Forms

The forms in the Schedule hereto, with such variations as the circumstances of each case require, shall be the forms to be used under the Act. Business Names 7 SCHEDULE (Rules 6 & 11) FORM 1 THE STATEMENT MUST BE DELIVERED TO THE REGISTRAR No. of Certificate ................. THE BUSINESS NAMES ACT Application for Registration by an Individual I, the undersigned, hereby apply for registration pursuant to the provisions of the Business Names Act, and for that purpose furnish the following statement of particulars– (1) The business name. (2) The general nature of the business. (3) The principal place of business. (4) The present Christian name (or names) and surname of the individual. (See Note A.) (5) Any former Christian name (or names) or surname of the individual. (See Note B.) 8 Business Names (6) The nationality of the individual. (7) The nationality of origin of the individual, if not the same as the present nationality. (8) The usual residence of the individual. (9) The other business occupation (if any) of the individual. (10) The date of the commencement of the business, if the business was commenced after the date of the commencement of the Act. (11) Any other business name or names under which the business is carried on. Dated this day of 20 (Signature) ........................... See Note C. Note A.- Christian name includes any forename. Business Names 9 Note B.- “References in this Act to a former Christian name or surname shall not, in the case of natural-born Belize subjects, include a former Christian name or surname where that name or surname as been changed or disused before the person bearing the name had attained the age of eighteen years; and, in the case of a married woman, shall not include the name or surname by which she was known previous to the marriage.” Note C.- This Statement must in all cases be signed by the individual applying for registration. Failure without reasonable excuse to furnish the required Statement of Particulars within the time specified will, in addition to any disability imposed by the Act entail liability on conviction to a fine not exceeding twenty-five dollars for every day during which the default continues; and any Statement which contains any matter which is false in any material particular to the knowledge of any person signing it will entail liability on conviction to imprisonment, for a term not exceeding three months, or to a fine not exceeding one hundred dollars or to both such imprisonment and fine. Where the individual applying for registration carries on the business wholly or mainly as nominee or trustee of or for another person or other persons or a corporation, or acts as general agent for any foreign firm, the additional particulars specified in Form 4 must also be furnished on such form and delivered to the Registrar in the manner and within the times before specified. 10 Business Names FORM 2 THE STATEMENT MUST BE DELIVERED TO THE REGISTRAR No. of Certificate .................. THE BUSINESS NAMES ACT Application for Registration by a Firm (Insert name of firm) hereby apply for registration under the provisions of the Business Names Act, and for that purpose furnish the following statement of particulars: (1) The business name. (2) The general nature of the business. (3) The principal place of business. (4) The date of the commencement of the business if the business was commenced after the date of the commencement Act. (5) Any other business name or names under which the business is carried on. Business Names 11 1 2 3 4 5 6 7 (6) The present Christian name or names and surname of every individual who is-and the corporate name of every corporation which is - a partner in the firm. (See Note B.) (7) Any former Christian name or names or surname of every individual partner in the firm. (See Note C.) (8) The nationality of every individual partner in the firm. (9) The nationality of origin (if other than the present nationality) of every individual partner in the firm. (10) The usual residence of every individual who is-and the registered or principal office of every corporation which is-a partner in the firm. (11) The other business occupation (if any) of every individual partner in the firm. Dated this day of 20 (Signature) ........................... See Note A. Note A.-This Statement must in all cases be signed either- 12 Business Names (a) by all the individuals who are partners and by a Director or the Secretary of each Corporation which is a partner; or (b) (1) by some individual who is a partner; or (2) by a director or the secretary of some corporation which is a partner; and in either of the cases (b)(1) and (2) must be verified by a statutory declaration made by the signatory. Failure without reasonable excuse to furnish the required Statement of Particulars within the time specified will, in addition to any disability imposed by the Act, entail liability on conviction to a fine not exceeding twenty-five dollars for every day during which the default continues; and any statement which contains any matter which is false in any material particular to the knowledge of any person signing it will entail liability on conviction to imprisonment, for a term not exceeding three months, or to a fine not exceeding one hundred dollars or to both such imprisonment and fine. Where the individual applying for registration carries on the business wholly or mainly as nominee or trustee of or for another person or other persons or a corporation, or acts as general agent for any foreign firm, the additional particulars specified in Form 4 must also be furnished on such form and delivered to the Registrar in the manner and within the times before specified. Note B.- Christian name includes any forename. Note C.