How to Complete This Form

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COMPANY INCORPORATION DOCUMENT

FORM PURPOSE

The following information are required to incorporate and establish the corporate records of a new Company. Information about the company’s beneficial owners, shareholders, directors and officers is kept in strict confidence with us. Only the names of registered shareholders are shown on the company’s annual returns to the Registrar of Companies and are a matter of public record. The use of nominee shareholders is recommended if beneficial owners do not wish to publicly disclose their interest in the company.

HOW TO COMPLETE THIS FORM

1.  ENTER your data in the relevant fields of the Order Form by using capital letters
2.  DELETE/cross out “YES” or “NO” where appropriate, delete/cross out unnecessary sections and options
3.  SEND the form to us by e-mail (as an attachment) to our email support@cxfinancia.com
4.  WE WILL CONFRIM RECEIPT of the form within 24 hours and send you a relevant invoice
5.  ACCEPT the invoice and effectuate payment.
6.  UPON PAYMENT we will notify you and start processing the order.

CHOOSE JURISDICTION

1.  Cyprus, IBC
2.  Bahamas, IBC
3.  Belize, IBC
4.  Bermuda, Exempt Company
5.  BVI, IBC, Trust
6.  Delaware, USA,LLC, Corporation
7.  Gibraltar, Non-resident, Exempt
8.  Jersey, Exempt private limited company
9.  Mauritius, GBC 2 International company, GBC 1 (offshore company)
10.  Nevada, USA, LLC, Corporation
11.  Nevis, IBC, Reinsurance, LLC, Trust
12.  New Jersey, USA, LLC, Corporation
13.  Panama, Foundation, Corporation
14.  Seychelles, IBC
15.  Switzerland, AG
16.  UK, Private limited company
17.  Other (please specify country ______)
Enter jurisdiction number(s) here: ______

CONTACT PERSON’S DETAILS

Please fill in the details of the person that will be our Contact Person for the registration of this company. For fields not applicable enter “N/A”
Name and Surname
Occupation/Position
Address
Telephone
Fax
Email
Website
State/Province
Zip/Postal Code
Country

PROPOSED NAME

Ø  Please list in order of preference
Note that the name is subject to the approval of the Registrar of Companies. The names must be distinctive or invented and not of a general descriptive nature. Words like, ‘Group,’ ‘International’, ‘Global,’ ‘National,’ ‘Royal’ or ‘Crown’ are not accepted.

1.  ______

2.  ______

3.  ______

MAIN ACTIVITIES AND NATURE OF COMPANY

Please provide full description of the company’s activities – i.e. “the company will offer advice on investment opportunities in XYZ stocks”. Please note that short descriptions are not accepted – i.e. “Financial Company”.

______

COMPANY’S ASSET SOURCES

Please describe the assets that will be held by the Company and include their sources (How did you acquire the assets that will be held by the Company? The description must be clear and self-explanatory. Explanations such as “inheritance” or “sale of property” are not sufficient and require further explanation.).

______

SHARE CAPITAL

In some jurisdictions a minimum share capital is required by law.
As far as Cyprus is concerned the minimum share capital is €1,000 issued and paid up divided into 1,000 shares of €1.00 each

Enter N/A if does not apply

Number of Shares Value per Share

Authorized Share Capital: ______

Issued Share Capital: ______

Fully Paid Share Capital: ______

One Class of shares to be authorized YES ☐ NO ☐

If no, please provide us with a separate schedule explaining your requirements

SHAREHOLDERS

Corporate shareholders are permitted.
The company must have a minimum of one registered shareholder at all times.
Fill in the below form entering the relevant name (legal entity or natural person) next to the selection for the share owner capacity. Direct Shareholder owns company shares directly without any intermediary, Indirect Shareholder is a legal entity that owns company shares through an intermediary company and Beneficiary Owner is the natural person that owns company share through an intermediary.
For due diligence purposes we need to identify a natural person as the beneficial owner

Do you wish us to provide nominee shareholders? (check the box)

YES ☐ NO ☐

If No, please use the following form to indicate the beneficial owner details and the number of shares to be held by this nominee shareholder.

