Panama Business Services - Foundations Order Form



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Foundations Order Form

Panamanian Private

Asset Foundations:

Order Form &

Instructions

Instructions:

Fill out this form online, then click your browser's print button to print it out, or, print this blank form and fill it out by hand.
Send the signed, printed out form, along with required copies of passports or other government issued photo I.D.'s (such as a driver's license) to us by fax or courier:

Courier Address:

Panama Business Services

787 Tabernilla Street

Suite D

Balboa, Ancon

Panama, Rep. of Panama

tel: (507) 314-0133

Make payment by wire transfer, certified check from U.S. bank, or Western Union. Specific payment instructions are given in item 9 on the form.

Instructions for filling out the form:

Foundation Name: Provide three names, in order of preference. The foundation name must include the name of the founder, whether corporate or individual. We will use the first name available, in order of preference. If all three names have been taken, we will inform you by e-mail.
Foundation Purpose: Provide a quick summary of what the foundation's objectives are. This can be very general, as in: "to provide ongoing benefits to the beneficiaries" or "to safeguard and protect the foundation's assets"; or "to ensure security of the beneficiaries". The Foundation Purpose should indicate the nature of the foundation's activities, but can be very general. The Foundation Purpose does not limit the Foundation from engaging in any other legal activities, however.
Authorized Capital: This amount is usually US$10,000.00, which does not have to be paid in. Amounts above US$10,000.00 are subject to a higher filing fee.
Foundation Council: If Board Members are provided by you, provide names, nationalities, passport #'s, and addresses of each. If Board Members are provided by us, leave this section blank. Please note that the three required Board Members on the Foundation Council can be a single Panamanian Corporation as well. The Board Members' names and passport number will appear in the document registered at the Public Registry.
Founder: Provide name, nationality, passport #, address, telephone, fax, and e-mail address. Only the Founder's name and passport # will appear in the document registered at the Public Registry.
Protector: This individual is empowered to act on behalf of the Founder (if the Founder so desires) in the operations of the Foundation. (The Founder can also act as his or her own Protector.) The Protector can be empowered to open and manage bank and brokerage accounts, receive assets, disburse funds to Beneficiaries, etc. The Protector is also responsible for the disbursement of the Foundation's assets upon the Founder's death, according to the Founder's written wishes. Provide the Protector's name, nationality, passport #, address, telephone, fax, and e-mail address, or leave this section blank if no Protector is desired. Only the Protector's name and passport # will appear in the document registered at the Public Registry. Protectors can also be named at a later date.
Contact Person: This is the individual to whom we will send the registered Foundation Documents, Certificate of Good Standing, translations, etc., as well as any future correspondence from our office. Provide Contact Person's name, address, phone, fax and e-mail. The Contact Person can be (but does not have to be) the Founder, Protector, member of the Foundation Council, or Filer, and will not appear on any documents registered at the Public Registry.
Payment Amount: Calculate and total your payment amount.
Payment Method: We accept Wire Transfers, Certified Checks from U.S. Banks, and Western Union.
Other Instructions: Any questions, comments, other services needed, further instructions, preferred method to contact you, etc.
Filer's Information: The Filer is the individual who fills out this form. The Filer can be (but does not have to be) the Founder, Protector, member of the Foundation Council, or Contact Person, and will not appear on any documents registered at the Public Registry. Provide Filer's name, signature and passport #.

Panama Business Services

Order Form:

PANAMANIAN PRIVATE

ASSET FOUNDATION

1. Foundation Name (in order of preference):

1^st Choice:

2^nd Choice:

3^rd Choice:

2. Foundation Purpose (objectives of the Foundation):

3. Authorized Capital (normally US$10,000.00):

4. Foundation Council:

(Can be individuals or a single Panamanian corporation. Leave this section blank if Directors are to be provided by us. If Directors are provided by Filer, please include copies of Directors' passports or other State or Nationally issued photo I.D., such as a Driver's License.)

President : Name:

Nationality:

Passport #:

Address:

Secretary : Name:

Nationality:

Passport #:

Address:

Treasurer : Name:

Nationality:

Passport #:

Address:

OR

Panamanian Corporation:

Name:

RUC:

Address:

5. Founder: Name:

Nationality:

Passport #:

Address:

Telephone:

Fax:

E-mail:

(Please include copy of Founder's passport or other State or Nationally issued photo I.D., such as a Driver's License.)

6. Protector: Name:

Nationality:

Passport #:

Address:

Telephone:

Fax:

E-mail:

(Please include copy of Protector's passport or other State or Nationally issued photo I.D., such as a Driver's License.)

7. Contact Person: Name:

Address:

Telephone:

Fax:

E-mail:

8. Payment Amount:

Qty.	Item	Unit $	Total
	Panamanian Private Asset Foundation	US$1,200.00
	Separate Document naming Protector	US$ 250.00
		TOTAL:

9. Payment Method:

A. Wire Transfer: wire Total Amount (from Item 8, above) to:

Contact Us for information if you wish to send the payment via wire transfer.

B. Certified Check: send certified check from U.S. bank (made out to Panama Business Services) for Total Amount (from Item 8, above) by courier to:

Panama Business Services

787 Tabernilla Street

Suite D

Balboa, Ancon

Panama, Rep. of Panama

tel: (011-507) 314-0133

You can include this signed, filled-out form, along with the required copies of passports (or other State or Nationally issued photo I.D.) in lieu of faxing the form to us, along with the check.

C. Western Union: send payment (made out to Panama Business Services) for Total Amount (from Item 8, above) by Western Union money order to:

Panama Business Services

787 Tabernilla Street

Suite D

Balboa, Ancon

Panama, Rep. of Panama

tel: (011-507) 314-0133

You can include this signed, filled-out form, along with the required copies of passports (or other State or Nationally issued photo I.D.) in lieu of faxing the form to us, along with the money order.

10. Other instructions (other services needed, best way to contact you, etc.):

11. Filer's Information:

Filer's Name:

Filer's Signature:

Filer's Passport #:

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