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Panama Business Services - your business solution in Panama.

2nd Passport Visa Form

Panamanian Second

Passport 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:

Two (2) Copies of Complete Passport of applicant (& spouse & dependents, if applicable) All pages must be photocopied. Note: all passports submitted must be valid for at least six months from the time of application submission.

Six (6) passport sized photographs of the applicant (& spouse & dependents, if applicable)

the following authenticated documentation:

Police Record of applicant, spouse (if applicable), and dependents over age 18 (if applicable) from locality where applicant has resided for previous two years. The police record should cover the previous five years, if possible, or state that the applicant (and spouse and dependents, if applicable) have no arrest record.

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).

the following local documentation (we will provide or assist you to procure):

National Bank of Panama Certification Letter, stating that applicant receives at least $750.00 per month in interest from time deposit. Contact us for the National Bank of Panama's requirements for opening up a time deposit.

Copy of Time Deposit Certificate (C.D.).

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 for yourself and your spouse / dependents (if any).
On your initial visit to Panama: issue a certified check from a Panamanian bank made out to "Ministerio de Gobierno y Justicia" (Panama's Government and Justice Ministry) totaling US$500.00 each for investor, spouse and each dependent over 12 years of age (if applicable). This is a repatriation security bond.

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:

Applicant's Full Name: Write name as it appears on your passport.
Applicant's Home Address: This is your street address in your country of current residence (this can be Panama, if you're living here).
Applicant's Mailing Address: If different from your street address.
Applicant's Passport Number.
Applicant's Social Security Number.
Applicant's Date of Birth.
Applicant's E-mail Address: This is for our internal records, and will not be included in the Visa application.
Applicant'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 Second Passport

Application Form:

Applicant Information

1. Applicant's Full Name:

2. Applicant's Home Address:

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

4. Applicant's Passport Number:

5. Applicant's Social Security Number:

6. Applicant's Date of Birth:

7. Applicant's E-mail Address:

8. Applicant's Home Telephone:

Applicant'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
	Panamanian 2nd Passport	US$1,950.00
	Spouse Passport	US$800.00
	Dependent Passport	US$ 400.00
		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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