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Enterprise Ownership Details Eng

Timor Leste Revenue Service
TLRS Form No: 00003.1

Page 1 of 1

ENTERPRISE OWNERSHIP DETAILS
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:

___ ___ ___ ___ ___ ___ ___
Family Name:


___ ___/___ ___/___ ___ ___ ___
dd
mm
yyyy
First Name:

Other Names:

Ownership start date:

Ownership end date:

Ownership %

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

___ ___/___ ___/___ ___ ___ ___

dd
mm
yyyy

TIN:

Date of birth:

___ ___ ___ ___ ___ ___ ___
Family Name:

___ ___/___ ___/___ ___ ___ ___
dd
mm
yyyy
First Name:

Other Names:

Ownership start date:


Ownership end date:

Ownership %

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

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

TIN:

Date of birth:

___ ___ ___ ___ ___ ___ ___

Family Name:

___ ___/___ ___/___ ___ ___ ___
dd
mm
yyyy
First Name:

Other Names:

Ownership start date:

Ownership end date:

Ownership %

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


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

TIN:

Date of birth:

___ ___ ___ ___ ___ ___ ___
Family Name:

___ ___/___ ___/___ ___ ___ ___
dd
mm
yyyy
First Name:

Other Names:


Ownership start date:

Ownership end date:

Ownership %

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

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

Partner/Trustee
(Please circle one)


Owner 1

Owner 2

Owner 3

Owner 4

Enterprise Ownership Details
TLRS Form No: 00003.1
Last updated 27/09/01

%

Partner/Trustee
(Please circle one)

%

Partner/Trustee

(Please circle one)

%

Partner/Trustee
(Please circle one)

%

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