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Application for Certificate of Registration of a Trust for Charitable Uses
IC certificate application form for registration of trust for charitable use
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Republic of the Philippines
Department of Finance
INSURANCE COMMISSION
Manila
APPLICATION FOR A CERTIFICATE OF REGISTRATION
OF A TRUST FOR CHARITABLE USES
(Under Chapter VII, Title 2 of the Insurance Code)
INSTRUCTIONS TO APPLICANTS
Accomplish this form legibly and fully. This application will not be
accepted unless all information called for are furnished.
FOR THE INSURANCE
COMMISSION USE
Verified by:
Documents submitted with and forming part of this application if
written in a language other than Filipino or English, must be
accompanied by translation thereof either in Filipino or English.
_____________________
This application must be accompanied with a documentary stamp
which shall be affixed to the certificate of registration applied for.
Processed by:
Date
_____________________
Upon approval of this application, but before the issuance of the
certificate of registration applied for, the applicant must pay to the
Insurance Commission a fee of Ten Thousand Pesos (P10,000.00)
for the issuance of such certificate.
Certified copies of papers or documents required should be certified
by custodian of their originals and should such certified copies been
previously filed in the Insurance Commission, filing of new set/s may be
dispensed with, but proof of such previous filing must be submitted.
Date
Approved by:
_____________________
Date
Certificate of Registration
Fee: P________________
O.R. No. _____________
Date _________________
To the Insurance Commissioner:
________________________________________________________________________
Name/s of Trustee/s
Hereby applies to the Commissioner for a certificate of Registration of a trust for charitable uses
under the provisions of Chapter VII, Title 2 of the Insurance Code.
1.
The _______________________________________________________________
(Name or Description of Trust)
was created on ____________________ by _______________________________
for the following purpose/s:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
2.
The name/s, designation/s and address/es of the present trustee/s under the trust
are as follows:
Name/s and Designation/s
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
3.
Address/es
______________________________
______________________________
______________________________
______________________________
______________________________
______________________________
______________________________
______________________________
______________________________
______________________________
There are enclosed herewith duly certified copies of the document/s and/or papers
relating to the trust indicated hereunder by checkmarks:
_____a.
_____b.
_____c.
_____d.
_____e.
_____f.
_____g.
_____h.
Will, deed, or document creating the trust;
Letters of Administration;
License or permit to solicit contributions from the public granted by the Social
Welfare Commission (if any);
Articles of Incorporation (if the trust is incorporated);
Constitution (if the trust is not incorporated);
By-Laws and/or rules and regulations;
All Amendments to the above;
All other pertinent papers involving the trust.
1.
________________________________________________________
2.
________________________________________________________
3.
________________________________________________________
4.
________________________________________________________
5.
________________________________________________________
2
IN WITNESS WHEREOF, we have hereunto set our hands this _______________
day of ____________________, 200_____ at ____________________________.
SIGNATURES
______________________________
______________________________
______________________________
______________________________
______________________________
______________________________
______________________________
AFFIDAVIT OF VERIFICATION
Republic of the Philippines)
Province/City of _______)S.S.
We, _____________________________, _______________________________,
_______________________________________, _______________________________,
_______________________________________, _______________________________,
and
____________________________________,
trustees/officers
of
the
_______________________________________________________________________,
having duly and severally sworn, each for himself deposes and says that he has read the
foregoing application; known the contents thereof and that the statements therein
contained are true to the best of his knowledge and belief, and hereby signs the same for
and in behalf of said Trust upon order of the Board of Directors/Trustees.
Signature of Affiant
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
Residence Cert., Place & Date of Issue
_________________________________
_________________________________
_________________________________
_________________________________
_________________________________
_________________________________
_________________________________
TIN
___________
___________
___________
___________
___________
___________
___________
SUBSCRIBED AND SWORN TO before me this ___________ day of
__________________, 200_____, affiants exhibited to me their respective Community
Tax Certificates Nos. as indicated opposite their respective signatures above.
______________________________
NOTARY PUBLIC
Doc. No.
__________
Page No.
__________
Book No.
__________
Series of 200__________
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