Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1694417906312.pdf (Saint Kitts and Nevis)
SAINT CHRISTOPHER AND NEVIS INLAND REVENUE DEPARTMENT GENERAL PARTNERSHIP REGISTRATION SECTION 1 - APPLICANT REGISTERED NAME: TRADE NAME: START DATE: DAY FISCAL YEAR START: DAY RESIDENT: YES / MONTH / MONTH / YEAR NO END DATE: DAY FISCAL YEAR END: DAY / MONTH / MONTH / YEAR SOCIAL SECURITY NO.

: MAILING ADDRESS: CITY / TOWN / VILLAGE: COUNTRY: PHONE: E-MAIL ADDRESS: CONTACT NAME: CONTACT POSITION: PARISH: CODE: FAX : MOBILE : 1.

2.
2.

Details of directors, partners, owners of the enterprise are to be completed on page 3.

Additional details on physical establishments (locations) of the company are to be completed on page 4.
SECTION 2 - BUSINESS ACTIVITY DETAILS PRIMARY BUSINESS ACTIVITY: ESTIMATED GROSS SALES: SECONDARY BUSINESS ACTIVITY: ESTIMATED GROSS SALES: PAGE 1 OF 4 SECTION 3 - REPRESENTATION REPRESENTATIVE NAME: POSITION: PHONE: FAX : MOBILE : LAWYER TRUSTEE LIQUIDATOR AGENT OTHER (SPECIFY) SECTION 4 - ACCOUNTANT NAME: ADDRESS: CITY / TOWN / VILLAGE: MAILING ADDRESS: CITY / TOWN / VILLAGE: COUNTRY: PHONE: E-MAIL ADDRESS: SECTION 6 - FINANCIAL DETAILS This page can be copied if additional space is required.
LOCAL BANK BANK NAME: ADDRESS: PHONE: E-MAIL ADDRESS: ACCOUNT NUMBER: FOREIGN BANK BANK NAME: ADDRESS: PHONE: E-MAIL ADDRESS: ACCOUNT NUMBER: PARISH: PARISH: CODE: FAX : MOBILE : FAX: FAX: ACCOUNT NUMBER: ACCOUNT NUMBER: PAGE 2 OF 4 SECTION 1 - CONTINUED (PARTNERS) This page may be copied if additional space is required.

1.

TAXPAYER NO.

(TIN): LAST NAME: MIDDLE NAME(S): DATE OF BIRTH: ADDRESS: CITY / TOWN / VILLAGE: COUNTRY: E-MAIL ADDRESS: POSITION: 2.

TAXPAYER NO.
TAXPAYER NO.

(TIN): LAST NAME: MIDDLE NAME(S): DATE OF BIRTH: ADDRESS: CITY / TOWN / VILLAGE: COUNTRY: E-MAIL ADDRESS: POSITION: 3.

TAXPAYER NO.

(TIN): LAST NAME: MIDDLE NAME(S): DATE OF BIRTH: ADDRESS: CITY / TOWN / VILLAGE: COUNTRY: E-MAIL ADDRESS: POSITION: SOCIAL SECURITY NO.

: FIRST NAME: STATE: CODE: PERCENT OWNED: SOCIAL SECURITY NO.

: FIRST NAME: STATE: CODE: PERCENT OWNED: SOCIAL SECURITY NO.
: FIRST NAME: STATE: CODE: PERCENT OWNED: PAGE 3 OF 4 SECTION 1 - CONTINUED (ESTABLISHMENTS / PHYSICAL LOCATIONS) This page can be copied if additional space is required.

HEAD OFFICE YES NO NAME: ADDRESS: CITY / TOWN / VILLAGE: PARISH: ISLAND: SECTION 6 - DECLARATION I declare that the information given on this form is to the best of my knowledge and belief true and correct and that I have the authority to disclose the information provided.
I understand that the Saint Christopher and Nevis Inland Revenue Department reserves the right to review and veify the information provided.

Please be aware that a person who makes a false declaration commits an offence under Section 5 of the Perjury Act, 2005 of the laws of Saint Christopher and Nevis and that person is liable to imprisonment for a term of seven (7) years or to a fine of thirty-thousand ($ 30,000.00) dollars.

FULL NAME: TITLE: TAXPAYER NO.

(TIN): VAT NO.


: SIGNATURE DATE: DAY MONTH / YEAR / SECTION 7 - INLAND REVENUE DEPARTMENT USE ONLY SOCIAL SECURITY NO.

: PRIMARY ISIC CODE: SECONDARY ISIC CODE: TAXES AND LICENCES REGISTERED Business and Occupation Licence Unincorporated Business Tax (UBT) PROCESSED BY: VERIFIED BY: APPROVED BY: DAY DAY DAY MONTH MONTH MONTH / / / YEAR / YEAR / YEAR / SIGNATURE SIGNATURE SIGNATURE PAGE 4 OF 4