CREDIT CARD AUTHORIZATION FORM - Billing Information
Application for Contract
of Agreement for Nominee Services
(PLEASE PRINT, COMPLETE AND FAX THIS FORM TO (703) 995-0899)
Due to the enforcement of the Patriot Act since the "911 crisis", either a SSN or a ITIN Number issued by the IRS is necessary when making an application to the IRS for the Federal Identification Number (EIN). The EIN is needed to open a Bank Account in the United States. A valid passport will NO LONGER suffice.
To apply to the IRS for the ITIN No. you must complete and process United States Form W-7 - "Application for IRS Individual Taxpayer Identification Number". Click here to download the form or connect directly to the IRS at http://www.irs.ustreas.gov. A copy of the application must accompany the Contract of Agreement for Nominee Services.
This application is needed in order to accommodate your "immediate needs" for establishing your new Corporation or LLC with a Federal ID Number. We through our nominee, can offer you Limited Nominee Services to be in existence solely for the purpose of the application for the Federal ID Number (EIN). The cost for this service is $250.00. The contract of agreement will cease upon the issuance of the ITIN Number. The contract will not go into effect without proof of the application to the IRS for the ITIN number.
Click here to download the Contract
of Agreement for Nominee Services.
Complete this Credit Card Application
__________________________________DOES HEREBY AUTHORIZE Global Corporate Services, Inc.
(Name on Card)
to charge the amount of ( ) $ 250.00 for Limited Nominee Services or ( ) $750.00 for Extended Nominee Services
to its: ( )
(
)
(
)
( )
Account No. _______________________________ Expiration Date ____________ Security Code ___________
Billing Address _________________________________________________________
City, State, Zip ____________________________________________ Country _____________________
Telephone No. ________________________ Fax No. ________________________
Email Address ___________________________________________
Name on Passport ___________________________ Date of Birth ___________________
Passport No. _____________________ Country Issued ___________________
Date Issued _____________________ Date Expires ___________________
Signed By _______________________________ Title ________________________ Dated ______________
Provide us with the following documents:
This application must be accompanied by
Current Copy of Your Passport (Please fax a CLEAR copy of your passport with your picture )
Power Of Attorney - (Please sign in Two (2) places)
Application for an ITIN number issued by the IRS.
Form 2848 - IRS Power of Attorney - Just sign in the top line Section 9.
Form SS4 - Application for Federal Identification Number Sign on bottom of form where it indicates the signature
Thank you for your prompt attention to this
invoice. Global
Corporate Services, Inc. does not provide personal counsel or tax advice.
Please initial here ( ) that you have read this disclaimer:
"Global
Corporate Services, Inc. is not responsible for any adverse reaction from the
IRS in refusing to issue you an ITIN Number. This fee is non refundable."
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