	Belize City, Belize Tel: +501 2 – 30681 & +501 2 – 34123 Fax: +501 2 – 33907 Contact our Services department.
Atlantic International Bank \| Fee Schedule \| Request Form \| IBC Act of Belize \| FAQ

REQUEST FORM

If you would like to download a MS Word document of this form please press here. Instructions to send it via fax, mail, or email are found on the document.

NAME / FIRM

CONTACT

ADDRESS

Tel:

Fax:

(Complete this form and send to us by E-mail, fax or airmail)

REQUEST FOR CORPORATE SERVICES
INTERNATIONAL BUSINESS COMPANIES

1.	I/WE request the incorporation of an International Business Company.

2.	(a)	The requested name of the IBC is: You may choose any name for the IBC. Upon receipt of the name, we will verify whether it is possible to use the name since no two companies can have the same name on the IBC Registry. Also, the word “Limited”, “Corporation”, “Incorporated”, “Society Anonyme”, or “Sociedad Anonima”, “Aktiengesellschaft”, or the abbreviation “Ltd.”, “Corp.”, “Inc.” or “S.A.” must be part of the name of every company incorporated under the IBC Act.
	(b)	Alternative names (to be used if above not available):
		(i)
		(ii)
	(c)	If more than one IBC is requested please list additional and alternative names on a separate page.

3.	(a)	I/WE request that you use your regular memorandum and articles of association. It is easier to use our regular Memo and Articles of Incorporation for it is suitable for most types of business activities. Our recommendation would be to tick 'Yes'. Yes No
	(b)	I/WE have supplied specific instructions for memorandum and articles of association. Yes No

4.	(a)	The authorized share capital of the IBC should be U.S. $50,000.00. Unless you plan to have a widely held company, it is easier to incorporate with an authorized share capital of US$50,000. This is the norm in the industry and at this level, the fees to the IBC registry are only US$100. Yes No
	(b)	The authorized share capital of the IBC should be US$. Yes No
	(c)	The IBC should have one class of shares of U.S. $1.00 each. We would also recommend a tick at ‘Yes’ here since this is the norm unless you plan to conduct significant business with the IBC. Yes No
	(d)	I/WE have provided specific instructions on the value, classes and rights of shares for the IBC.
	(e)	The Shares should be (check one): You may choose either option here. Registered shares simply means that a Share register would be held to account for movement in ownership in ownership of shares. With Bearer shares, no registry is maintained and ownership passes by physically handing the share certificate to someone else. We recommend registered shares rather than bearer shares primarily because of the danger of losing the shares and thus losing control of the Co. Registered Shares, Bearer Shares, Both

5.	(a)	I/WE request ATLANTIC IBC AGENCY LTD. to provide a registered office address for the IBC. #5(a) & 6(a) – Tick ‘Yes’ since we will be your Registered Agent. For 5(b) we will fill in that information. Yes No
	(b)	The registered address for the IBC in Belize is to be: (Full details of registered address)

6.	(a)	I/WE request ATLANTIC IBC AGENCY LTD. to act as registered agent. Yes No
	(b)	The registered agent for the IBC is to be: (Full details of registered agent)

7.	(a)	I/WE request ATLANTIC IBC AGENCY LTD. to provide nominee corporate director(s). #7 & 8 – Nominee Corporate Director and Shareholder services can be provided by us. These services provide a higher level of confidentiality as it will ensure that your name does not appear on any company documents. Yes No
	(b)	The director(s) of the IBC is / are to be: (Full details of the director(s))

8.	(a)	I/WE request ATLANTIC IBC AGENCY LTD. to provide a nominee Corporate Shareholder(s). Yes No
	(b)	The Shareholder(s) of the IBC is / are to be: (Full details of shareholder(s))

9.	(a)	I/WE request ATLANTIC IBC AGENCY LTD. to keep statutory books for the IBC. Yes No
	(b)	The statutory books will be kept at the registered office in Belize given at 5 (b) above. Yes No

10.	(a)	I/WE request ATLANTIC IBC AGENCY LTD. to provide the company seal of the IBC. All IBC’s are required to have a company seal. You may provide the seal or we may provide the seal at a cost of US$75. Yes No
	(b)	I/WE will provide the company seal of the IBC. Yes No

11.	(a)	Enclosed is a cheque payable to ATLANTIC IBC AGENCY LTD. in the amount of U.S. $ to cover the services requested.
	(b)	Kindly provide me/us with instructions so that I/we can arrange to wire transfer U.S. $ to the account of ATLANTIC IBC AGENCY LTD.

NAME

POSITION

DATE

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The information provided is of a general nature and is not intended to address the circumstances of any particular individual or entity. Although we endeavor to provide accurate and timely information, there can be no guarantee that such information is accurate as of the date it is received or that it will continue to be accurate in the future. No one should act upon such information, but should act only after obtaining appropriate professional advice.