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OS 17

Client Details Required for Offshore Redomiciliation                           

1.  Name of Company                         _____________________________

2.  Date of Incorporation                      _____________________________

3.  Jurisdiction                                    ____________________________

4.  Company Number                          ____________________________

5.  Name of Client,                              ____________________________     Contact Address, Tel, Fax,                         Email                                                ____________________________

                                                        ____________________________

                                                        ____________________________

                                                        ____________________________ 

 6.  Company Fiscal Number in Portugal           _____________________

7. Fiscal Representative and                   _____________________________________________

     Address/Contact                                       

                                                                       _____________________________________________

                                                                       _____________________________________________

                                                                       _____________________________________________

8. Original Signed Copy of SMEC Indemnity sheet OS 33

9. Original Signed Copy of sheet OS 26 (explained on sheet OS 25) if Capital Growth Services Required or OS 18 if Nerine Trust Services required

Original Signed Copy of Capital Growth Indemnity sheet OS 34 or signed copy of Nerine Trust Indemnity sheet OS 28.

10. Descrição Predial Number ________________  Nº de Matriz _________

11. Freguesia (Parish) ______________________  Concelho ____________

12. Amount of Fee    £ ___________________  Date Fee Paid __________

13. Services Required ___________________________________________

14. How did you hear about our services? ___________________________

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