Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1694878267553.pdf (Antigua and Barbuda)
Business Investment Application AB9 The Government of Antigua and Barbuda Application for Registration for Business Investment in Antigua and Barbuda Citizenship by Investment Programme For Official Use Only Reference Number Developer Number Date Received Version January 2022 | Copyright © 2013 Government of Antigua and Barbuda | All rights reserved | Copying this form is illegal Business Investment Application Business Name: Individual Name(s): Business Address: Home Address: Contact Information Business Telephone number: Fax: Residential Telephone number: Mobile number: Email Address: Employment Information (if otherwise employed) Business Name and address in fill Permanent telephone number Email Address Version January 2022 | Copyright © 2013 Government of Antigua and Barbuda | All rights reserved | Copying this form is illegal Type of Entity  Sole Proprietor  Partnership Have you been issued an ABIA Investment Certificate?
 Firm  Corporation  YES  NO If YES: Date: ____________________________ Tax Identification Number: ____________________ Number: ____________________________ Please provide the name, address and nationality of each shareholder, partner or stakeholder and percentage of shares/ownership held (use additional sheets if necessary) Name: Address: Nationality: % Ownership: Ownership Type: Name: Address: Nationality: % Ownership: Ownership Type: Name: Address: Nationality: % Ownership: Ownership Type: Name: Address: Nationality: % Ownership: Ownership Type: Nature of Existing &/or Proposed Business: Existing &/or Proposed Capital Investment: Source of Funding: Existing $: _________________________  Antigua/Barbuda  Financial Institution Proposed $: _________________________  Business Operations  Donor Agency Total $: _________________________  Personal Funds  Other (name of country): ____________________ Version January 2022 | Copyright © 2013 Government of Antigua and Barbuda | All rights reserved | Copying this form is illegal Certification The Undersigned certifies that to the best of their knowledge and belief, all information contained in this application and in the accompanying attachments are true complete and correct.
The undersigned agrees to notify the Citizen by Investment Unit immediately of any changes to this application of the information provided.

The undersigned authorizes the Citizenship by Investment Unit to contact, without further notice to the applicant, any person, individual or institution for the purpose of verifying information contained in this application.

I have read Sections 3, 5 – 10 and Schedule of Fees of the Antigua and Barbuda Citizenship by Investment Act, 2013.
Individual/ Business Name (Please Print): Applicant(s) Signature: Date (DD/MM/YYYY): The following documents/information are to be attached: 1.

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 Processing fee of US $5000.00.
 Copy of Photo Identification (Drivers’ License or Passport) Investment in Business The Applicant must present the following:  A Business/Operational plan  Company audited financial statements for the most recent 3 years (where applicable), project costs, profit projections, cash flow projections for three years  Proof of funding – from a bank/financier/own resources  Inland Revenue Tax Certificate, (where applicable)  Memorandum and Articles of Incorporation and Bylaws of the company  Profiles of Shareholders, Directors and key Executives  Litigation, current and potential information  Schedule of Debt and Leases to include; lender, terms, interest rate, repayment schedule and current status  Antigua Barbuda Investment Authority Investment Certificate, (if applicable)  List of concessions as approved by the Antigua Barbuda Investment Authority, (if applicable)  Economic and/or Environment Impact Assessment Study (where applicable) Application with all relevant documentation should be addressed to: Citizenship by Investment Unit 2nd Floor, Sir John E. St. Luce Finance and Conference Center Factory Road, P.O.
Box W2074, St. John’s, Antigua Version January 2022 | Copyright © 2013 Government of Antigua and Barbuda | All rights reserved | Copying this form is illegal Version January 2022 | Copyright © 2013 Government of Antigua and Barbuda | All rights reserved | Copying this form is illegal