CLIENT APPLICATION FORM
(Every beneficial owner must complete a form)
The information provided herein is subject to the confidentiality
provisions of the relevant Panamanian laws
Trust Services, S.A. does not provide either legal or foreign tax advice and this should be obtained from professionals licensed to render such advice before making offshore commitments.
The application cannot be processed until the completed original of this form,
the original copies of the two references and the notarised ID are received and
we reserve the right to reject an application without explanation.
NAME: __________________________________________
ADDRESS: __________________________________________
__________________________________________
TELEPHONE: __________________________________________
TELEFAX: __________________________________________
E-MAIL: __________________________________________
I understand that business cannot be accepted before all preliminary paperwork per page 2 has been provided and I confirm the accuracy of the information given herein and that all assets detailed in section 3 hereof belong to me and no one else. I acknowledge that TRUST SERVICES, S.A. (“the firm”) shall not be responsible unless otherwise provided by the terms of a trust or foundation for any investment decisions made which shall be the sole responsibility of me AND IT IS FURTHER acknowledged herein that I will familiarise myself with the firm’s fee schedules and that I understand that the firm does not receive any commissions or other incentives from third parties (including brokers, bankers and other professionals) and does not offer advice or recommendations of any description whatsoever to its clients in respect of investments or banking and the choice, therefore, of investments, banks, investment professionals or any other professional service providers to be utilised shall be the sole decision and responsibility of me unless otherwise provided for by the terms of a trust or foundation. It is understood that I will be required to sign a Client Agreement, a copy of which appears on the website of the firm, which will be prepared by the firm and without which I cannot be represented.
_______________________________________
Signature
Date: __________________________________
- Please attach a notarised copy of the photo page of your passport. If a passport is unavailable, a similar photo ID (driver’s licence, for example) will suffice.
- Please provide 2 references attesting to your character. They should be addressed to you personally and should be provided by professionals (lawyer, banker, accountant or doctor, for example), who have known you for at least two years and should not be more than 30 days old.
- In the space provided, please briefly state the purpose of the offshore structure and the source of assets (investments, savings or business profits, for example) which will be transferred. No assets of third parties can be introduced and the firm only acts as trustee, foundation council or provides nominee directors or officers when all the assets belong to the client, so if you wish us to provide services, please provide all material information.