OffshoreSimple.com

ORDER FORM - OFFSHORE ASSET PROTECTION or DISCRETIONARY TRUST

Please refer back to our 'Trusts' pages for full details about Asset Protection and Discretionary Trusts.

PLEASE COMPLETE IN FULL. Receipt of this form plus full payment (click here for payment options and fees)  will constitute a confirmed and irrevocable order. Proceeding beyond this point and submitting this form is on this strict understanding. Forms received without matching payment will be held for a maximum period of 1 month then destroyed.

Where orders are paid for by credit/debit card, the Cardholder hereby agrees that OffshoreSimple Inc. have their full consent to debit the card, details of which are shown below, with the full value of the submitted order. Written confirmation of card details may be requested at a later date as a security measure but will not delay any order being processed or shipped.

Please use this form for STANDARD OFFSHORE ASSET PROTECTION TRUSTS ORDERS ONLY. If you wish to order an associated offshore company, with or without bank account, or a 'stand alone' Trust bank account (either with debit or credit card) with your Trust, please use the appropriate Order Form, and indicate the fact on this form to enable us to tie the two order forms together.

If you wish to order a Trust which is not standard, please e-mail us first to discuss both the details and the cost. We will in any event be in contact with you within a few days to discuss the Trust regardless of how 'standard' it may be.

If you would rather send us this form encrypted with PGP, please DON'T fill in the boxes yet, but highlight the whole of the form using your mouse (or Ctrl+A), save to clipboard using Ctrl+C then paste into your PGP program. Then indicate the names, options etc., you would like and when complete, encrypt and . Don't forget to send your public key for us to reply to you using PGP!


US Fax: +1 212 202-6468 or  UK Fax: +44 207 900 1987
E-mail:

Please form and execute the following Offshore Asset Protection/Discretionary Trust for me/us. I have authorized payment to you by the method indicated at the foot of the order form.

APPLICATION FORM
For the Establishment of a Belize Trust

Personal Details of Settlor


NAME
 


ADDRESS
 


 


 


TELEPHONE #:

HOME
OFFICE

FAX NO:


DATE OF BIRTH:

OCCUPATION:

NATIONALITY:

RESIDENCE

DOMICILE

bar
1. Do you wish to be named as a beneficiary?
      YES___ NO___

2. Do you wish to be irrevocably excluded as a beneficiary?
      YES___ NO___

3.Do you wish your spouse (if any) to be named beneficiary?
      YES___ NO___

IF "Yes", please provide the following information concerning your spouse:
 


NAME

ADDRESS


 


 

TELEPHONE #:

HOME
OFFICE

FAX NO:


 


4. Do you wish any other person to be named a beneficiary?
      YES___ NO___

If so, please provide the following information regarding the additional beneficiaries?
 


NAME

ADDRESS


 


 

Phone #:
FAX #:
Relationship(if any)
% share


 


 

-------------------------------------------------------------


NAME

ADDRESS


 


 

Phone #:
FAX #:
Relationship(if any)
% share


 


 

-------------------------------------------------------------


NAME

ADDRESS


 


 

Phone #:
FAX #:
Relationship(if any)
% share

(Please use additional sheet if needed)
 



 

-------------------------------------------------------------


5.Income under the said trust shall be distributed as follows:-

_____ A. Paid to the beneficiaries Quarterly
Semi-annually
Annually
 		 ____________
____________
____________
 
_____ or B.Accumulated and added to capital until notice by Settlor


6. Upon your death, do you wish the trust to be:-
 

__________A.continued
__________B.dissolved and the accrued income and capital distributed to the following persons:
 



 


NAME

ADDRESS


 


 

Phone #:
FAX #:
Relationship(if any)
% share


 


 

-------------------------------------------------------------


NAME

ADDRESS


 


 

Phone #:
FAX #:
Relationship(if any)
% share


 


 

-------------------------------------------------------------


NAME

ADDRESS


 


 

Phone #:
FAX #:
Relationship(if any)
% share

(Please use additional sheet if needed)
 



 

-------------------------------------------------------------


7. Do you wish OFFSHORE EXPERTS to act as your Trustee?
YES___ NO___
(Please refer to rate schedule at end)

IF "No", please provide the following information regarding your Trustee
 


NAME

ADDRESS


 


 

Phone #:
FAX #:


 



8. Do you wish OFFSHORE EXPERTS to provide a Protector of the Trust?
     YES___ NO___
IF "No", please provide the following information regarding your Protector
 


NAME

ADDRESS


 


 

Phone #:
FAX #:


 


9. What assets or sum of money will be the initial trust fund?

 


 


 



10. What (if any) additional assets do you intend to add to the trust fund?

 


 


 



11. Do you wish OFFSHORE EXPERTS to retain accountants for your trust?
     YES___ NO___
IF "No", please provide us with the following information regarding the prospective accountants of the trust
 


NAME

ADDRESS


 


