CLG AssistedDissolution™ — CLG Closure Preparation & DS01 Filing, £162.00

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Please provide us with a physical street address: not a post office (PO) box address. If you plan to pay online by credit card, the address that you enter here must match the address associated with your credit card.

As the person making this application, we will contact you should we need to discuss your application or company. We will not communicate with the company officers, or any other parties, unless you specifically request us to do so.

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I declare that the information entered on this form is true and correct, and that the company I am forming will not be used for the money laundering; to receive the proceeds of drug trafficking; terrorist activities; trading in arms and weapons; or any illegal activity under the laws of the jurisdiction in which it is incorporated.

I hereby indemnify Coddan CPM Ltd., its staff, and associates from all actions, suits, proceedings, claims, demands, and costs which may arise out of, or be incurred as a result of, the provision of the services that I have ordered, either by the company itself that I have ordered, or by the principals of the company.

I have correctly entered all necessary details on this form, and understand that any typing or spelling errors I have made on this form will show up on my company formation documents. I further understand that Coddan cannot take responsibility for any such errors, and that additional charges will apply should I wish to change any details after my company has been formed.

I have completed this form in English, using only English characters, and have read all the pertinent notes on this order form.

I understand that Coddan is not obliged to accept any request or claims if the online order form has been sent with mistakes, omissions, or incomplete.

None of my or the company's assets, net worth, income or activities relate in any manner to illegal armaments, money laundering, illegal drugs or other illegal controlled substance, or any activity that I know to be illegal in my country of citizenship, residence or domicile, and/or in the place of incorporation.

I do not intend to hinder, delay, or defraud any creditors, or engage in any illegal conduct in relation to creditors and do not intend to engage the services of Coddan CPM Ltd., in order to facilitate or otherwise engage in such activity.

I hereby expressly, specifically and unqualifiedly agree to wholly hold harmless and indemnify Infinity Coddan CPM Ltd., its shareholders, officers, directors, employees, agents and nominee shareholders and (or) nominee directors provided by Coddan CPM Ltd., or its agents if any, from any liabilities of any kind or character arising out of any lawful actions taken by them in reliance upon any fact of statement contained in this declaration which may hereafter prove to be untrue or materially inaccurate.

I agree to Coddan' charges and that I will make payment when they fall due.

I am aware that any changes of the above data or my own personal data must be reported to Coddan CPM Ltd., within five working days after the changes, and the damages arising from the omission of such obligation shall be my burden.

Please review the "Terms and Conditions", and the "Applicant' Declaration" terms. You must agree to them before proceeding to calculate and finalise your order.

By clicking "Yes, I agree" I certify that neither Coddan nor any of its employees or agents have provided me with any personal counsel, legal or financial advice. If I have provided credit card details, I authorise that my credit card be charged for the ordered service(s).