Trust Application Form Please complete all sections using block capitals Name of Trust Date and country of establishment D D M M Y Y Y Y Registration Number (if applicable) Registered office address: Postcode Mailing address (if different from registered office): Postcode Contact names and number(s) Reason for account Source of wealth Amount of Initial Deposit If you wish to make a deposit by cheque please make the cheque payable to the Trust. If remitting funds electronically, we will provide our routing details once the account number has been allocated Estimated Level of Annual Turnover Please state the expected number of transactions per year: Please provide an estimate of the amount of money you expect to see going through the account in a year in addition to your initial deposit. (please state currency here) Up to 25,000 25,001 to 50,000 50,001 to 100,000 101,001 to 250,000 250,000 to 500,000 Other (please state amount) Please note we do not operate accounts where the beneficiaries of a Trust cannot be identified Registered Office: 2 nd Floor, Britannia House, 64 Athol Street, Douglas, Isle of Man, IM1 1JD, British Isles Tel: +44 (0) 1624 673373 Fax: +44 (0) 1624 673263 Email: info@permanent-bank.com Website: www.permanent-bank.com
Trust Mandate Operation of account Any two signatures All signatures other (please specify) Specimen Signatures of the above Name Description/Capacity Signature 1. 2. 3. 4. 5. 6. Board/Trustee Resolution to open an Account At a meeting of the Trustees of (Name of Trust) held on the day of 20 IT WAS RESOLVED 1. That Permanent Bank International Ltd. (the Bank ) be and are hereby authorised to open an account in the name of the trust on the Terms and Conditions of the Bank s application form, a copy of which is annexed hereto 2. That these resolutions be communicated to the bank and shall constitute the trust s mandate to the bank to remain in force until revoked by notice in writing to the bank signed by any two Trustees acting or purporting to act on behalf of the Trust and for this purpose any instructions varying or purporting to vary the Mandate contained in these Resolutions shall be deemed a revocation of this mandate. We declare that this deposit is our property and that it is not made as nominee for any other individual or Company. We warrant that the information herein is true and complete in every respect and that all material particulars have been disclosed. We confirm receipt of a copy of the banks General Terms and Conditions and accept that they, together with this application form, constitute the Agreement between the Bank and Us and agree to be bound by them. We authorise the Bank to make any enquiries it deems necessary in connection with this application We understand that this deposit is governed exclusively under Isle of Man Law and funds will only be accepted at and repaid from the banks main place of business in Douglas, Isle of Man It is hereby certified that the above resolution and declarations were duly passed and entered in the Minute Book of the Trust and duly signed by the Chairman and that the specimen signatures contained in this Application form are genuine and correct Trustee Date 20 Trustee Date 20 When contacting us by telephone we will need to identify you. To assist us in this regard, please provide us with a codeword of your choice. Please note this may be up to eight characters long and can include numbers. This codeword does not allow us to make payments over the telephone. Codeword (in capitals) Please remember this code word as you may need to quote it when speaking to us about your account.
IDENTIFICATION INFORMATION FOR THE TRUSTEE(S) or other persons controlling or having the power to direct the activities of the applicant in line with any person(s) whose wishes the trustees may be expected to take into account any other parties including the protector(s) and enforcer(s) any person(s) purporting to act on behalf of the trustee(s) and verify that that person is authorised to do so the settler(s) (or other person making the arrangement) i.e. the initial settlors and any persons subsequently settling the funds into the trust; beneficiaries at the time they come to benefit from the Trust. This includes where payments are made directly to beneficiaries and when payments are made to the trustees; any potential beneficiaries that the trustee has identified as presenting higher risk, including those presenting increased money laundering, terrorist financing, reputational or other risk. Please note if any client holds dual nationality please advise both. Permanent Bank International Ltd. requires the trustee to notify us of any changes to the above. Settlor Details (person who created the Trust) 1. Full Name How and where was wealth obtained? 2. Full Name How and where was wealth obtained? Beneficiary Details 1. Full Name 2. Full Name Nationality /ies Tel No
3. Full Name 4. Full Name Controllers of the Trust 1. Full Name 2. Full Name 3. Full Name 4. Full Name Nationality /ies Tel No