SHAREHOLDER INFORMATION (NATURAL PERSON)

For more than one shareholder copy and paste the below form and fill in the information for each shareholder
Where anonymity is desired we can provide Nominee Shareholders.
Please provide the below documents attached with this form.
1.  Notarized copy of passport or ID card
2.  Recent utility bill (no older than 3 months)
3.  Reference letter from a reputable financial institution
4.  Criminal record
5.  Curriculum Vitae (C.V)
For additional shareholders (Natural Persons) please copy paste the below form
Capacity / Direct Shareholder □
Indirect Shareholder □ ______
Beneficial Owner □ ______
Name and Surname
Occupation
Full Residential Address
Telephone
Fax
Email
Nationality
Percentage of participation
Number of shares
Date of Birth
ID Card No/ Passport No

SHAREHOLDER INFORMATION (LEGAL ENTITY)

For more than one shareholder copy and paste the below form and fill in the information for each shareholder
Where anonymity is desired we can provide Nominee Shareholders.
Please provide the below documents attached with this form.
1.  Notarized copy of Incorporation Documents or ID card
2.  Recent utility bill (no older than 3 months)
3.  Reference letter from a reputable financial institution
4.  Criminal record
5.  Curriculum Vitae (C.V)
For additional shareholders (Legal Entity) please copy paste the below form
Capacity / Direct Shareholder □
Indirect Shareholder □ ______
Beneficial Owner □ ______
Company Registered Name
Registered Number
Industry
Registered Offices Full Address
Telephone
Fax
Email
Website
Percentage of participation
Number of Shares

DIRECTORS

A minimum of one director is required.
Please provide the below documents attached with this form.
6.  Notarized copy of passport or ID card
7.  Recent utility bill (no older than 3 months)
8.  Reference letter from a reputable financial institution
9.  Criminal record
10.  Curriculum Vitae (C.V)

Do you wish us to provide a Director? (check the box)

YES ☐ NO ☐

If No, please use the following form to indicate the beneficial owner details and the number of shares to be held by this nominee shareholder.

Capacity / Direct Shareholder □
Indirect Shareholder □ ______
Beneficial Owner □ ______
Name and Surname
Occupation
Full Residential Address
Telephone
Fax
Email
Nationality
Percentage of participation
Number of shares
Date of Birth
ID Card No/ Passport No

POWER OF ATTORNEY

Please specify if a special power of attorney is required and provide particulars.
If required, please give details of the proposed attorney.
Please provide the below documents attached with this form.
1.  Notarized copy of passport or ID card
2.  Recent utility bill (no older than 3 months)
3.  Reference letter from a reputable financial institution
4.  Criminal record
5.  Curriculum Vitae (C.V)
Name and Surname
Occupation
Full Residential Address
Telephone
Fax
Email
Website
Nationality
Director in another company?
Date of Birth
ID Card No / Passport No

LEGAL ADVISOR

Please specify if a special power of attorney is required and provide particulars.
If required, please give details of the proposed attorney.

Do you require us to recommend a local lawyer? (check the box)

YES ☐ NO ☐

If No, name the law firm: ______

BANK ACCOUNTS

We are able to assist with the establishment and administration of local bank accounts. Accounts may be maintained in a number of foreign currencies.
Local regulations may require that funds must be brought from abroad.

Do you require us to open a bank account? (check the box)

YES ☐ NO ☐

If Yes, name of person to be authorized as bank signatories (at least one):

Signatory (1) Full Name: ______

Signatory (2) Full Name: ______

Signatory (3) Full Name: ______

Signatory (4) Full Name: ______

If Yes, select the currencies for which you wish to open bank accounts: (check the box)

EUR ☐ USD ☐ GBP ☐ JPY ☐ AUD ☐ CHF ☐

Other ☐ (please specify ______)

AUDITORS

A Cyprus Company is required to file annual audited accounts with the Registrar of Companies.

Do you require us to recommend a local auditor? (check the box)

YES ☐ NO ☐

If No, name the auditing firm: ______

ACCOUNTING SERVICES

We are able to provide the relevant Accounting/Bookkeeping and VAT services necessary to assist the company and the local auditor in the preparation of year end accounts.

Do you require us to provide accounting and/or VAT services? (check the box)

YES ☐ NO ☐

SECRETARY

We are able act as Company secretary through one of our service companies.

Do you require us to act as Company’s secretary? (check the box)

YES ☐ NO ☐

If No, provide details of the secretary

Full Name
Occupation
Full Residential Address
Telephone
Fax
Email
Nationality
ID Card No / Passport No
Provide appropriate documentation

REGISTERED OFFICE

We are able act as Company Registered Office address through one of our service companies.

