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Belize Asset Protection Trust

Please complete the following application with all information that applies to you to order your new trust. If you wish to order more services, you will be given that option after submitting this form.

IMPORTANT: The following application will provide us with enough information to understand your business. Completing this application DOES NOT commit you to the account, and ALL information is kept confidential and stored on our secure servers for a minimal amount of time.


Contact Information
Business Name (if company)
Contact Title
*Contact Name
*Contact Surname
*Contact E-mail
*Contact E-mail Confirmed
*Telephone
Mobile Telephone
Alternative/Business Telephone
Best Time to Call
Facsimile
*Address
Address
*City
*State/Province
*Postal/Zip Code
*Country

Shipping Information (if different from above)
Name
Address
Address
City
State/Province
Postal/Zip Code
Country
Telephone

Personal Information
Date of Birth (dd/mm/yy)
Occupation
Nationality
Domicile
Legal Country of Residence

Name of Trust

Trust Beneficiaries
Do you wish to be named as a beneficiary? yes no
Do you wish your spouse to be named as a beneficiary? yes no
*If yes, please complete the Beneficiary (Spouse) section below. If no, skip to the First Additional Beneficiary section.

Beneficiary (Spouse)
Name
Surname
Address
Address
City
State/Province
Postal/Zip Code
Country
Telephone
Alternative/Business Telephone
Facsimile
Email


First Additional Beneficiary (if any)
Name
Surname
Address
Address
City
State/Province
Postal/Zip Code
Country
Telephone
Facsimile
Relationship (if any)
Share Percentage

Second Additional Beneficiary (if any)
Name
Surname
Address
Address
City
State/Province
Postal/Zip Code
Country
Telephone
Facsimile
Relationship (if any)
Share Percentage


Trust Life Span

Upon your death, do you wish for the trust to be:
Continued.
Dissolved and the accrued income and capital be distributed to the following person(s):


First Beneficiary if Dissolved
Name
Surname
Address
Address
City
State/Province
Postal/Zip Code
Country
Telephone
Facsimile
Relationship (if any)
Share Percentage

Second Beneficiary if Dissolved
Name
Surname
Address
Address
City
State/Province
Postal/Zip Code
Country
Telephone
Facsimile
Relationship (if any)
Share Percentage


Protector of Trust
(IMPORTANT: It is recommended that a third party act as Trust Protector, and NOT the Grantor, or person who establishes the trust - for details, please consult a trust attorney).
Name
Surname
Address
Address
City
State/Province
Postal/Zip Code
Country
Telephone
Facsimile
Email



3-5 Features
(Please list below, 3-5 features you would like your Trust to offer)
1.
2.
3.
4.
5.

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