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    MINISTRY OF FINANCE Form A

    Business Licence DivisionPlease read instructions before completing this form. Important details are included in the instructions.

    Information on this form must be printed or typed. Each agency may request additional information depending on your type of business.(See list of requirements)This form must be accompanied by approval from other government or regulatory agencies where required.

    1

    Applying

    For:

    NewBusiness

    Change inOwnership

    TaxReturn

    )

    Changein

    Location

    Changein

    BusinessName

    Changein

    CorporateOfficers

    Changein

    MailingAddress

    Occasional

    Licence

    Cease

    Business

    Other

    Temporary

    Duplicate

    Licence

    2

    Owners

    hip

    Type:

    SoleProprietorship

    Partnership PrivatelyHeld

    Company

    PubliclyTraded

    Company

    LimitedLiability

    Partnership

    LimitedLiability

    Company

    GovernmentEntity

    Non-profit

    Cellular: Bahamian Foreign

    Owners NIB #:Telephone:

    Control #:3

    Applicant/Owners Name:

    4

    Facsimile:

    5

    Assessment No.:

    Date of Birth (D/M/Y) Street Name, Direction (N, S, E, W ) P. O. Box #6 Address:

    Place of Incorporation or Formation:

    7 Trading As:

    8Requesting TradeName:

    1. 2. 3.

    Street Name, Direction (N, S, E, W ) P. O. Box # Settlement Island9

    Location(s) ofBusinessOperations:

    Business N.I.B. No.: Telephone: Facsimile:10 E-mail

    Address:WebsiteAddress:

    11.List All Owners, Partners, Corporate Officers, Managers, Members, etc. (If individual ownership, list onlyone owner.) Attach Additional Sheets if Needed. (If others, please provide on a separate sheet)

    Last, First, MI : Residence Address (Street) NIB #

    Title PercentOwned

    Settlement Island Residence Telephone

    Last, First, MI : Residence Address (Street) NIB #

    Titl P t S ttl t I l d R id T l h

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    17 IS THE APPLICATION IN RESPECT OF AN EXISTINGCONTRACT?STATE:CONTROLNUMBER LOCATION OFBUSINESS NEWDATE OFCOMPLETION

    ORIGINAL VALUE CHANGE IN VALUEIS THE APPLICATION IN RESPECT OF NEWCONTRACT? STATE: VALUE

    CONTROLNUMBER LOCATION OFBUSINESS ADDRESS OFPRINCIPALSBUSINESS

    18.

    Financial Information for the quarter(1st, 2nd, 3rd, 4th) and financial year:

    Quarter: Financial Year:19.

    Financial Information for Period of Operation inPrior Year:

    Turnover Gross Premium Tax Payable:

    20.

    TO PROTECT YOUR BUSINESS, NOTIFY THE BUSINESS LICENCE DIVISION IMMEDIATELY OF ANY CHANGESTO THE INFORMATION BELOW.

    Please check appropriate authorisation boxes:a All Activities

    Pick Up LicenceSign FormFile Tax

    Cellular: Agents NIB #:

    Telephone: Control #:b

    Appointed Representatives Name:

    c

    Facsimile:

    d

    Assessment No.:

    Date of Birth (D/M/Y) Street Name, Direction (N, S, E, W ) P. O. Box #e Address:

    f Signature of Appointed Representative Print Name of Appointed Representative Date (D/M/Y)19.

    21. I CERTIFY THE INFORMATION PROVIDED IS TRUE, CORRECT AND COMPLETE TO THE BEST OF MYKNOWLEDGE AND BELIEF.

    **Signatures must be that of a responsible party. If a general partnership or joint venture, more than onesignature is required. Legal signatures include: sole proprietor-owner, corporate officer, and managing member.

    **Signature Responsible Party / Original Print Name And Title Date (D/M/Y)

    **Signature Financial Certification (whereapplicable)

    Print Name And Title Date (D/M/Y)

    FOR OFFICIAL USE ONLY

    If Yes, State Date:Application

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    BUSINESS REGISTRATION FORM INSTRUCTIONSCompletion of this form will provide the common information needed and/or required by participating governmentagencies. Important details are included to help you provide the necessary information. It is important to respond to allitems. Any omission could cause a delay in processing your registration.

    Additionally, all persons conducting business in The Bahamas must register by March 31st, 2010 to be in

    compliance with the Business Licence Act 2010. For your convenience, the Business Licence Division shallforego the requirement of prerequisites by allowing registration based on your valid 2010 licence.

    WHO ACCEPTS THIS FORM?The Business Licence Division. Also, a Treasury Office, Family IslandAdministrator accepts the form where there is no Business Licence Division.

    WHAT OTHER INFORMATION MUST I PROVIDE? When applying to the Business Licence Division,this form must be accompanied by:

    9 PREREQUISITEAPPROVAL(S)from relevant government or regulatory agencies where required.9 Copy of aVALID PASSPORT, or birth certificate originals as well as those of parents if one is born after July

    1973. A BIRTH CERTIFICATE (must be accompanied by a proper identification i.e. Work ID, School ID orDriver's License, along with the Mother's Passport). NOTE: IF MOTHER IS BORN AFTERINDEPENDENCE, THE GRANDMOTHER'S PASSPORT WILL ALSO BE NEEDED).

