ANNUAL BRANCH COMPLIANCE AND REGISTERED OFFICE ORDER FORM

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service_type

Professtional Advisor (PA) AML Status

Are you PA advisor regulated for AML purposes?

Yes

will you provide AML documentation when requested?

Yes

Please ensure all relevant fields are completed otherwise your order may be delayed. It is your responsibility to ensure all info provided and spelling of names and addresses are 100% correct Additional fees may be incurred if details supplied need to be amended subsequently.

CUSTOMER DETAILS (FOR INVOICING & DELIVERY PURPOSES)

Your Name*

Your Company Name*

Full Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone number

Email*

BRANCH DETAILS

Name of the Branch*

Registration Number*

Date of Change/s*

SERVICES REQUIRED (Fees exclude VAT where applicable)

Registered Office Service only (€375 per year)*

yes

Any other professional services we can help you with?

COMPANY DETAILS OF THE MOTHER COMPANY

Full legal title of Mother Company*

Registered Number of Mother Company*

Country*

Date of Incorporation*

Brief Description of Business Activities

Registered Office Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

DIRECTOR’S DETAILS

Number of Directors*

1ST DIRECTOR OF MOTHER COMPANY

Full Name*

Nationality*

Date Of Birth*

Residential Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Other Directorships: (If applicable)*

yes

2ND DIRECTOR OF MOTHER COMPANY

Full Name*

Nationality*

Date Of Birth*

Residential Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Other Directorships: (If applicable)*

yes

3RD DIRECTOR OF MOTHER COMPANY

Full Name*

Nationality*

Date Of Birth*

Residential Address*

Street Address Address Line 2 City State / Province / Region Eircode/Postal/Zip Code Country

Other Directorships: (If applicable)*

yes

4TH DIRECTOR OF MOTHER COMPANY

Full Name*

Nationality

Date Of Birth

Residential Address

Street Address Address Line 2 City State / Province / Region Eircode/Postal/Zip Code Country

Other Directorships: (If applicable)*

yes

5TH DIRECTOR OF MOTHER COMPANY

Full Name*

Nationality*

Date Of Birth*

Residential Address*

Street Address Address Line 2 City State / Province / Region Eircode/Postal/Zip Code Country

Other Directorships: (If applicable)*

yes

ULTIMATE BENEFICIAL OWNERS

(A beneficial owner is the actual person who ultimately owns or controls a company. This individual must be a natural person and typically holds more than 25% of the shares or voting rights, or exercises control through other means. If no individual owns more than 25% of shares or voting rights, please confirm who senior managing official/s is/are. Beneficial owner cannot be a corporate entity.)

How many beneficial owners the company has

1st BENEFICIAL OWNER

Full name

Nationality*

Date of Birth*

Residential Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Beneficial Owner's Nature of Control

Extent of interest/control: % owned or controlled

Beneficial Owner 2

Full name

Nationality*

Date of Birth*

Residential Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Beneficial Owner's Nature of Control

Extent of interest/control: % owned or controlled

Beneficial Owner 3

Full name

Nationality*

Date of Birth*

Residential Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Beneficial Owner's Nature of Control

Extent of interest/control: % owned or controlled

Beneficial Owner 4

Full name

Nationality*

Date of Birth*

Residential Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Beneficial Owner's Nature of Control

Extent of interest/control: % owned or controlled

Beneficial Owner 5

Full name

Nationality*

Date of Birth*

Residential Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Beneficial Owner's Nature of Control

Extent of interest/control: % owned or controlled

AML

Source Of Funds*

Rationale for setting up a limited company*

Geographical area/s of trading (suppliers and customers):*

Percentage of the business that is going to be cash based (if applicable):*

The annual turnover anticipated*

Number of employees:*

Have any of the above persons ever been charged and/or convicted of any criminal offence other than motoring offences or have they been declared bankrupt or have they a bad credit history?*

Yes

Please give full details*

Subtotal*

PAYMENT OPTIONS

**Please note that payment is required before we can incorporate your company

My preferred payment method is*

SPECIAL REQUESTS: (IF ANY)

Company Formation Essentials

Company Types & International Options

Pricing & Professional Support

Compliance Services

Company Changes

Company Documents

Business Services

Financial/Director Services

Marketing/Technology