- “References in this Act to a former Christian name or surname shall not, in the case of natural-born Belize subjects, include a former Christian name or surname where that name or surname has been changed or disused before the person bearing the name had attained the age of eighteen years: and, in the case of a married woman, shall not include the name or surname by which she was known previous to the marriage.” Business Names 13 FORM 3 THE STATEMENT MUST BE DELIVERED TO THE REGISTRAR No. of Certificate .................. THE BUSINESS NAMES ACT Application for Registration by a Corporation having a place of business in Belize and carrying on the business wholly or mainly as nominee or trustee of or for another person or other persons or another Corporation or acting as general agent for any foreign firm. (Insert name of Corporation) hereby apply for registration under the provisions of the Business Names Act, and for that purpose furnish the following statement of particulars– (1) The business name. (2) The general nature of the business. (3) The principal place of business. (4) The date of the commencement of the business if the business was commenced after the date of the commencement Act. (5) The other name or names (if any) under which the business is carried on. 14 Business Names The corporate name of the corporation applying for registration. (6) The registered or principal office of the corporation applying for registration. (7) The following Statement of Additional Particulars (8), (9), (10), (11), (12) and (13) is to be furnished in respect of the carrying on by such Corporation of the business wholly or mainly as nominee or trustee of or for another person or other persons or another Corporation, provided that if the business is carried on under any trust and any of the beneficiaries are a class of children or other persons, then the particulars required under (13) only need be furnished. 1 2 3 4 5 6 7 (8) The present Christian name or names and surname or the corporate name of every person or corporation, on whose behalf the business is carried on. (See Note A.) (9) Any former name or names of any person on whose behalf the business is carried on. (See Note B.) (10) The nationality of every person on whose behalf the business is carried on. (11) The nationality of origin of every person on whose behalf the business is carried on if other than the present nationality. Business Names 15 (12) The usual residence of every person on whose behalf the business is carried on (13) Description of the class of beneficiaries. Note A.- Christian name includes any forename. Note B.- “References in the Act to a former Christian name or surname shall not, in the case of natural-born Belize subjects, include a former Christian name or surname where that name or surname has been changed or disused before the person bearing the name had attained the age of eighteen years; and, in the case of a married woman, shall not include the name or surname by which she was known previous to the marriage.” The further following Statement of Additional Particulars is to be furnished in respect of any Corporation having a place of business within Belize and acting as General Agent for any *foreign firm. The business name and address of the foreign firm as agent for whom the business is carried on. If the business is carried on as Agent for three or more foreign firms it is sufficient to state the fact that the business is so carried on, specifying the countries in which such foreign firms carry on business. Dated this day of 20 (Signature) ........................... See Note C. 16 Business Names *“Foreign firm” means any firm, individual or Corporation whose principal place of business is situated outside Belize. Note C.- This statement must in all cases be signed by a Director or the Secretary of the Corporation applying for registration. Failure without reasonable excuse to furnish the required Statement of Particulars within the time specified will, in addition to any disability imposed by the Act, entail liability on conviction to a fine not exceeding twenty-five dollars for every day during which the default continues, and where a Corporation is guilty of an offence under this Act, every Director, Secretary and Officer of the Corporation who is knowingly a party to the default will be guilty of a like offence and liable to a like penalty. Any Statement which contains any matter which is false in any material particular to the knowledge of any person signing it will entail liability on conviction to imprisonment for a term not exceeding three months, or to a fine not exceeding one hundred dollars, or to both such imprisonment and fine. Business Names 17 FORM 4 THE STATEMENT MUST BE DELIVERED TO THE REGISTRAR The Business Name........................... No. of Certificate .................. THE BUSINESS NAMES ACT Statement of Additional Particulars to be furnished by an individual pursuant to section 4 of the Act. 1. Where any individual having a place of business in Belize carries on the business wholly or mainly as nominee or trustee of or for another person or other persons or a corporation, the particulars required under (1), (2), (3), (4) and (5) must be furnished, provided that if the business is carried on under any trust and any of the beneficiaries are a class of children or other persons, then the particulars required under (6) only need be furnished. 1 2 3 4 5 6 7 (1) The present Christian name or names and surname or the corporate name of every person or corporation on whose behalf the business is carried on. (See Note A.) (2) Any former name or names of any person on whose behalf the business is carried on. (See Note B.) (3) The nationality of every person on whose behalf the business is carried on. (4) The nationality of origin of every person on whose behalf the business is carried on, if other than the present nationality. (5) The usual residence of every person on whose behalf the business is carried on. 18 Business Names (6) Description of the class of beneficiaries. Note A.-Christian name includes any forename. Note B.-“References in this Act to a former Christian name or surname shall not, in the case of natural-born Belize subjects, include a former Christian name or surname where that name or surname has been changed or disused before the person bearing the name had attained the age of eighteen years; and, in the case of a married woman, shall not include the name or surname by which she was known previous to the marriage.” 