Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1698838117356.pdf (Saint Kitts and Nevis)
SAINT CHRISTOPHER AND NEVIS INLAND REVENUE DEPARTMENT TPS-030 CHANGE OF REGISTRATION DETAILS SECTION 1 - BUSINESS TYPE AND CONTACT DETAILS CORPORATION: LIMITED PARTNERSHIP: UNINCORPORATED: ASSOCIATION/ SOCIETY: CHARITY: OTHER: TAXPAYER NO.

: LAST NAME: MIDDLE NAMES: COMPANY NAME: BUSINESS (TRADE) NAME: BUSINESS ADDRESS: CITY / TOWN / VILLAGE: MAILING ADDRESS: CITY / TOWN / VILLAGE: COUNTRY: HOME PHONE: E-MAIL ADDRESS: PRIMARY CONTACT: SOCIAL SECURITY NO.
: FIRST NAME: PARISH: PARISH: CODE: WORK : MOBILE : BUSINESS START DATE: FINANCIAL YEAR END: DAY / MONTH / YEAR NAME DAY / MONTH RELATIONSHIP RELATED PARTY 1: RELATED PARTY 2: RELATED PARTY 3: ACCOUNTANT: ADDRESS: LAWYER: ADDRESS: FINANCIAL INSTITUTION: ADDRESS: PERSONAL AND BUSINESS ACCOUNT: BUSINESS ACCOUNT: AGENT / REPRESENTATIVE: ADDRESS: SECTION 2 - NATURE OF BUSINESS AGRICULTURE: HOTEL RESTAURANT: PROFESSIONAL SERVICES: MINING / OIL / GAS: TRANSPORTATION: RETAIL: ARTS ENTERTAINMENT: FISHING HUNTING: FINANCE INSURANCE: REAL ESTATE\ RENTALS: EDUCATIONAL SERVICES: HEALTHCARE: DUTY FREE STORE: WHOLESALE: MANAGEMENT SERVICES: OTHER: PAGE 1 OF 2 SECTION 3 - PARTNERSHIP / OWNERSHIP DETAILS 1.
LAST NAME: FIRST NAME: MIDDLE NAMES: MAILING ADDRESS: CITY / TOWN / VILLAGE: COUNTRY: HOME PHONE: E-MAIL ADDRESS: PARISH: CODE: WORK : MOBILE : 2.

LAST NAME: FIRST NAME: MIDDLE NAMES: MAILING ADDRESS: CITY / TOWN / VILLAGE: COUNTRY: HOME PHONE: E-MAIL ADDRESS: PARISH: CODE: WORK : MOBILE : Attach form with additional names and details as necessary.
SECTION 4 - ACCOUNTING SYSTEM COMPUTER: OTHER: ACCOUNTING SOFTWARE POINT OF SALE: CASH REGISTER: MANUAL: QUICKBOOKS: PEACHTREE: MYOB: ACCPAC: OTHER: MANUAL BOOKS RECORDS CASH RECEIPTS: PETTY CASH: PURCHASES: GENERAL LEDGER: ACCOUNTS PAYABLE: ACCOUNTS RECEIVABLE: INVENTORY: GENERAL: CASH DISBURSEMENTS: SECTION 5 - 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 the information provided and the company and/or their representatives will be held responsible for (i) understating, overstating or omitting data and (ii) the payment of any fees fines and penalties associated with their actions, as defined under the Tax Administration and Procedures Act, any other tax act and The Perjury Act .
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 a fine of thirty- thousand ($ 30,000.00) dollars or imprisonment for a term of seven (7) years.

SIGNATORY FULL NAME: SIGNATURE OF DIRECTOR OR REPRESENTATIVE / / DAY / MONTH / YEAR SECTION 6 - INLAND REVENUE DEPARTMENT USE ONLY NAME OF OFFICER SIGNATURE OF OFFICER / / DAY / MONTH / YEAR PAGE 2 OF 2