COMPANY INFORMATION AND FORMATION SHEET

(MANAGEMENT COMPANY LIMITED BY GUARANTEE)

Proposed Company Name
Preferred Choice:
Alternative 1:
Alternative 2:
PLEASE ENTER THE PROPERTY ADDRESS AS IT WILL APPEAR ON THE MEMORANDUM
Address:
Town:
County:
Postcode:
Registered Office AddressUse Michelmores' address as Registered Office Address
Note: Michelmores offers a Registered Office Address service for a fixed annual fee –
please contact Caroline Lavis on for further information.
Address:
Town:
County:
Postcode:
Country:
COMPANY SECRETARY
Note: There is now no requirement for private companies to appoint a company secretary.
Consent to Act
Secretaries will be required to provide three security items in order to be able to file the documents electronically.
When information is filed electronically Companies House ask each new officer or member to provide three pieces of information about themselves.
This information will be sent to Companies House (but will not appear on the public record) as evidence that the person concerned has consented to act. It replaces the signature of the form AP03 (secretary) or Par 2 of the form IN01. If these three pieces of information are given this is the equivalent of the person's signed consent to act.
INDIVIDUAL - COMPANY SECRETARY
Type: / Secretary
Use Michelmores as Company Secretary
Note: Michelmores offers a Company Secretarial service for a fixed annual fee – please contact Caroline Lavis on for further information.
Title:
Full Forename(s):
Surname:
Previous Forename(s)
Previous Surname:
Service address: / Your service address will be publicly available. Your service address can either be the registered office address of the company, your home address or another address e.g. your business or trading address.
Same as registered office address
Use Michelmores' address as service address
Note: Michelmores offers a Service Address option for a fixed annual fee –
please contact Caroline Lavis on for further information.
(if different please complete below)
Address:
Town:
Country:
Postcode:
Country:
CONSENT TO ACT: PLEASE PROVIDE THE FOLLOWING SECURITY ITEMS
Town of birth (first 3 letters)
Telephone Number (last 3 digits)
Eye Colour (first 3 letters)
CORPORATE - COMPANY SECRETARY
Type: / Secretary
Use Michelmores as Company Secretary
Note: Michelmores offers a Company Secretarial service for a fixed annual fee – please contact Caroline Lavis on for further information.
Full Name of Company:
Address:
Town:
County:
Postcode:
Country:
EEA Company
Where the company/firm is registered: / United Kingdom Other (please specify country): ______
Registration Number:
Authorised Representative: / Title:
Full Forename(s)
Surname:
AUTHORISED REPRESENTATIVE'S CONSENT TO ACT: PLEASE PROVIDE THE FOLLOWING SECURITY ITEMS
Town of birth (first 3 letters)
Telephone Number (last 3 digits)
Eye Colour (first 3 letters)
DIRECTORS / MEMBERS
IMPORTANT:
The default articles we provide for management companies require for the appointment of a minimum of 2 Directors
on incorporation.
Consent to Act
Directors/Members will be required to provide three security items in order to be able to file the documents electronically.
When information is filed electronically Companies House ask each new officer or member to provide three pieces of information about themselves.
This information will be sent to Companies House (but will not appear on the public record) as evidence that the person concerned has consented to act. It replaces the signature of the form AP01 (officer) or subscriber's page of the form IN01. If these three pieces of information are given this is the equivalent of the person's signed consent to act.
Part A below comprises details of the directors/secretary/members who are individuals.
Part B comprises details of the directors/secretary/members who are corporate entities.
Note that there must be at least one individual who is a director.
PART A – INDIVIDUAL DIRECTORS/MEMBERS
1. Individual – Director / member
Type: / Director Member
Title:
Full Forename(s):
Surname:
Previous Forename(s)
Previous Surname:
Date of Birth (dd/mm/yyyy):
Nationality:
Occupation:
Home address: / Your home address will NOT appear on the public record unless you select it as your service address.
Address:
Town:
County:
Postcode:
Country:
Service address: / Your service address will be publicly available. Your service address can either be the registered office address of the company, your home address or another addresse.g. your business or trading address.
Same as registered office address Same as Home address
Use Michelmores' address as service address
Note: Michelmores offers a Directors' Service Address option for a fixed annual fee –
please contact Caroline Lavis on for further information.
(if different please complete below)
Address:
Town:
Country:
Postcode:
Country:
CONSENT TO ACT: PLEASE PROVIDE THE FOLLOWING SECURITY ITEMS
Town of birth (first 3 letters)
Telephone Number (last 3 digits)
Eye Colour (first 3 letters)
2. Individual – Director / MEMBER
Type: / Director Member
Title:
Full Forename(s):
Surname:
Previous Forename(s)
Previous Surname:
Date of Birth (dd/mm/yyyy):
Nationality:
Occupation:
Home address: / Your home address will NOT appear on the public record unless you select it as your service address.
Address:
Town:
County:
Postcode:
Country:
Service address: / Your service address will be publicly available. Your service address can either be the registered office address of the company, your home address or another address e.g. your business or trading address.
Same as registered office address Same as Home address
Use Michelmores' address as service address
Note: Michelmores offers a Directors' Service Address option for a fixed annual fee –
please contact Caroline Lavis on for further information.
(if different please complete below)
Address:
Town:
Country:
Postcode:
Country:
CONSENT TO ACT: PLEASE PROVIDE THE FOLLOWING SECURITY ITEMS
Town of birth (first 3 letters)
Telephone Number (last 3 digits)
Eye Colour (first 3 letters)
3. Individual – Director / member
Type: / Director Member
Title:
Full Forename(s):
Surname:
Previous Forename(s)
Previous Surname:
Date of Birth (dd/mm/yyyy):
Nationality:
Occupation:
Home address: / Your home address will NOT appear on the public record unless you select it as your service address.
Address:
Town:
County:
Postcode:
Country:
Service address: / Your service address will be publicly available. Your service address can either be the registered office address of the company, your home address or another address e.g. your business or trading address.
Same as registered office address Same as Home address
Use Michelmores' address as service address
Note: Michelmores offers a Directors' Service Address option for a fixed annual fee –
please contact Caroline Lavis on for further information.
(if different please complete below)
Address:
Town:
Country:
Postcode:
Country:
CONSENT TO ACT: PLEASE PROVIDE THE FOLLOWING SECURITY ITEMS
Town of birth (first 3 letters)
Telephone Number (last 3 digits)
Eye Colour (first 3 letters)

