General 1 — Digital Tax Bureau

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Application Form

Please fill out the form below. Kindly ensure that you provide us with all the information that we’ve requested to help us process your application in a timely manner.

First Name (as shown in Passport)

Middle Name (as shown in Passport)

Last Name (as shown in Passport)

Preferred Name (If Different)

Full Postal Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Telephone

Country

(###)

###

####

Mobile

Country

(###)

###

####

Nationality

Date of Birth

YYYY

National Insurance Number

Brief description of your Industry:

TO SET UP A NEW LIMITED COMPANY – PLEASE COMPLETE SECTIONS 1 & 3

IF YOU ALREADY HAVE AN EXISTING LIMITED COMPANY – PLEASE COMPLETE SECTIONS 2 & 3

SECTION 1

*Please complete section if you would like to set-up a New Company.

Suggested name choice of Company (Please list up to 3).

1st

2nd

3rd

(Please note, certain words have legal restrictions on their usage in a company name e.g., International, British, National, therefore please be aware that if you select a name containing such words, we will attempt to register your company in a name as close as possible to the selected.)

Are you currently holding or have you previously held any Directorships in the last five (5) years? If YES, please give details:

Notes for incorporation:

SECTION 2

*Please complete Section of you already have a Limited Company Incorporated.

When would you like our services to start?

YYYY

We hereby request you to act as our Accountants in accordance with the particulars below.

I do/do not* presently have a firm of Accountants advising the company.

Present Accountant's details (If Applicable)

Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact Name

Contact Telephone

Country

(###)

###

####

Contact Email

Company Details

1. Compay Name

Company Registration Number

Company Telephone

Country

(###)

###

####

Company Year End

Incorporation Date

YYYY

2. Registered Office Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

3. Director(s) Details

a) Name in full (as shown in Passport)

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Current Occupation

Date of Birth

YYYY

Nationality

NI Number

Other Directorships

4.Additional Director Details (If applicable)

b) Name in full (as shown in Passport)

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Current Occupation

Date of Birth

YYYY

Nationality

NI Number

Other Directorships

5. Shareholder(s)

1) Name in full (as shown in Passport)

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Number and types of shares

5. Additional Shareholders(s) Details

2) Name in full (as shown in Passport)

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Number and types of shares

6. Is the Company VAT registered? (If YES, please provide VAT numner)

6a. Are you registered for the VAT Flat Rate Scheme? (If YES, please provide Flat Rate Industry)

7. Do you have any investigations pending with HMRC, or are you aware of any upcoming investigations?

8. What are your Limited Company bank details?

Name of Account

Account Number

Sort Code

Bank Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

SECTION 3

If referred, please provide details

How did you hear about us?

Print Name (as shown in Passport)

*By filling out your name signifies that you are affixing your signature in this form and all information herewith are true and correct.

Date

YYYY

We require the following documents for Money Laundering purposes.

Proof of Identity - copy of valid Passport

Proof of Address - a copy of a recent utility bill or bank statement (dated within the last three (3) months)

Please submit the above documents through email at admin@digitaltaxbureau.com