Local Belize Company Application Form - Belize Lawyers - Belize Attorneys - Belize Law Firms

Name *

First

Last

Occupation

Nationality/Passport No

Email *

Phone Number

Street Address

City

Please state the required name of the company below.

Note: A company name must end with the word 'Limited' or “Ltd”. Please provide 2 alternative names below in order of preference:

Memorandum and Articles of Association Standard provisions: The standard memorandum and articles are very widely drawn and suitable for most types of business activities. Do you require these standard provisions?

Non-standard provisions: If you do not require the standard provisions, kindly provide details of your specific requirements below or on a separate sheet of paper:

Capital (Shares) Standard provisions: Unless instructed to the contrary, the company will be incorporated with an authorised share capital of BZ$10,000 with one class of shares of BZ$1.00 each, issuable in registered form. Do you require these standard provisions?

Non standard provisions: If you do not require the standard provisions kindly complete the following: (i) _____________________ divided into _____________ shares of ___________ par value (Currency and amount in figures)

Classes of shares: If more than one class is needed, please give full particulars below or on a separate sheet of paper, including dividend, voting and capital repayment rights:

Registered Office/Agent Please indicate whether you require the Registered Office/Agent to be maintained by Secure Corporate Services Limited at #2118 Guava Street, Belize City, Belize (additional cost applicable)

Director(s) (a minimum of 1 Director is required) Kindly list the particulars of director(s) below: Director's Name

Occupation

Nationality/Passport No

Email *

Phone Number

Street Address

City

Kindly note that if you wish; we can provide Nominee Directors to act on your behalf.

Shareholders (a minimum of 1 Shareholder is required) Shareholder's Name:

Occupation

Nationality/Passport No

Email *

Phone Number

Street Address

City

No. of Shares Assigned: ____________________ %

Payment Please proceed in accordance with these instructions and subject to the terms and conditions of business as set out hereafter. I authorize Estevan Perera & Company LLP and/or Secure Corporate Services Limited to establish a Local Belize Company in accordance with the foregoing instructions and subject to the terms and conditions of business set out hereinafter. I agree that if additional work from either of these companies or their nominees, associates or subsidiaries, I will be billed in accordance at the rate mutually agreed upon by Estevan Perera & Company LLP and myself. • I have wired/deposited the sum of $ _________________________ in favor of Estevan Perera & Company LLP in accordance with the attached wire instructions.