Instructions:
  1. Print out this form by clicking the print button on your browser.
  2. Fill out the form completely, by hand is fine.
  3. Fax the form to us at + (507) 269-2548, along with a legible copy of 
    the board members' passports or other government issued photo I.D.'s 
    (such as a driver's license) if the board is to be provided by the filer.  If
    we provide the board members this is not necessary.
  4. Make payment by wire transfer to our account, as follows:
  5. CITIBANK NEW YORK, N.Y

    New York, New York

    ABA 021000089   (Within the United States)

    CHIP 002  (Out of the United States)

    SWIFT Citius 33

    In favor of

    BANCO GENERAL PANAMA, s.a., PANAMA

    Panamá, Rep. de Panamá

    Cuenta  No.: 10951934

    For further credit to:

    Garibaldo Y Asociados

    Acct. No.: 03-95-01-035200-6

    OR

  6. Send certified check by courier to our address in Panama, along with copies of the board members' passports or other government issued photo I.D.'s (such as a driver's license) if the board is to be provided by the filer. 

Information Needed for Filing of a

PANAMANIAN OFFSHORE CORPORATION

  1.      Corporation Name:

1st Choice:                                                                      

2nd Choice:                                                                     

3rd Choice:                                                                      

  2.      Corporation Objective:                                                             

                                                                                                                                   

                                                                                                                                   

3.      Authorized Capital:                                                                    

4.      Authorized Shares:                                                                      

5.      Type of Shares:     Bearer                   Named

6.      Board of Directors*:      (can be individuals or corporations)

President :    Name:                                                                        

              Nationality:                                                                      

              Passport #:                                                                      

                   Address:                                                                     

                                                                                                                                   

Secretary :    Name:                                                                        

              Nationality:                                                                      

              Passport #:                                                                      

                      Address:                                                                                          

                                                                                                                                   

  Treasurer :    Name:                                                                           

              Nationality:                                                                      

              Passport #:                                                                      

                   Address:                                                                                              

                                                                                                                                   

                 * please include copies of Board of Director’s passports or other State or Nationally issued photo I.D.

7.      Attorney / Firm Name:                                                            

8.      Address:                                                                                  

                                                                                                         

9.      Recommended by:                                                                  

 

10.                         Other instructions:                                                        

                                                                                                         

                                                                                                         

                                                                                                         

                                                                                                         

                                                                                                         

                                                                                                         

 

 

       _______________________
              Filer's Signature

 

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