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Costa Rica Pensionado Residency Application

If you wonder how an application for Pensionado Residency is done then take a look at the example below.  The actual application must be drafted in Spanish but I have provided the translation below so that you can see what needs to be included when applying for Pensionado Residency in Costa Rica

 

APPLICATON FOR PENSIONADO RESIDENCY

 

 

APPLICANT:  John Smith
Citizen of:  United States of America

Passport Number:  171200851

 

Department of  Pensionado – Rentistas 

Department of Immigration

 

The undersigned JOHN ALLEN [Name] SMITH [Last Name], retired, married once, of United States citizenship, resident of 1224 North Bay Road, Tampa, Florida, United States of America, with passport number 171200851 issued by the National Passport Agency in Washington, D.C. on the 17 of June of 2012 and which expires on the 17 of June of 2017 born to  Fred Smith, citizen of the United States and Marlene Jones, citizen of the United States hereby respectfully request that I be granted the Temporary Immigration Status of PENSIONADO RENTISTA and further state as follows: 

 

THAT I EXPRESSLY MANIFEST MY DESIRE TO OBTAIN RESIDENCY IN COSTA RICA AS A PENSIONADO RENTISTA.  

 ORIGEN OF PENSION:  Social Security from the United States Government

AMOUNT OF PENSION:  US$ 1,050 per month.

TEMPORARY ADDRESS IN COSTA RICA:   Pozos de Santa Ana, 200 west and 400 north of Deposito el Almacen.

DATE OF ENTRY TO COSTA RICA:   August 15, 2013

PLACE OF ENTRY:  Juan Santamaria Airport                              

 

                                      SUPPORTING DOCUMENTATION 

 In support of my application I hereby attach the following documentation: 

 

1.      Police Clearance Certificate authenticated and with translated Spanish

.2.      Birth Certificate authenticated and translated to Spanish

3.      Certified photocopy of the entire passport and authentication.

4.      Translation of the passport information page.

5.      Income letter from Social Security and Translation.

6.      Proof of Registration with my local Embassy

7.      Background Information Sheet (Hoja de Filiacion)

8.      Proof of Fingerprinting

9.      Power of Attorney for Legal Representative in Costa Rica 

 

 SERVICE OF NOTICES 

 

I hereby request that any notices regarding this application be provided to Lic. Roger Petersen by way of Fax number 228-6000. Signed on this 22 day of August of 2013.

JOHN ALLEN SMITH

 

The undersign Notary Public hereby certifies that the preceding signature is authentic and that the same was placed in my presence. 

 

 

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