2. Where any firm having a place of business within Belize acts as General Agent for any* foreign firm the following particulars must be furnished. The business name and address of the foreign firm as agent for whom the business is carried on. If the business is carried on as Agent for three or more foreign firms, it is sufficient to state the fact that the business is so carried on, specifying the countries in which such foreign firms carry on business. Dated this day of 20 (Signature) ........................................... See Note C. *“Foreign firm” means any firm, individual or Corporation whose principal place of business is situated outside Belize. Business Names 19 Note C.-This statement must in all cases be signed by the individual applying for registration. Failure without reasonable excuse to furnish the required Statement of Particulars within the time specified will, in addition to any disability imposed by the Act, entail liability on conviction to a fine not exceeding twenty-five dollars for every day during which the default continues; and any Statement which contains any matter which is false in any material particular to the knowledge of any person signing it will entail liability on conviction to imprisonment for a term not exceeding three months, or to a fine not exceeding one hundred dollars or to both such imprisonment and fine. 20 Business Names FORM 5 THE STATEMENT MUST BE DELIVERED TO THE REGISTRAR The Business Name........................... No. of Certificate .................. THE BUSINESS NAMES ACT Statement of Additional Particulars to be furnished by a Firm pursuant to section 4 of the Act. 1. Where any individual having a place of business in Belize carries on the business wholly or mainly as nominee or trustee of or for another person or other persons or a Corporation, the particulars required under (1), (2), (3), (4) and (5) must be furnished, provided that if the business is carried on under any trust and any of the beneficiaries are a class of children or other persons, then the particulars required under (6) only need be furnished. 1 2 3 4 5 6 7 The present Christian name or names and surname or the corporate name of every person or corporation, on whose behalf the business is carried on. (See Note A.) (1) Any former name or names of any person on whose behalf the business is carried on. (See Note B.) (2) The nationality of every person on whose behalf the business is carried on. (3) The nationality of origin of every person on whose behalf the business is carried on if (4) Business Names 21 other than the present nationality. The usual residence of every person on whose behalf the business is carried on. Description of the class of beneficiaries. Note A.-Christian name includes any forename. Note B.-”References in this Act to a former Christian name or surname shall not, in the case of natural-born Belize subjects, include a former Christian name or surname where that name or surname has been changed or disused before the person bearing the name had attained the age of eighteen years; and, in the case of a married woman, shall not include the name or surname by which she was known previous to the marriage.” 2. Where any firm having a place of business in Belize acts as General Agent for any foreign firm* the following particulars must be furnished. The business name and address of the foreign firm as agent for whom the business is carried on. If the business is carried on as Agent for three or more foreign firms it is sufficient to state the fact that the business is so carried on, specifying the countries in which such foreign firms carry on business. Dated this day of 20 (Signature).............................. See Note C. 22 Business Names *“Foreign firm” means any firm, individual or Corporation whose principal place of business is situated outside Belize. Note C.-This statement must in all cases be signed either: (a) By all the individuals who are Partners and by a Director or the Secretary of every Corporation which is a Partner; or (b) (1) by some individual who is a Partner, or (2) by a Director or the Secretary of some Corporation which is a Partner, and in either of the cases (b)(1) and (2) must be verified by a Statutory Declaration made by the Signatory. Failure without reasonable excuse to furnish the required Statement of Particulars within the specified time will, in addition to any disability imposed by the Act, entail liability on conviction to a fine not exceeding twenty-five dollars for every day, during which the default continues; and any Statement which contains any matter which is false in any material particular to the knowledge of any person signing it will entail liability on conviction to imprisonment for a term not exceeding three months, or to a fine not exceeding one hundred dollars or to both such imprisonment and fine. Business Names 23 FORM 6 No. of Certificate .................. THE BUSINESS NAMES ACT Statement pursuant to Section 8 of the above Act of Nature of Change in the Particulars registered by an individual and Date of Change. The following is a Statement of a Change (and of the date of such change) which has been made or has occurred in the particulars registered in respect ofHere insert business name of individual Here insert nature and date of change Dated this day of 20 (Signature).................................. See Note A. Note A.- This Statement must be signed by the individual, and when signed must be delivered to the Registrar within fourteen days after any change in any of the particulars registered or within such longer period as the Minister may on application being made in any particular case, whether before or after the expiration of such fourteen days, allow. 24 Business Names Failure without reasonable excuse to furnish the required Statement of Particulars registered within the time specified will, in addition to any disability imposed by the Act, entail liability on conviction to a fine not exceeding twenty-five dollars for every day during which the default continues, and any Statement which contains any matter which is false in any material particular to the knowledge of any person signing it will entail liability on conviction to imprisonment for a term not exceeding three months, or to a fine not exceeding one hundred dollars or to both such imprisonment and fine. Business Names 25 FORM 7 No. of Certificate .................. THE BUSINESS NAMES ACT Statement pursuant to Section 8 of the above Act of Nature of Change in the Particulars registered by a firm and Date of Change. The following is a Statement of a Change (and of the date of such change) which has been made or has occurred in the particulars registered in respect ofHere insert business name of individual. Here insert nature and date of change. Dated this day of 20 (Signature).................................. See Note A. Note A.