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Incorporation Form

1. CORPORATE NAME
Please indicate the requested name(s) with at least two additional alternate choices: (The name should include the term Foundation or Fundación)

1)
2)
3)

2. CORPORATE OBJECTIVE(S)
If you wish to incorporate the foundation with a more specific objective, please describe below

3. CORPORATE DIRECTORS AND OFFICERS
If you wish to propose a specific Foundation Council member, please provide the necessary corresponding information. A minimum of three councilors. Nominee councilors can be provided by ANGEL & ASOCIADOS.

Name	Nationality	Address	Position

4. POWER OF ATTORNEY
Please indicate the type of power(s) of attorney (if needed):

Special

General

Issued in favor of:

Name	ID # and Type	Address

Please indicate any specific instructions for special power(s) of attorney:

5. SPECIAL PROCESSING INSTRUCTIONS
Please indicate if any special processing of the incorporation documents will be required:

	Notarization
	Notorization and legalization by the consulate of
	Apostille

Please indicate for which documents the above-noted processes are necessary:

6. AUTHORIZED PERSONS
Please provide the names of all persons authorized to access corporate information:

Name	Company	Address

Tel	Fax	E-mail

7. MAILING INSTRUCTIONS
For corporate documents:

Name	Company	Address

Tel	Fax	E-mail

For invoices:

Name	Company	Address

Tel	Fax	E-mail

8. REQUIRED DOCUMENTATION
For individual clients, the following information is required.

Name	Address	# de Passport

(Please include a copy of the passport.)

For institutional clients the following information is required.

Name of the Company	Officer in Charge

For both individual and institutional clients, please provide your e-mail address:

9. REFERENCES

1) Bank
2) Commercial:
3) Personal:

10. TERMS AND CONDITIONS
I hereby declare that all the information I have provided in this form is true and correct and that the company I wish to incorporate will not be used for drug trafficking, terrorism or money laundering. I affirm that I have received legal advice from lawyers in the place of operation of this company, or in the case of institutional clients, that a recommendation to obtain legal advice was suggested to the clients.

Signature:		Date:
Name:		Email:

San Francisco, East 65th Street, #35
P.O. Box 0823-03377,
Panama, Republic of Panama.
Telephone: (507) 209-9797 , USA: 305-515-3382 , Fax: (507) 209-9798 , Mobile: (507) 6673-3639

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