Application for incorporation of an LLC in the USA
City _________________on ______________, 200__
In conformity with the effective rates and “General Conditions of Incorporation of Companies and 
Services on Their Management” which are binding for us and the information provided below, we 
request to incorporate the company. Hereby I confirm that this company will be used for legal purposes
 only.
 
1. State__________________________________________________________________________ 
2. Name of the company (please specify three names in the sequence of preference unless you 
purchase a “ready-made” company).
2.1_________________________________________________________________________________ 
2.2_________________________________________________________________________________ 
2.3_________________________________________________________________________________ 
 
3. The Articles of Association
In case you are not satisfied with the standard objects, please state the most comprehensive list of 
special objects for which the company is incorporated.
________________________________________________________________________________________ 
________________________________________________________________________________________ 
________________________________________________________________________________________ 
________________________________________________________________________________________ 
 
5. Please state the details of the beneficial owner of the company
Name, surname__________________________________________________________________________ 
Address________________________________________________________________________________
Passport details__________________________________________________________________________ 
 
5. The members of the company
Every company should have at least two members for tax purposes in the USA.
 
 
Please state the following details of the members in case nominee members are not used (in English):
1. Name__________________________________________________________________________ 
Address__________________________________________________________________________ 
Date and number of incorporation (for companies), passport details (for private  individuals)
__________________________________________________________________________________
__________________________________________________________________________________
2. Name__________________________________________________________________________ 
Address__________________________________________________________________________ 
Date and number of incorporation (for companies), passport details (for private individuals)
 ___________________________________________________________________________________
 
 
 ___________________________________________________________________________________
 
6. Issuing the power of Attorney
Please state the following details of the authorized person in case nominee members are used (in English):
Name, surname__________________________________________________________________________ 
Address__________________________________________________________________________ 
Passport details__________________________________________________________________________ 
 
7. Banking account:
Please specify your wish with regard to opening the banking account.
________________________________________________________________________________________ 
 
 
8. Additional services

1) postal address

2) postal address and fax

3) additional Power of Attorney

4) legalization of documents for use in the territory of

___________________________________________

5)_________________________________________________________________________________ 
_________________________________________________________________________________ 
 
9. Please state your requirements with regard to forwarding of documents:

by air mail

by courier mail

personal receipt (please specify the town where our divisions are located)

 
 
* Please bear in mind that in forwarding documents and seal to some countries 
 (Ukraine and others) difficulties may arise with the custom formalities.
 
Please specify the recipient of the documents

Full name

Address

Telephone

Contact person

 
____________________ _________________________________________
name, surname signature