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Directors: Christian Gouws B.A. B.Proc. & AdelleUys REGISTRATION OF ANNUAL RETURN OF A COMPANY
We annex hereto the necessary forms to enable us to submit the company’s annual return.
The fee payable to Cipro is:R 450.00 (if company’s turnover is less than R10,000,000)R 2,500.00 (if company's turnover is more than R10,000,000 but less than R50,000,00)R 4,000.00 (if company’s turnover is more than R50,000,000) Our fee for submission of the annual return is R228.00 (R200.00 plus R28.00 Vat).
(R450.00 plus R228.00 if company’s turnover is less than R10,000,000); or (R2,500.00 plus R228.00 if company’s turnover is more than R10m but less thanR50,000,000); or (R4,000.00 plus R228.00 if company's turnover is more than R50,000,000).
plus R150.00 for late lodgement, if applicable.
(a fine of R150.00 is levied by Cipro should the the annual return not be lodged within theanniversary month of its official incorporation up until the end of the month following itsanniversary month.
Shelf Company Warehouse (Pty) LtdFirst National BankClearwater MallAccount number. 62100101360Branch Code. 251141 PLEASE REMEMBER THAT PROOF OF PAYMENT MUST BE FAXED TO US AT 0866 789 406
TOGETHER WITH YOUR APPLICATION FORMS. WE WILL PROCEED WITH PROCESSING OF
THE DOCUMENTS AFTER WE RECEIVE CONFIRMATION OF PAYMENT.
PART A: INVOICING INFORMATION
W E W ILL CONFIRM RECEIPT OF YOUR APPLICATION AND W ILL GIVE YOU A REFERENCE NUM BER.
PLEASE INDICATE BY TICKING THE BOX BELOW , HOW YOU W ANT US TO NO T IFY YOU. THIS
REFERENCE NUM BER IS TO BE USED W HENEVER YOU M AKE ENQUIRIES.
IF YOU FAXED YOUR INSTRUCTION TO US, AND DO NOT RECEIVE CONFIRM ATION W ITHIN 24 HOURS,
PLEASE M AKE CONTACT W ITH US, AS W E THEN DID NOT RECEIVE YOUR APPLICATION.
PLEASE INDICATE HOW YOU W ANT US TO DELIVER THE CONFIRM ATION OF LODGEM ENT OF THE
ANNUAL RETURN. PLEASE TICK APPROPRIATE BOX.
PART B: ANNUAL RETURN
COM PANY DETAIL
Registered Nam e
Registration Num ber
Last Financial Year Turnover
Address of Registered Office
Street Code
Postal Address
Postal Code
Telephone Num ber
Fax Num ber
W ebsite (URL)
Em ail Address
Cell Num ber
SPECIAL POWER OF ATTORNEY FOR LODGEMENT OF ANNUAL RETURN
I, the undersigned
(full forenames and surname)
being desirous of lodging the annual return of:
(name of company)
do hereby nominate, constitute and appoint :
CHRISTIAN GOUWS and ADELLE UYS with full power of substitution, to be my agent and in
my name, place and stead:
To lodge the annual return with the Registrar of Companies.
To make such amendment, addition or alteration to the annual return, CM29, CM22 and/or
such other documents and forms which my said attorney or agent may deem fit or which may
be required by the Registrar of the Companies and to initial or sign as may be required, each
of such amendments, additions or alterations, and also to sign the CM29, CM27 and CM22.
SIGNED and EXECUTED at on this the day of 20
in the presence of the undersigned witnesses :
AS WITNESSES :
(Signature of director)

Source: http://www.fastcc.za.net/cc_registrations/Annual%20Return%20Company.pdf