IF MORE THAN 3 INDIVIDUAL DIRECTORS/MEMBERS PLEASE SUPPLY THE SAME INFORMATION AS ABOVE FOR ALL OTHERS ON A SEPARATE SHEET.

PART B – CORPORATE DIRECTORS/MEMBERS
1. Corporate – Director / MEMBER
Type: / Director Member
Full Name of Company:
Address:
Town:
County:
Postcode:
Country:
EEA Company
Where the company/firm is registered: / United Kingdom Other (please specify country): ______
Registration Number:
Authorised Representative: / Title:
Full Forename(s)
Surname:
AUTHORISED REPRESENTATIVE'S CONSENT TO ACT: PLEASE PROVIDE THE FOLLOWING SECURITY ITEMS
Town of birth (first 3 letters)
Telephone Number (last 3 digits)
Eye Colour (first 3 letters)
2. Corporate – Director / MEMBER
Type: / Director Member
Full Name of Company:
Address:
Town:
County:
Postcode:
Country:
EEA Company
Where the company/firm is registered: / United Kingdom Other (please specify country): ______
Registration Number:
Authorised Representative: / Title:
Full Forename(s)
Surname:
AUTHORISED REPRESENTATIVE'S CONSENT TO ACT: PLEASE PROVIDE THE FOLLOWING SECURITY ITEMS
Town of birth (first 3 letters)
Telephone Number (last 3 digits)
Eye Colour (first 3 letters)
3. Corporate – Director / member
Type: / Director Member
Full Name of Company:
Address:
Town:
County:
Postcode:
Country:
EEA Company
Where the company/firm is registered: / United Kingdom Other (please specify country): ______
Registration Number:
Authorised Representative: / Title:
Full Forename(s)
Surname:
AUTHORISED REPRESENTATIVE'S CONSENT TO ACT: PLEASE PROVIDE THE FOLLOWING SECURITY ITEMS
Town of birth (first 3 letters)
Telephone Number (last 3 digits)
Eye Colour (first 3 letters)

IF MORE THAN 3 CORPORATE DIRECTORS/MEMBERS PLEASE SUPPLY THE SAME INFORMATION AS ABOVE ON A SEPARATE SHEET.

DISCOUNT
We offer a discount of 50% off the cost of the first year of subscription on our company secretarial package when subscribed in conjunction with us forming your company electronically.
Yes I am/we are interested in subscribing for company secretarial services.
Please return completed form to:
Caroline Lavis
Michelmores LLP, Woodwater House, Pynes Hill, Exeter, EX2 5WR
T: +44 (0) 1392 687641
F: +44 (0) 1392 360563
E: