KNOW YOUR CLIENT (KYC) & DUE DILIGENCE CLEARANCE FORM english

KNOW YOUR CLIENT (KYC) & DUE DILIGENCE CLEARANCE FORM

For Real Estate Purchases – Dominican Republic, USA, Canada & European Union

This form is required to comply with Anti-Money Laundering (AML) laws, Know Your Client (KYC) regulations, and Due Diligence requirements for real estate transactions in the Dominican Republic, USA, Canada, and the European Union. Please complete all sections and attach the required supporting documents.

Full Name

Date of Birth

Nationality

Marital Status

Single Married Divorced Other

Address:

City, State/Province, Country

Phone Number

Government ID/Passport Number:

Email Address:

Issuing Country:

Expiration Date

Tax Identification Number (TIN) / Social Security Number (SSN) / National Insurance Number (EU) (if applicable):

Occupation/Business Activity

Employer/Company Name

Business Address

Position/Title

Annual Income

Below $50,000 $50,000-$100,000 $100,000-$500,000 $500,000+

Are you a Politically Exposed Person (PEP)?
(A PEP includes government officials, political figures, or their immediate family members.)

Yes No

Are you purchasing this property on behalf of another person or entity?

Yes No

If yes, provide details:

Do you or any close relatives hold a public office or have political affiliations?

Yes No

If yes, provide details:

Do you have any legal or regulatory restrictions preventing this purchase?

Yes No

Are you under investigation for any financial or criminal activities?

Yes No

Have you been involved in any previous real estate transactions?

Yes No

Do you have any business or financial ties to sanctioned countries?

Yes No

Are you a resident or citizen of any country subject to EU, US, or UN financial sanctions?

Yes No

Are you currently on any international watchlists, such as the OFAC (USA), FINTRAC (Canada), FCA (UK), or EU Sanctions List?

Yes No

REQUIRED DOCUMENTATION

Copy of Government-issued ID or Passport (must be valid and legible) Proof of Address (Utility Bill or Bank Statement, dated within 3 months) Proof of Funds (Bank Statement, Pay Stub, Investment Statement, Loan Agreement) Pre-approval Letter (if financing is used) Tax Identification Number (TIN) / Social Security Number (SSN) / National Insurance Number (EU) (if applicable) If purchasing on behalf of a company or trust: Provide corporate documents and proof of authorization Other supporting documents (if required by due diligence team):

DECLARATION & SIGNATURES

I hereby declare that the information provided is true, complete, and accurate to the best of my knowledge. I understand that providing false or misleading information may result in the cancellation of my property transaction and potential legal action.
I consent to the verification of my identity, financial background, and compliance screening as required by applicable anti-money laundering regulations. .

Signature of Buyer(s):

Date

This form ensures compliance with Anti-Money Laundering (AML) & Know Your Client (KYC) regulations in the Dominican Republic, USA, Canada, and the European Union, and helps verify the legitimacy of funds used in the real estate transaction.

KNOW YOUR CLIENT (KYC) & DUE DILIGENCE CLEARANCE FORM

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