S.L. 386.20 Art. 4Notification.

The Registrar shall inform the Commissioner of any application made in terms of these regulations.

SCHEDULE

Application in terms of regulation 3

To the Registrar of Companies:

Re : ………………….....………… (Name of company)

..…………………………………(Registration number)

The undersigned …………………………… as director of the above-mentioned company hereby declares that:

(a) All shareholders of the company are qualifying shareholders, as is evidenced by the attached documentation;

(b) annual turnover of the company does not exceed euro 80,000 or, if the relevant accounting period is a period other than twelve months, a pro-rata of such amount; and

(c) the company is not opting for any other exemption issued by the Commissioner of Inland Revenue with regards to audited accounts.

………………………

<Name and Surname> (Director)

Dated this …….. day of …..……………… of the year ..…........

___________________________________________________

This application must be completed in typed form.