    9 NATIONALINSURANCECARD. Applicants must bring with them the National Insurance Card for records.9 NATIONALINSURANCELETTER OFGOODSTANDING Business owners must provide a letterfrom the

    National Insurance Board verifying that they are in good standing9 BUSINESSNAMES If you currently are the holder of a Business Name but owe arrears, these must be paid to

    the Registrar Generals Department and the receipt indicating payment of arrears must be furnished.9 CERTIFICATE OFINCORPORATIONfrom the Registrar Generals Department must accompany the application

    where applicable.9 REALPROPERTYTAX-If the applicant owns the property on which the business is located, real property tax

    must be brought to account or an agreement entered into for payment.9 Operations From a STOREor Involved in the SALE OFALCOHOL-Businesses that operate from a store

    front must seek approvals as follows: (1) Department of Physical Planning (Zoning) (2) Royal Bahamas PoliceForce (Determines if the location is acceptable (3) Ministry of Public Works 0 Building Control (Inspection ofBuilding) (4) Department of Environmental Health Services (Sanitation Certificate).

    9 LETTER OFAUTHORISATION FORTHIRDPARTIES/APPOINTEDREPRESENTATIVESA` letter ofauthorizationis required upon application authorising the third party/appointed representative(i.e. accountant, lawyer) toconduct business on their behalf.

    9 NON-BAHAMIANS APPLYING TO CONDUCT BUSINESS INTHE BAHAMAS To conduct business in theBahamas, non-Bahamian owned companies requires the approval of the Bahamas Investment Authority -

    http://www.bahamas.gov.bs/bia via the Ministry of Finance9 TEMPORARYBUSINESS LICENCE EXTENSION If the company is foreign owned it requires an approval

    letter from the National Economic Council (Bahamas Investment Authority -http://www.bahamas.gov.bs/bia) Annual Company Registration receipt payments, Trade Name receiptpayment, National Insurance Letter of Good Standing, Change Order or Addendum and ExtensionApproval Document.

    http://www.bahamas.gov.bs/biahttp://www.bahamas.gov.bs/bia
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    INSTRUCTIONS FOR COMPLETING THE BAHAMAS BUSINESS REGISTRATIONPLEASE COMPLETE IN ENGLISH.

    5. Bahamian/Foreign, National Insurance & Assessment Numbers: Identify your status- Bahamian or Foreign.Enter your Assessment Number. If you are extending the period of validity of your Business Licence, use your currentControl number. If you are the owner of the property on which you business is located, use the assessment number

    relevant to the property. Provide your Business National Insurance number.7. Trading As: Enter the name as it will be known to the public and for which you are currently registered as with theRegistrar General Department. PLEASE NOTE THAT YOURLICENCE CANNOT BE PROCESSED IF THERE ARE BUSINESSNAME ARREARS.8. Requesting Trade Name: Identify three possible options for your business name in order of preference.9. Location(s) of Business Operations: Enter the complete location of the business including suite numbers,apartment numbers, house number, street name, and direction (N, S, E, and W). Detail if the building is wooden or stoneand whether it is single or has two stories. If there are additional locations please attach a list of all locations.11. List All Owners, Partners, Corporate Officers, and Members: Include the full name, home address (street,area/settlement, island, P. O. Box), National Insurance number, date of birth, title, percentage of business owned, andtelephone number. If the business is incorporated, list all corporate officers. If the business is a partnership, list allpartners. If the business is comprised of two corporations or other entities, list the officers/members/partners, etc. foreach entity.Attach additional sheets if needed.14. Describe Product(s) Sold or Service(s) Provided: Describe your business activities, goods, products, or servicesin the Bahamas that represent sales or revenues. Example: Retail sale of major appliances (refrigerators, stoves,washers, dryers & air conditioners).17. Application in Respect of a Contract:Applicants must provide a copy of the contract and a copy of anaddendum or change order and an extension approval document.18. Application in Respect of Registered Insurers:There shall be payable in business licence taxes, within fourweeks of the end of each quarter of a financial year.19. Financial Information: Check the box which applies to your type of business followed by the amount. Turnoverpertains to standard business operations. Gross Premiumsrelate to assessment for Insurance Taxes. Businesses arerequired to file financial information annually.

    20. LETTER OFAUTHORISATION FORTHIRDPARTIES/APPOINTEDREPRESENTATIVESA` letter of authorizationis required upon application authorising the third party/appointed representative(i.e. accountant, lawyer) to conduct businesson their behalf.

    21. Signature Instructions: Original signatures are required. Legal signatures include: sole proprietor-owner,

    corporate officer, and managing member. The Regulations require that Where a business has a turnover of one

    million dollars per annum or more, submitted financial results shall be accompanied by a statement as to the

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    .The boards appointed exercise the powers of :

    Road Traffic Authority

    Port Authority

    Town Planning

    Hotels Licensing Board

    Building Control Officer

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