(Please duplicate this page as required) Before we can open your account Type of Account required Deposit term Name and address of the Bank that will make payment to your account: Post code ADDITIONAL INFORMATION If any party to the account has changed their name or uses other names, please provide details below: If any party to the account holds or has held public office or a high profile position please provide details below: Permanent Bank International Ltd. is obliged under current legislation to verify the identity of all new account holders. Therefore it will be necessary when opening a new account to include proof of identity with this application form for the relevant persons listed below. In addition to a fully completed application form, the following information will be required in all case Checklist 1 The principal beneficiary(ies) The Settlor The Protector (if appointed) All Trustees At least two authorized signatories (if different to Trustees) Any other person who has the power to appoint/remove Trustees For clarification of acceptable forms of verification of identity and acceptable persons to certify copy documents, please refer to the notes below, however if you are in doubt about the information and/or documents required, please call us on 01624 673373 or email us at info@permanent-bank.com Money Laundering Prevention The Isle of Man in common with all reputable financial jurisdictions is committed to preventing the criminal activity of money laundering. This is the process by which criminals and terrorists convert dirty money, the proceeds of criminal and terrorist activity, into apparently clean money through the abuse of financial systems. Like all other regulated financial institutions Permanent Bank International Ltd. is, therefore, required under law to comply with the following formalities. Origin of Funds and Source of Wealth We are required to ascertain where the funds being deposited are presently held and how these funds have been accumulated over time i.e. what transactions have given risen to the funds. This information is requested under the Additional Account Information section on the Application form.
Checklist 2 Verification of Identity and Address We are required to verify the identity and permanent address of each applicant. In the case of Trusts please refer to the checklist above. The checklist will assist you in providing the necessary documentation and will enable us to open your account promptly. Please note the standard UK Verification of Identity Certificate is not acceptable under Isle of Man legislation. For each applicant/signatory please supply a certified copy of 1 document from List A AND 1 original document from List B Original utility bills and bank statements will be returned to you without delay LIST A VERIFICATION OF IDENTITY (The document must bear your photograph signature, date and place of birth) Certified copy of your current and valid PASSPORT Certified copy of your full DRIVING LICENCE N.B. Certifications must be signed within the last 6 months The Licence must include your photograph, your signature and state your date and place of birth LIST B VERIFICATION OF ADDRESS (The address on the document must be your residential address) A paid UTILITY BILL that is dated within the last six months e.g. gas, electric, rates, council tax, telephone (not mobile phone) The most recent ACCOUNT STATEMENT from a recognized Bank or bank credit card (not store card) The most recent MORTGAGE STATEMENT from a recognised lender N.B. Internet Banking statements are not acceptable LIST-C Certified copy of the front and back page of the Trust Deed and the section showing the appointment of Trustees Additional supporting documentation may be required if the trust was established outside the British isles or Republic of Ireland. Certified Copy Documents Please do not send originals of documents in List A, above, because we cannot accept responsibility for their loss. Copies of the original documents should be certified as a true copy by one of the acceptable certifiers listed below. The copied document must show the original signature (in ink) of the certifier and their capacity and contact details. Photocopies of the certification are not acceptable. Please note that only the following list of certifiers is acceptable: A practising Lawyer or Accountant employed by a regulated firm within the financial services sector Director/Manager of an authorised bank or other regulated financial institution Notary Public Member of the judiciary (a Judge) Consular Official at a British Embassy or Consulate Serving Police Officer in the United Kingdom, Isle of Man or Channel Islands. Important: All documents should be in English as should the certification. One of the above certifiers should sign and date the copy document, printing his/her name clearly in capitals underneath the signature, and state that it is a true copy of the original and likeness of the holder where appropriate. He/she should also stamp the copy document to indicate the name and address of the company or organisation that he/she represents and his/her position or capacity in that organisation. We require sufficient details of the certifier to be able to contact them, if necessary.
Certifiers Details (mandatory) Full name Title or position Professional body and qualifications (where applicable) Telephone Email address Profession Gender Name and address of certifier s employer Fax Website address Guide for Certifiers The certification must state that: The document is a true copy of the original, The photograph is a true likeness of the individual The certifier needs to sign, date and stamp (if applicable) the certification The copy must clearly show: Name of applicant Clearly legible photograph of the applicant Date and place of birth clearly stated Signature of the applicant The document must be valid (in date) The applicant s nationality must be stated.