- This Statement must be signed either– (a) By all the individuals who are Partners, and by a Director or the Secretary of any Corporation which is a Partner, or (b) (1) by some individual who is a Partner, or 26 Business Names (2) by a Director or the Secretary of some Corporation which is a Partner and in either of cases (b) (1) and (2) must be verified by a Statutory Declaration made by the Signatory. This Statement, when signed, must be delivered to the Registrar within fourteen days after any change in any of the particulars registered or within such longer period as the Minister may on application being made in any particular case, whether before or after the expiration of such fourteen days, allow. Failure without reasonable excuse to furnish the required Statement of Particulars within the time specified will, in addition to any disability imposed by the Act, entail liability on conviction to a fine not exceeding twenty-five dollars for every day during which the default continues, and any Statement which contains any matter which is false in any material particular to the knowledge of any person signing it will entail liability on conviction to imprisonment for a term not exceeding three months, or to a fine not exceeding one hundred dollars, or to both such imprisonment and fine. Business Names 27 FORM 8 No. of Certificate .................. THE BUSINESS NAMES ACT Statement pursuant to Section 8 of the above Act of Nature of Change in the Particulars registered by a Corporation and Date of Change. The following is a Statement of a Change (and of the date of such change) which has been made or has occurred in the particulars registered in respect ofHere insert the name of corporation.. Here insert change and date of change. Dated this day of 20 (Signature).................................. See Note A. Note A.-This Statement must be signed by a Director or Secretary of the Corporation and, when signed, must be delivered to the Registrar within fourteen days after any change of the particulars registered, or within such longer period as the Minister may on application being made in any particular case, whether before or after the expiration of such fourteen days allow. Failure without reasonable excuse to furnish the required Statement of any change in Particulars within the time specified will, in addition to any disability imposed by the Act, entail liability on conviction to a fine not exceeding twenty-five dollars for every day during which the default continues; and 28 Business Names every Director, Secretary or Officer of the Corporation who is knowingly party to the default will be liable to a like penalty. Any Statement which contains any matter which is false in any material particular to the knowledge of any person signing it, will entail liability on conviction to imprisonment for a term not exceeding three months, or to a fine not exceeding one hundred dollars, or to both such imprisonment and fine. Business Names 29 FORM 9 *Here insert name and address of firm and individual as the case may be. No. of Certificate .................. THE BUSINESS NAMES ACT Notice pursuant to Section 15 of the Act of Cessation of Business by a Registered Firm or Individual. Notice is hereby given that* of Ceased to carry on business on the day of 20 Dated this day of 20 (Signature or Signatures) .................................. To the Registrar Note.-This notice must in the case of a firm be signed by the persons who were partners of the firm at the time when it ceased to carry on business or, in the case of an individual, by the individual, except in the case of the death of an individual, when it must be signed by the personal representative of the deceased, and must in either case be delivered to the Registrar within three calendar months after the business has ceased to be carried on. Failure to give the required notice within the time specified entails liability on conviction to a fine not exceeding one hundred dollars. 30 Business Names FORM 10 THE BUSINESS NAMES ACT Form of appeal from the decision of the Registrar under Section 16 (1) I (We) of hereby give (Insert full name and address of appellant) Notice of appeal to the Judge from the decision of the Registrar dated the day of 20 . whereby he decided (a) Insert the decision complained of (b) Insert the decision of (a) complained of Accompanying this notice is a Statement of the Grounds of Appeal and of my (our) case for the decision of the Judge. Dated this day of 20 (Signed)................................. To the Register of the Supreme Court, Belize. This notice must be delivered within twenty-one days of the date of the notice of the Registrar’s decision, to the Registrar of the Supreme Court, together with a statement of the grounds of appeal and of the appellant’s case in support thereof. Business Names 31 A copy of this notice of appeal, together with copies of the statement of the grounds of appeal and the case in support thereof, and a copy of the Registrar’s decision must at the same time be sent by the appellant to the Registrar. 32 Business Names FORM 11 No. of Certificate .................. THE BUSINESS NAMES ACT Form of Statutory Declaration verifying a Statement Furnished under the Act I, ___________________________of _____________________________do hereby solemnly and sincerely declare that all the particulars contained in the statement dated the day of , 20 , and signed by me which is now produced and shown to me marked are true. I make this Declaration conscientiously believing the same to be true and according to the Oaths Act, (Cap. 130) and I am aware that if there is any statement in this declaration which is false in fact, which I know or believe to Business Names 33 FORM 12 No. of Certificate .................. THE BUSINESS NAMES ACT Certificate of Registration I hereby certify that a Statement Furnished by of pursuant to section of the above-mentioned Act was registered on the Day of 20