Business Registration Intake Form

Required Information for Trade Name
Registration (Sole Proprietor)

Business Name:

Street #:

Street Name:

Unit #:

City:

Province:

Postal Code:

Legal Name of Owner:

First Name:

Last Name:

Owner’s Address

Street #:

Street Name:

Unit #:

City:

Province:

Postal Code:

For CRA Business Number Registration (Payroll, HST etc) Owner’s SIN

Owner’s Date of Birth:

Required Information for Corporate Registration

Select One

Select One

Select One

Name of Corporation to Be Register: First Choice

Name of Corporation to Be Register: Second Choice

Nature of Business

Please indicate the main activities of your business. Ex.: Plumbing Services, Car Repairs, etc.

Describe Your Clientele

Disclaimer: It is your responsibility to ensure the accuracy of the information provided. Once your application is submitted to the registry, the fees are non-refundable. Fees are due before submission.

Contact Person

First Name:

Last Name:

Street #:

Street Name:

Unit #:

City:

Province:

Postal Code:

Contact Phone#

Email Address:

Address of the registered office (cannot be a P.O. Box)

Street #:

Street Name:

Unit #:

City:

Province:

Postal Code:

Business Phone#

Mailing Address (complete only if different from business address)

Street #:

Street Name:

Unit #:

City:

Province:

Postal Code:

Business Phone#

Disclaimer: It is your responsibility to ensure the accuracy of the information provided. Once your application issubmitted to the registry, the fees are non-refundable. Fees are due before submission.

Directors

A director is an individual who is charge of the management of the day-to-day operation a corporation

Director # 1

First Name:

Last Name:

Street #:

Street Name:

Unit #:

City:

Province:

Postal Code:

Contact Phone#

Email Address:

Canadian Resident?:

Social Insurance Number (SIN):

SIN is required if you are applying for HST, Payroll or Import/Export

Exact Name:

As listed on the SIN car

Driver’s License # or Passport #

Only required if from Alberta Government

Date of Birth

Add Additional Director

Director # 2

First Name:

Last Name:

Street #:

Street Name:

Unit #:

City:

Province:

Postal Code:

Contact Phone#

Email Address:

Canadian Resident?:

Social Insurance Number (SIN):

SIN is required if you are applying for HST, Payroll or Import/Export

Exact Name:

As listed on the SIN car

Driver’s License # or Passport #

Only required if from Alberta Government

Date of Birth

Add Additional Director

Director # 3

First Name:

Last Name:

Street #:

Street Name:

Unit #:

City:

Province:

Postal Code:

Contact Phone#

Email Address:

Canadian Resident?:

Social Insurance Number (SIN):

SIN is required if you are applying for HST, Payroll or Import/Export

Exact Name:

As listed on the SIN car

Driver’s License # or Passport #

Only required if from Alberta Government

Date of Birth

Incorporators

Every corporation must have at least one incorporator. To be an incorporator, an individual must be atleast eighteen (18) years of age, not bankrupt, and not incapable. An incorporator can also be a bodycorporate.

Provide the name of each incorporator

Incorporator 1

First Name:

Last Name:

Street #:

Street Name:

Unit #:

City:

Province:

Postal Code:

Contact Phone#

Email Address:

Disclaimer: It is your responsibility to ensure the accuracy of the information provided. Once your application is submitted to the registry, the fees are non-refundable. Fees are due before submission. Please add appropriate fields and text.

Add Additional Incorporator

Incorporator 2

First Name:

Last Name:

Street #:

Street Name:

Unit #:

City:

Province:

Postal Code:

Contact Phone#

Email Address:

Approved By:

Last Name:

Signature


Date:

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