Offshore Companies, Trusts, Merchant Accounts, Banking Accounts, Debit/Credit Cards, and Web Hosting

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Costa Rica Corporation

Please complete the following application with all information that applies to you to order your new corporation. 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 finalize the forms for your corporation, therefore saving time in the activation process. Completing this application DOES NOT commit you to the corporation, and ALL information is kept confidential and stored on our secure servers for a minimal amount of time.

Contact Information

Business Name
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

Type of Corporation
New Offshore Corporation - $1,050
*Shelf Corporation (already established) - $1,250

* If choosing Shelf Corporation, there is no need to complete the Company Names section below. We will be e-mailing you a list of names to choose from.

Company Names in Order of Preference (not needed if ordering Shelf Company)
1.
2.
3.

(must end with Inc., Ltd., Corp., Limited, Corporation, Incorporated, or LLC – do not include words such as financial, bank, trust, fund, sovereign, royal, or any numbers in the name)

Type of Directorship
Actual Company Directors
*Nominee Directors - $400

*If choosing Nominee Directors, there is no need to complete the Company Directors section below. The incorporation service will be named as Director of the Corporation.

Company Directors
(up to three, but can be just one)

President

Share Percentage

Treasurer

Share Percentage

Secretary (Company Signer)

Share Percentage

Beneficial Owners/Officers
(If different from Company Directors or If using Nominee Directors – specify whether you will need a Power of Attorney generated in the Owner’s name if you are using Nominee Directors).

Beneficial Owner No.1

Share Percentage

Power Of Attorney - $50
yes no

Beneficial Owner No.2

Share Percentage

Power Of Attorney - $50
yes no

Beneficial Owner No.3

Share Percentage

Power Of Attorney - $50
yes no

Type of Shareholders
Bearer Registered *Nominee - $350
*If choosing Nominee Shareholders, do not complete the Shareholder Certificates section below. The incorporation service will be named as Shareholder of the Corporation.

Additional Shareholder Certificates
(Please note: By default, Belize companies come with 50,000 USD worth of shares represented by 50,000 shares of capital with a par value of 1 Dollar each. You can authorize a larger Share Capital if necessary. Shares can be distributed between all, some, one, or none of the directors and/or owners of the corporation and to anyone else. Extra Shares can be left for future distribution as well).

Amount of Authorized Shares Required

Amount of Authorized Share Capital Required

Par Value Assigned to Each Share

Additional Share Certificate No. 1

Share Percentage

Additional Share Certificate No. 2

Share Percentage

Additional Share Certificate No. 3

Share Percentage

Legalization of Documents
Apostille - $75 Notarization - $25 Without Legalization
*If ordering a Corporate Bank Account, you will need your corporate documents apostillized and notarized. If not ordering a bank account through us, please check with the bank you will be using to see what they require.

Extra Services
Mail Forwarding - $450

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

Inquiry

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Asset Protection
Corporations (IBCs)
Trusts
Merchant Accounts
Bank Accounts
Debit/Credit Cards
Website Hosting

Corporations (IBCs)
Belize Corporation
Panama Corporation
Costa Rica Corporation
Dominica Corporation
Seychelles Corporation
Singapore Corporation
E.U. Corps -
U.K. Corporation
Gibraltar Corporation
Malta Corporation
Cyprus Corporation

Trusts
Belize Trust

Merchant Accounts
U.S. Merchant Account
Offshore Merchant Account

Bank Accounts w/Debit
Caribbean Personal
Caribbean Corporate
Belize Personal
Belize Corporate
Panama Personal
Panama Corporate

Debit/Credit Cards
Secured Maestro Debit Secured Visa Credit
Virtual MasterCard Credit

Website Hosting
U.K. Hosting Account
Costa Rica Hosting Account
Belize Hosting Account