Do you require us to provide registered office address? (check the box)

YES ☐ NO ☐

REGISTERED ADDRESS

The registered office of the company will be provided by us at:
19, Arsakiou Street
Strovolos,
2045,Nicosia, Cyprus
Or at the place of incorporation of the company where this is necessary.

CONTACTS DETAILS

/
Please specify the contact details of the person to whom initial invoice and registration documents are to be sent.
Name and Surname
Address
Telephone
Fax
Email
State/Province
Zip/Postal Code
Country
Please specify the contact details of the person to whom incorporation invoices are to be sent (if different from above).
Name and Surname
Address
Telephone
Fax
Email
State/Province
Zip/Postal Code
Country
Person authorized by beneficial owners to give instructions (if different from above).
Name and Surname
Address
Telephone
Fax
Email
State/Province
Zip/Postal Code
Country

ATTACHMENTS

Please confirm that the following documents are attached, with this form, for each natural person mentioned in the application and for each legal entity. Where the same person or entity is used in more than one section or capacity in the form only one copy of documents needs to be submitted.
Only Notarized copies will be accepted for official documents
Application cannot proceed without the attached evidence
All the documents should be in English or to be accompanied by an official English translation.
Please, copy paste and complete this form as many times as necessary
Natural Person : ______/ Attached
Original Bank References / □
Copy of Passport and /or ID / □
Curriculum Viate/Resume / □
Confirmation of Residential Address / □
Clean Criminal record / □
Legal Entity: ______/ Attached
Original Bank References / □
Certificate of incorporation / □
Certificate of Registered Office / □
Certificate of Directors / □
Certificate of Shareholders / □

TERMS AND CONDITIONS

Company Incorporation service will be initialized upon receiving first payment from you. Additional services can be arranged, including services mentioned in this application, provided the relevant payment was made.
Information provided in this application can be changed or corrected without any additional cost prior submission or with additional cost after submission. It is your responsibility to make sure all information included in the application are correct and up-to date
All information exchanged between CX Financia and you are to be used for the purpose of this application only and will not be disclosed to any third party unless it serves the application purposes or CX Financia is legally obliged to do so.

DECLARATION

We declare and affirm that the information provided herein is true and correct and that the assets to be introduced into the Company are from lawful sources. If requested to do so, we will provide CX Financia with any further evidence of verification of the identity and/or activities of the Relevant Individual and will promptly inform CX Financia of any changes in the shareholding, directors, or beneficial owners of the Company.
I understand and accept the above Terms and Conditions and that having signed this form I assume all responsibility for legitimate usage of all offshore tools provided by CX Financia and commit at all times irrevocably and unconditionally hold harmless and indemnify CX Financia against all proceedings, damages, suites, fines, expenses, penalties, and liabilities arising or brought against them by reason of any breach of the above declarations or the provision of the Company and/or the services to me or my use thereof.
Date : __ / __ / __ __
Full Name : ______
Signature : ______

GUIDANCE NOTES

Due Diligence
For Due Diligence purposes we need to identify a natural person as Ultimate beneficial Owner. Additional Due Diligence documents may be required for complex shareholding structures

Certified Copy Passport

A certified copy of the Relevant Individual’s passport is required (photograph and signature pages). Certification must be by a suitable person such as a lawyer or accountant, a director or manager of a regulated credit or financial institution, a notary public, a member of the judiciary, a senior civil servant or a serving Police Officer. The certifier should legibly sign the copy document and clearly indicate his capacity or position on it and, in the case of a passport, must state that the photograph bears a true likeness of the Relevant Individual. Please note that all copy documents provided to us should be clearly legible, particularly those documents containing photographs and signatures.

Proof of Address

This requirement may be fulfilled by providing a recent utility bill, current year local tax authority bill, current driving license (provided it contains the Relevant Individual’s address), bank, building society or credit union statement or passbook containing current address or most recent original mortgage statement from a recognized lender. Any copy document provided must be certified by either a lawyer, banker or other regulated person and must be legible. This requirement may be met by including the residential address details in the body of the Reference requested below.

Reference

A reference from a regulated professional who knows the Relevant Individual in a professional capacity (i.e. is not simply an acquaintance) is required (e.g. a lawyer, accountant or the director or manager of a regulated financial institution). The reference should state the full name of the Relevant Individual, full residential address, date of birth and the length of time the Relevant Individual has been known to the referee. Reference provided should be current, i.e. not older than one month. The reference should be addressed to Trident Trust Group – Corporate Services Division. References addressed “To Whom it May Concern” are not acceptable.