Offshore Asset Protection Trust Order Form

OffshoreSimple.com

ORDER FORM - OFFSHORE ASSET PROTECTION or DISCRETIONARY TRUST

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We are trying to make the order process as SIMPLE as possible.
Please fill the form the best way you can. We'll check the order, we'll advise if we need additional information,
and we'll send you an invoice with payment instructions.

You can always Contact us for general inquires.

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

Trusts

Please ensure that you are familiar with the implications of forming a Trust before placing this order. Please refer back to the 'Trusts' pages for details.

Please enter the required Trust Name - as "The XYZ Trust" or "ABC Trust":

Trust Name:

Please enter the Date of Formation of the Trust:

Formation Date:

Please enter the Name of the Settlor in full:

Settlor's Name:

List of Assets:

Please enter the initial cash amount and/or items to be Settled into the Trust. This is not essential under TCI Trust Law and we can form the Trust with a nominal capital of US$100 if required:

* If you want to list specific cash amounts, securities, physical assets etc., to settle to your Trust, please list these below. Remember though that Assets can be added to or removed from Trust at any time.

Beneficiaries:

Please enter the name(s) of any specific Beneficiaries to be mentioned in the Trust.

* If you want to list specific Beneficiaries to benefit from your Trust, please list these below. Remember though that Beneficiaries can be added to or removed from Trust at any time.

Associated Company/Bank Account:

Please indicate below if you wish your Trust to have an associated company (with or without a bank account), or a stand-alone Trust bank account. If these options apply, please complete the appropriate Order Form and send it to us - we will tie the orders together.

* If the associated company is to have a bank account, irrespective of any Trust account, please indicate this on the Companies order form.

Trustees:

Under the Law there are a number of Trustee options, detailed in our 'Trust' pages. Please indicate below which option you would like for your Trust:

* If you wish to act as Trust Manager under a Power of Attorney, please provide your FULL name and address below:

** If you are appointing your own Trustee, please give the FULL name and address of your appointee below:

If you are either appointing us as your Trustee, or wish to act yourself under a Power of Attorney, please remember to add the additional cost of this (which is invoiced on an annual basis) to your payment.

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 of the Company Kit. This can be anywhere in the world and can itself be a mail drop address if you require additional privacy. Please note however that because we normally deliver by Courier, we must have a full street address. A P.O. Box or General Delivery address will not suffice. If you do insist on a P.O. Box or a General Delivery address, your Company documents will be sent to you by ordinary mail. If this happens, delivery by sea-mail can be lengthy - several weeks in fact. If any banking facilities are required, your name and street address are a must.

DELIVERY address of incorporation documents:

Name:

Last 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).

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.

I have read and agree to provide due diligence requirements and
I have read and agreed to the terms and conditions as posted on this Website.

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