Panama Business Services - your
business solution in Panama.
Retiree Visa Form
Panamanian Retiree
Immigration Visa Form:
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.
Be sure to sign where necessary.
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
this signed,
printed out form
the following unauthenticated
documentation:
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.
Four (4)
passport sized photographs of the applicant (&
spouse & dependents, if applicable)
the following authenticated
documentation:
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).
Birth 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).
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:
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).
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).
The Signed Power of
Attorney (contact us for a specific power of attorney).
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.
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.
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:
Retiree's Full Name: Write name
as it appears on your passport.
Retiree's Home Address: This is your
street address in your country of current residence (this
can be Panama, if you're living here).
Retiree's Mailing Address: If different
from your street address.
Retiree's Passport Number.
Retiree's Social Security Number.
Retiree's Date of Birth.
Retiree's E-mail Address: This is
for our internal records, and will not be included in the Visa
application.
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.
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.):