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  SERVICES
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Client Name(s) 


Street Address  
Line 1

Street Address 
Line 2

City, Town, Province 

Country & Postal Code 

Day-Time Telephone 

Alternate or Evening Telephone 

E-Mail  

Fax 

 

Mailing Instructions:

Hold All Mail

 

Send Mail To Above

 

Other Special Instructions:

 

 

 

 

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BAHAMASS BELIZE DOMINICAN REPUBLIC PANAMA

 

Desired Company Name Choices - Note that title must end with INC., S.A., LTD. or C x A



Company Profile:

Please Select Yes, No or As Indicated

Sole & Separate Stand Alone Corporation

Yes

No

Shares Owned by a Trust or Foundation

Yes

No

I Want to Use Nominee Directors

Yes

No

Shares in Bearer Form or Registered

Yes

No

 

If Using Own Directors, Please Indicate Names & Other Information:

Position Title

Name

Citizenship

Passport Number

President

Vice-President

Secretary

 

Desired Company Domicile -All Companies will be registered in the jurisdiction of incorporation, but you may indicate that the company is doing business or has an official office elsewhere.

Address 1.

Address 2.

 

Desired Company Business – Required by some jurisdictions (Example = Real Estate Sales, General Marketing, Professional Services, Trading, Holding Company, Etc)

_____________________________________________________________________________

 

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Desired Title Choices:

1.

2.

3.

 

If Using Own Trustee or Council Members, Please Indicate Names & Other Information:

Position Title

Name

Citizenship

Passport Number

Trustee

Council Member

Council Member

Council Member

Beneficiaries and Interest Percentage:

Percentage

Name

Citizenship

Contact Information

 

Special Instructions:

 

Client Signature Section

I / We hereby authorize Ascot Advisory Services, and or its agent(s), to constitute the above mentioned entities. I / We understand that Ascot Advisory Services will not disclose any information to third parties. As a result I / We understand that it is my / our responsibility for any reporting requirements or tax issues as they relate to our country of citizenship or residency.
____________________________________ __________________________________

Signature (1) Print Name & Date
____________________________________ __________________________________

Signature (2) Print Name & Date

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ASCOT ADVISORY SERVICES

Santo Domingo, Dominican Republic

______________________________________________________________________________

  • Our Business is The Protection of Our Clients Confidentiality & Their Assets
  • Unbiased & Solid Advice Regarding Offshore Incorporations
  • Offshore Bank Accounts, Mutual Funds, Brokerage Services
  • Special Services in The Dominican Republic & Panama regarding Residency, Real Estate Matters, Relocation & Apartment Assistance

USA MAILING ADDRESS

PANAMA MAILING ADDRESS

BM-1134

8357 West Flagler Street, Suite " D "

Miami, Florida 33144-2072

USA

Suite 11

APDO 0832-2745

World Trade Center

Panama City, Republic of Panama

 

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 REAL ESTATE OR APARTMENT GUIDELINES:

I Wish To Purchase

 

I Wish To Rent

 
       

House or Land

 

Apartment

 
       

Number of Bedrooms

Other

Information

 

Location

Panama

Dominican Republic

 

Special Requirements:

RESIDENCY:

Dominican Republic

Panama

Special Requirements:

Please Remember:

  • Sign The Confidential Application Form
  • Include Two (2) Clear Copies of Passport for each Name on Application and each Name Submitted for a Directors Position
  • Include Your Check or Money Order in US Dollars Payable to "Ascot". Please Contact Our Office should you wish to Wire Transfer Funds or use Western Union Service.