 

Phone #:
FAX #:


 


12. Do you wish OFFSHORE EXPERTS to retain an investment adviser for your trust?
     YES___ NO___
IF "No", please provide us with the following information regarding the prospective accountants of the trust
 


NAME

ADDRESS


 


 

Phone #:
FAX #:


 


Do you wish OFFSHORE EXPERTS to retain an attorney-at-law for your trust?
     YES___ NO___
IF "No", please provide us with the following information regarding the prospective ATTORNEY-AT-LAW of the trust
 


NAME

ADDRESS


 


 

Phone #:
FAX #:


 



14. What name do you wish for the trust?

 



15. Special administrative instruction (if any):

 


 



I authorize OFFSHORE EXPERTS to establish a trust in accordance with the foregoing instructions and have made the following arrangements for payment (Please refer to rate schedule at end)

 

_____Attached, please find my bank draft/money order in the sum of $____________ made out to OFFSHORE EXPERTS.

_____ or I have wired the sum of     $____________in favor of OFFSHORE EXPERTS in accordance with the attached instructions

 


It is agreed that if I request additional work from OFFSHORE EXPERTS, its nominees, associates, or subsidiaries, I will be billed at the hourly rate of $100.00 U.S. or such other rate as may be mutually agreed between OFFSHORE EXPERTS and myself.

DATED the_________day of__________________ 199___

APPLICANT



BAR

FEE SCHEDULE FOR FORMATION AND ADMINISTRATION

BAR

 

Our Trust Formation services are usually provided on a time-cost basis of $100.00 per hour. We do, however, charge $1,200.00 for processing our standard trusts. These include our standard asset protection trust, trust of shares and discretionary trust. If we are involved in making substantial amendments to these standard Trust Deeds, we charge an additional fee for such service at our normal time-cost rate. If the drafting of the Deed of Settlement is done by another party, we charge a $300.00 acceptance fee.

For acting as Trustee or Co-Trustee, Protector or Co-Protector of the Settlement, we charge annual fee of $300.00 payable in advance. Any additional services provided are charged on a time-cost basis at the rate of $100.00 per hour.

All out-of-pocket expenses are fully recoverable.


 

 

Order Value and Delivery Details

In order to satisfy yourself, and for us to double-check, as to the cost of your Trust, please enter below the TOTAL VALUE of your order, i.e., Trust with or without Trustees. If you have taken the option of either an associated BVI company and/or bank accounts, please indicate the cost of these on the appropriate Order Form, not here.

Total Order Value US$:

Delivery Details

Please provide us with a Name and Address for delivery:

Full Name: 
Street Address: 
District: 
City:
State/County:
Zip/Post Code:  
Country:
Phone:

In case we need to contact you we would appreciate some contact numbers. These are optional however but please note that if there is a problem with your order and we cannot contact you other than by post, substantial delays could occur and we cannot be held responsible for any actual or consequential loss due to these delays.

If you wish to receive ANY return e-mail correspondence from us, your e-mail address is a must!

E-mail:     
Telephone:
Fax:  (Please include your country code.)
Write here please any comments or observations related to your order

Payment Methods

Please check here all accepted payment methods 
Wire Transfer is preferred (please use the Payment Form for your bank).

 


  Total of your order US$:
(don't forget to click the "Send Order Now" button below)

Payment options:
 Payment by wire Transfer     |     Payment by credit card        
(click for instructions in a new window)

IMPORTANT NOTES:
1/ Please quote your name or e-mail address as a reference with your wire transfer. Otherwise we may not be able to tie in receipts with specific orders, which can delay the opening of your account!

2/ Please ensure that the GROSS order value is wired to our account. All currency exchange and wire costs, including those of any intermediary banks, MUST be debited from YOUR account.

Now please ensure that you have completed or checked each appropriate box and have entered your name, payment and the appropriate postal address details correctly. You must remember to enter your e-mail address!

ALL INFORMATION SUPPLIED IS TOTALLY CONFIDENTIAL AND WILL NOT BE DIVULGED TO ANY THIRD PARTY OTHER THAN TO ANY BANK CONCERNED WITHOUT EITHER YOUR EXPRESS PERMISSION IN WRITING OR UNDER THE TERMS OF A COURT ORDER.

Warning - before you order:  receipt of this form plus accompanying payment by any means will constitute a confirmed and irrevocable order. Please also read the Disclaimer on our Introduction Page.

 

Now please ensure that you have completed or checked each appropriate box and have entered your name, payment and the appropriate postal address details correctly.

ALL INFORMATION SUPPLIED IS TOTALLY CONFIDENTIAL AND WILL NOT BE DIVULGED TO ANY THIRD PARTY OTHER THAN TO ANY BANK CONCERNED WITHOUT EITHER YOUR EXPRESS PERMISSION IN WRITING OR UNDER THE TERMS OF A COURT ORDER.

      

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