Enterprise Ownership Details Eng

Timor Leste Revenue Service Page 1 of 1

TLRS Form No: 00003.1

E

NTERPRISE

O

WNERSHIP

D

ETAILS

Please complete this form to record the ownership details of partnerships and trusts. You may also use this

form to record changes in ownership.

Taxpayer Details

TIN

Taxpayer name

Trade Name

Owner Details

TIN:

___ ___ ___ ___ ___ ___ ___

Date of birth:

___ ___/___ ___/___ ___ ___ ___ dd mm yyyy

Partner/Trustee

(Please circle one)

Family Name:

First Name: Other Names:

Owner 1

Ownership start date:

___ ___/___ ___/___ ___ ___ ___ dd mm yyyy

Ownership end date:

___ ___/___ ___/___ ___ ___ ___ dd mm yyyy

Ownership %

%

TIN:

___ ___ ___ ___ ___ ___ ___

Date of birth:

___ ___/___ ___/___ ___ ___ ___ dd mm yyyy

Partner/Trustee

(Please circle one)

Family Name:

First Name: Other Names:

Owner 2

_{Ownership start date:}

___ ___/___ ___/___ ___ ___ ___ dd mm yyyy

Ownership end date:

___ ___/___ ___/___ ___ ___ ___ dd mm yyyy

Ownership %

%

TIN:

___ ___ ___ ___ ___ ___ ___

Date of birth:

___ ___/___ ___/___ ___ ___ ___ dd mm yyyy

Partner/Trustee

(Please circle one)

Family Name:

First Name: Other Names:

Owner 3

Ownership start date:

___ ___/___ ___/___ ___ ___ ___ dd mm yyyy

Ownership end date:

___ ___/___ ___/___ ___ ___ ___ dd mm yyyy

Ownership %

%

TIN:

___ ___ ___ ___ ___ ___ ___

Date of birth:

___ ___/___ ___/___ ___ ___ ___ dd mm yyyy

Partner/Trustee

(Please circle one)

Family Name:

First Name: Other Names:

Owner 4

Ownership start date:

___ ___/___ ___/___ ___ ___ ___ dd mm yyyy

Ownership end date:

___ ___/___ ___/___ ___ ___ ___ dd mm yyyy

Ownership %

%

Enterprise Ownership Details

TLRS Form No: 00003.1