Incorporations Questionnaire

In order for us to assist you we need a little information to get started. We'll contact you for further details as required. This questionnaire is just a starting point.

Please enter the required information. You can tab to move between fields. Pressing the space bar will toggle the responses for the check boxes. Print off a finished copy and either fax, mail or drop it by our office at the address listed at the bottom of the form.

Due to concerns we have for security of your personal information, we do not offer email as an option at this time. If you have any questions regarding filling out the questionnaire either e-mail us or call us at (250) 492-2425. (Toll-free 1-877-492-2644)

General Information

Your name:

Company (not the name of the company you wish to incorporate):

Phone:

Fax:

Bus. Phone:

Email:

Address:

 

City:

 

Prov.

 

Postal Code:

 
 

Details of Incorporation

Company’s Name:
Please note: it’s a good idea to have alternate company names in mind. Often your first choice may be rejected by the registrar because it is already registered, is too similar to an existing company name or for other similar reasons.

1st choice:

2nd choice:

3rd choice:

 

Your accountant:      I don’t have an accountant; or

Accountant’s name:

Accountant’s Firm:

Accountant’s phone:

   

Generally, what is/will be your company’s type of business:
   

Directors and Officers:

  

President:

Secretary:

Director:

Director:

Director:

Director:

Director:

Director:

Director:

(If you require more space for directors, please attach a separate list)

List attached

   

Shareholders:

  

Percentage of shares: %

Name: 

Percentage of shares: %

Name: 

Percentage of shares: %

Name: 

Percentage of shares: %

Name: 

Percentage of shares: %

Name: 

Percentage of shares: %

Name: 

Percentage of shares: %

Name: 

(If you require more space for shareholders, please attach a separate list)

List attached

 

Please print and fax, mail or drop off this form to:
Preston S. Mott
Mott Rutherford Welsh & Greig
#100 - 166 Main Street, Penticton, B.C., V2A 5A4
Telephone: 250.492.2425      Fax: 250.492.2451

© Copyright 1999 - 2005 Preston S. Mott Personal Law Corporation All rights reserved. No part of this publication may be reproduced in any form without permission.