Company Formation Form Proposed Company Name Please check the name is available by searching your proposed company name on the Companies House website. Click here. Will you have a business address? (Choose no if working from home.) YesNo Business Address Postcode Would you like your business address to be used as the registered office address? YesNo Would you like to use Simon & Co office address as your registered office address? YesNo Note: The registered office address will be on public record. Registered Office Address* Postal Code* Nature of Business Leave blank if you are not sure. SIC Code Please let us know your SIC Code. Please search the government website for the full list. Click here. Are you an existing client of Simon & Co? YesNo First/Middle Name* Surname* Directors Details Salutation Mr.Mrs.Ms.Other Date of birth* Other First/Middle Name* Surname* NI Number Nationality Do you have a Personal UTR Number? YesNoNot Sure 10 Digit UTR Number Please do not confuse this with your company UTR number. If you have filed tax returns before (even a long time ago) then you will have a UTR number. This will be displayed on your tax return or any letters from HMRC regarding your personal tax. Alternatively, please call HMRC on 0300 200 3300 and they should send you your UTR number by post. Home Address Postcode Date you moved into the address above How long have you been living here? More than 3 yearsLess than 3 years Previous Home Address Telephone - please tick the box for preferred means of contact HomeBusinessMobile Home Number* Business Number* Mobile Number* Preferred Email* Secondary Email Ideally we like to have a backup email for all clients. Do you have an existing accountant? YesNo Name of firm Contact Name Email Address Reason for changing Too expensivePoor servicesRelocatedOther Please let us know your other reasons Money Laundering Checks For money laundering check purposes, we need to confirm your identity and address. Please let us have the following: 1. ID Check: a copy of your passport or driving license. 2. Address: copy of a bank statement or utility bill less than 3 months old. Upload your identity and address documents here ❌ ❌ Tick here to send later Money laundering files will be sent later Director's Occupation Director's Date of Birth Personal Authentication Data: need all 3 of the following details: Place of Birth* Telephone* Mother's Maiden Name* What percentage of shares will this director have? Leave blank if not sure Will there be another director? YesNoOther Director's Details Director's Name Director's Occupation Director's Date of Birth Personal Authentication Data: need all 3 of the following details: Place of Birth* Telephone* Mother's Maiden Name* What percentage of shares will this director have? Leave blank if not sure Are there any shareholders who are not directors? YesNoShareholder's Details Full Name Personal Authentication Data: need all 3 of the following details: Place of Birth* Telephone* Mother's Maiden Name* What percentage of shares will this shareholder have? Leave blank if not sure Are there any other shareholders? YesNoOther Shareholder's Details Full Name Personal Authentication Data: need all 3 of the following details: Place of Birth* Telephone* Mother's Maiden Name* What percentage of shares will this shareholder have? Leave blank if not sure Payment Terms & DepositWe ask for a deposit of £200 on engagement, this will be deducted off our first invoice to you. Once you submit this form you will be asked to make a payment of £200 and will be presented with different options to pay. Please tick this box to indicate you understand a deposit is required on engagement. Please read our terms of business and tick this box to confirm you have read and agree to this. Submit