Beneficial Ownership Information Report

Beneficial Ownership Information

On behalf of Next-N-Line Business Services/Team We are only able to complete forms with owners who reside in the United States with a US passport or US state government-issued ID.

Complete the report in its entirety with all information even if it is not required. (ie Middle name is required if you have one)
Initial report Correct prior report Update prior report

Initial ReportCorrect Prior ReportUpdate Prior Report
Reporting Company Legal Name
Alternate name eg trade name DBA
Tax Identification Type
Tax identification number

Current U.S. Address (Principle Place of Business)
The address must be reported as the physical location of the Principal Place of Business. Do not use a Post Office Box address, it is not permitted.

Principle Place of Business Address (number, street, and apt. or suite no *
Street Address
Street Address Line 2
City
Zip Code
Beneficial Ownership Information 1 information - Full legal name and date of birth

All fields are required when applicable i.e. middle name when you have one
Individuals last name
Last Name
First Name
Middle Name required if you have one
Suffix
Suffix
Date of Birth

MonthDayYear
Month Day Year
Residential Address (number, street, and apt. or suite no *
Street Address
Street Address Line 2
City
Zip Code
Form of Identification and issuing Jurisdiction- Check one

State-issued Driver's LiceseState/local/IDPassport
Identifying document number
Identifying Document issuing Jurisdiction-enter the Country for example UNITED STATES or USA
Enter that State-For Example CA or California
Identifying document image: upload one image-Passport/ driver license or state ID

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Beneficial Ownership 2 Information - Full legal name and date of birth

All fields are required when applicable i.e. middle name when you have one
Individuals last name
First Name
Middle Name required if you have one
Suffix
Date of Birth

MonthDayYear
month Day Year
Day Residential Address (number, street, and apt. or suite no*
Street Address
Street Address Line 2
City
Zip Code
Form of Identification and issuing Jurisdiction- Check one

State-issued Driver's LiceseState/local/IDPassport
Identifying document image: upload one image-Passport/ driver license or state ID

Cancelof
Beneficial Ownership 3 Information - Full legal name and date of birth

All fields are required when applicable i.e. middle name when you have one
Individuals last name
First Name
Middle Name required if you have one
Suffix
Suffix
Residential Address (number, street, and apt. or suite no*
Street Address
Street Address Line 2
City
Zip Code
Form of Identification and issuing Jurisdiction- Check one

State-issued Driver's LiceseState/local/IDPassport
Identifying document number
Identifying document issuing jurisdiction:

Browse Files Drag and drop files here
Beneficial Ownership 4 Information - Full legal name and date of birth

All fields are required when applicable i.e. middle name when you have one
Individuals last name
First Name
First Name
Middle Name required if you have one
Suffix
Suffix
MM-DD-YYYY
Month Day - Year Residential Address (number, street, and apt. or suite no*
Street Address
Street Address Line 2
City
Zip Code
Form of Identification and issuing Jurisdiction- Check one

State-issued Driver's LiceseState/local/IDPassport
Identifying document number
Identifying document image: upload one image-Passport/ driver license or state ID

Cancelof
Finalize and Authorization of BOIR

I certify that I have the authority to authorize Global Corporate Services, Inc. and subsidiaries to file this BOIR on behalf of the reporting company. I further certify, on behalf of the reporting company, that the information contained in this BOIR form is true, correct, and complete. Next-N-Line Business Services Inc. and subsidiaries are held harmless if the information provided is not true, correct, and complete. I agree to defend and indemnify Next-N-Line Business Services Inc. should any action arise from filing.
The willful failure to report complete beneficial ownership information to FinCEN the willful failure to update beneficial ownership information provided to FinCEN when previously reported information changes or the willful provision of false or fraudulent beneficial ownership information to FinCEN may result in civil or criminal penalties A person may also be subject to civil or criminal penalties for willfully causing a reporting company to report incomplete or false beneficial ownership information to FinCEN
Name and title of signatory
My signature certifies the declaration and the acknowledgment of the compliance reminder *
Signature

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Beneficial Ownership Filing ApplicationAll companies Registered are required Companies in existence before 01/01/2024, must file by 01/01/2025.While new companies have 30 days of formation. Failure to Comply may result in penalties.

$150.00 Quantity
Item subtotal:$0.00

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty:

MM-DD-YYYY