ; Annual fees US$350.00 (due December 31
of each year)
st
___ Other Jurisdiction IBC (Name: _________________________________ )
___ Bank account US$500
____ Brokerage Account US$350
Required information of each of the following:
Beneficial Owner,
Director and or Signatory of an IBC,
Settlor, Protector and Beneficiaries of a Trust,
Founder, Protector and Foudation Council Members of a Foundation
1) Current valid passport, National ID Card or Driver’s License (certified copy)
Passport copy should show: -
passport number date of issue
-
picture
expiration date
place of issue
signature
-
2) A current professional reference letter from a banker, lawyer or accountant in your home jurisdiction.
IBC’s
Name of IBC:
First choice: __________________________ Second choice: ____________________________
Total Number of Shares: (circle one)
a) 1,000
b) ________
Par value (circle one)
a) $1
b) ________
Total Value: _________________
(Par value x No. of shares)
Registered Shares:
Name:____________________________________
Number of shares:________________
Name:____________________________________
Number of shares:________________
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