Form - Change Company Name - Precision Legal

How Can We Reach You?

Documents will be emailed to this address

Your Name(Required)

First Last

Your Email Address(Required)

Your Phone(Required)

Your Address(Required)

Street Address Suburb State Postcode

Director Details

Please provide each director’s full name, residential address, date of birth, place of birth and any former names. Each director must have a current director identification number (or an exemption from having one)

Director Name(Required)

First Last

Date of Birth (Director)(Required)

Place of Birth (Director)(Required)

Former Name (Director)

Residential Address (Director)(Required)

Street Address Suburb State Postcode

Director Identification Number

if you have an exemption, please indicate

Would you like to add another director(Required)

Yes

No

Director Details (2)

Please provide each director’s full name, residential address, date of birth, place of birth and any former names. Each director must have a current director identification number (or an exemption from having one)

Director Name (2)(Required)

First Last

Date of Birth (2)(Required)

Place of Birth (2)(Required)

Former Name (2)

Residential Address (2)(Required)

Street Address Suburb State Postcode

Director Identification Number (2)

if you have an exemption, please indicate

Would you like to add another director (2)(Required)

Yes

No

Director Details (3)

Please provide each director’s full name, residential address, date of birth, place of birth and any former names. Each director must have a current director identification number (or an exemption from having one)

Director Name (3)(Required)

First Last

Date of Birth (3)(Required)

Place of Birth (3)(Required)

Former Name (3)

Residential Address (3)(Required)

Street Address Suburb State Postcode

Director Identification Number (3)

if you have an exemption, please indicate

Would you like to add another director (3)(Required)

Yes

No

Director Details (4)

Please provide each director’s full name, residential address, date of birth, place of birth and any former names. Each director must have a current director identification number (or an exemption from having one)

Director Name (4)(Required)

First Last

Date of Birth (4)(Required)

Place of Birth (4)(Required)

Former Name (4)

Residential Address (4)(Required)

Street Address Suburb State Postcode

Director Identification Number (4)

if you have an exemption, please indicate

Would you like to add another director (4)(Required)

Yes

No

Director Details (5)

Please provide each director’s full name, residential address, date of birth, place of birth and any former names. Each director must have a current director identification number (or an exemption from having one)

Director Name (5)(Required)

First Last

Date of Birth (5)(Required)

Place of Birth (5)(Required)

Former Name (5)

Residential Address (5)(Required)

Street Address Suburb State Postcode

Director Identification Number (5)

if you have an exemption, please indicate

Additional Director Details

if there are more than 5 Directors, please provide each additional director’s full name, residential address, date of birth, place of birth and any former names. Each director must have a current director identification number (or an exemption from having one)

Shareholder Details

Please provide each shareholder’s full name (including ACN if the shareholder is a company), address for notices, number of shares held and class of shares held (e.g. ordinary class shares). If the shareholder holds shares as a trustee, please provide the name of the trust and ABN (if applicable). If any shares are not fully paid, please advise. For example: ABC Pty Ltd (ACN 123 456 789) c/- 100 Main Street, Adelaide SA 5000 as trustee for the DEF Trust (ABN 12 345 678 910) – 100 fully paid $1.00 ordinary class shares.

Name – Shareholder 1(Required)

First Last

Address – Shareholder 1(Required)

Street Address Suburb State Postcode

Number of Shares – Shareholder 1

Value per Share ($) – Shareholder 1

Would you like to add another Shareholder?(Required)

Yes

No

Shareholder 2 Details

Name – Shareholder 2(Required)

First Last

Address – Shareholder 2

Street Address Suburb State Postcode

Number of Shares – Shareholder 2

Value per Share ($) – Shareholder 2

Would you like to add another Shareholder (2)?(Required)

Yes

No

Shareholder (3) Details

Name – Shareholder 3(Required)

First Last

Address – Shareholder 3

Street Address Suburb State Postcode

Number of Shares – Shareholder 3

Value per Share ($) – Shareholder 3

Would you like to add another Shareholder (3)?(Required)

Yes

No

Shareholder (4) Details

Name – Shareholder 4(Required)

First Last

Address – Shareholder 4

Street Address Suburb State Postcode

Number of Shares – Shareholder 4

Value per Share ($) – Shareholder 4

Would you like to add another Shareholder (4)?(Required)

Yes

No

Shareholder (5) Details

Name – Shareholder 5(Required)

First Last

Address – Shareholder 5

Street Address Suburb State Postcode

Number of Shares – Shareholder 5

Value per Share ($) – Shareholder 5

Additional Shareholder Details

If there are more than 5 Shareholders, please provide each additional shareholder’s full name, address for notices (not a PO Box), number of shares (unless stated otherwise, each shareholder will be issued with 12 shares and all shares will be fully paid $1.00 ordinary class shares) and whether the shares will be held beneficially or non-beneficially (if non-beneficially, please provide full details of the trust or other non-beneficial owners)

Form – Change Company Name

Change Company Name

How Can We Reach You?

Company Information

Director Details

Director Details (2)

Director Details (3)

Director Details (4)

Director Details (5)

Shareholder Details

Shareholder 2 Details

Shareholder (3) Details

Shareholder (4) Details

Shareholder (5) Details

Other & Consent Confirmation