Wyoming LLC – Intake Form - Nomis Incorporations

NOMIS INCORPORATIONS

Personal Details

Passport copy

Selfie holding passport

Proof of address (dated within 3 months)

LLC Information

Would you like to use nominee service?

Yes No

Banking Details

Preferred bank:

Mercury Relay No preference

Do you have or need a US phone number?

Yes No

Do you need a virtual US address?

Yes No

I confirm that all provided information is accurate

I agree to the Privacy Policy & Terms of Use

I understand this request becomes binding upon payment

Date