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Retiree Visa Form

Panamanian Retiree

Immigration Visa Form:

Order Form &
Instructions
 
     
 Instructions:
  1. 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.

  2.   Be sure to sign where necessary.
  3. Send the following by courier to:

    Courier Address:

    Panama Business Services
    Victoria Garibaldo
    Edificio Advanced 099; 1ª
    Calle Beatriz Cabal, Bella Vista
    Panamá
     

    TEL:(507)269-2523/FAX 269-2548

     
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    this signed, printed out form

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    the following unauthenticated documentation:
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    Copy of passport photo page of applicant (& spouse & dependents, if applicable) that shows the picture, name, date of birth, passport number, place of issue, etc.  Note: all passports submitted must be valid for at least six months from the time of application submission.

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    Four (4) passport sized photographs of the applicant (& spouse & dependents, if applicable)

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    the following authenticated documentation:
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    Copy of Marriage Certificate of applicant and spouse (if applicable), duly notarized and authenticated (by apostil from your state or national government, or by the Panamanian Consulate nearest you).

    bulletBirth Certificate of minor dependents (if applicable), duly notarized and authenticated (by apostil from your state or national government, or by the Panamanian Consulate nearest you).
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    Certification Letter from the government entity (such as Social Security, U.S. Army, etc.) or private sector company that pays the applicant's retirement or pension income. This standard letter should state the amount, frequency and term of the pension.  This certification letter must be duly notarized and authenticated (by apostil from your state or national government, or by the Panamanian Consulate nearest you). If the Letter is from a private sector company, then you must also provide the following documents:
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    Certification from the relevant government authority (normally the Secretary of State of the state in which the company is incorporated) that the private sector company providing the pension is duly incorporated and in good standing.  This certification must be duly notarized and authenticated (by apostil from your state or national government, or by the Panamanian Consulate nearest you).

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    Copies of proof of payment (cancelled checks or e-statements showing regular, automatic pension payment deposits, etc.) These copies must be duly notarized and authenticated (by apostil from your state or national government, or by the Panamanian Consulate nearest you).

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    The Signed Power of Attorney (contact us for a specific power of attorney).

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    The Signed Letter of Responsibility, wherein the applicant assumes financial responsibility for his/her spouse and/or dependents  (this is not required if there are no spouse/dependents)  Contact us for a specific letter of responsibility

 

  1. Make payment by Visa, MasterCard, wire transfer, certified check from U.S. bank, or Western Union.  Specific payment instructions are given in item 19 on the form.

  2. On your initial visit to Panama: visit our doctor for your Certificate of Good Health and our laboratory for your HIV test (these tests and certificates are included in our fee) for yourself and your spouse / dependents (if any).

 

          Please contact us prior to sending any documentation.  For your records, remember to keep copies of all forms, documents, etc. sent to us.

 Instructions for filling out the form:

  1. Retiree's Full Name:  Write name as it appears on your passport.

  2. Retiree's Home Address: This is your street address in your country of current residence (this can be Panama, if you're living here). 

  3. Retiree's Mailing Address: If different from your street address.

  4. Retiree's Passport Number.

  5. Retiree's Social Security Number.

  6. Retiree's Date of Birth.

  7. Retiree's E-mail Address:  This is for our internal records, and will not be included in the Visa application.

  8. Retiree's Home Telephone Number: This is for our internal records, and will not be included in the Visa application.

    9. through 12.  Spouse's Information: If applicable.  If not, leave blank.

  13. through 17.  Dependents' Information: If applicable.  If not, leave blank.

   18.  Payment Amount:  Calculate and total your payment amount.

   19.   Other Instructions:  Any questions, comments, other services needed,

            further instructions, preferred method to contact you, etc.

Panama Business Services

Panamanian Retiree

Immigration Visa Form:

Retiree Information

 

1.  Retiree's Full Name:

 

2.   Retiree's Home Address:

         

 

3.   Retiree's Mailing Address (if different than above):

         

 

4.      Retiree's Passport Number:  

 

5.   Retiree's Social Security Number:

 

6.      Retiree's Date of Birth: 

 

7.   Retiree's E-mail Address:

 

8.   Retiree's Home Telephone:

 

Retiree's Signature                                                                  

 

 

Spouse (if applicable) Information

 

9.  Spouse's Full Name:

 

10. Spouse's Passport Number:  

 

11. Spouse's Social Security Number:

 

12.  Spouse's Date of Birth: 

 

Spouse's Signature                                                                  

 

 

Dependent (if applicable) Information

 

13.  Dependent's Full Name:

 

14.  Dependent's Relationship to Retiree:

 

15. Dependent's Passport Number:  

 

16. Dependent's S.S. Number:

 

17.  Dependent's Date of Birth: 

 

Dependent's Signature                                                            

     (Note: for additional dependents, simply print out or make copies of this page

         and attach them to this form.)

         

 

18.     Payment Amount:

Qty. 

Item

Unit $

Total

Retiree Immigration Visa

US$850.00

Spouse Immigration Visa

US$400.00

Dependent Immig. Visa

US$  200.00

 

 

TOTAL:

 

19. Payment Method:

 

A.   Wire Transfer: wire Total Amount (from Item 18, 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 18, above) by courier to:

Panama Business Services
Victoria Garibaldo
Edificio Advanced 099; 1ª
Calle Beatriz Cabal, Bella Vista
Panamá

TEL:(507)269-2523/FAX 269-2548

 

You can include this signed, filled-out form, along with the required, authenticated documents to us, along with the check.  Please contact

us before sending the package, however.

 

C.   Western Union: send payment (made out to Panama Business Services) for Total Amount (from Item 18, above) by Western Union money order to:

Panama Business Services
Victoria Garibaldo
Edificio Advanced 099; 1ª
Calle Beatriz Cabal, Bella Vista
Panamá

TEL:(507)269-2523/FAX 269-2548

 

You can include this signed, filled-out form, along with the required, authenticated documents to us, along with the check.  Please contact

us before sending the package, however.

 

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

        

 

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