Stonefield Investor KYC

F. Investment Account(s)
Any accounts that you are/will be investing with Stonefield Capital should be added below. If you would prefer to provide this information through a different format, leave this blank and we will contact you. This only allows for our team to send payments (credit your account), NOT taking funds (debit your account).
I would prefer to provide this through other means:
Account #1
Account Name
How you refer to this account (i.e. Personal, RRSP, etc...)
Account Number
Institution #
If unsure, put the name, i.e. BMO
Branch/Transit #
Account #2
Account Name
How you refer to this account (i.e. Personal, RRSP, etc...)
Account Number
Institution #
If unsure, put the name, i.e. BMO
Branch/Transit #

F. Registered Funds
Stonefield Capital is now able to deploy Registered Funds (i.e. TFSA or RRSP with our partner Olympia Trust) on behalf of our investors, for investment in syndicated loans.

Note: the MINIMUM amount allowed would be $100,000 per account
I would be interested in investing (leave blank if not interested):

H. Declaration
I hereby declare that the information provided in this form is accurate and complete. I confirm that any information is found incorrect and/or incomplete that leads a violation of regulations may initiate legal actions, and I accept that I am the responsible party for any and all charges, penalties and violations.
Name of the Applicant

First NameLast Name
Signature of the Applicant
Date Signed

MonthDayYear
Date

H. Referrals - We're Looking to Grow!
Do you know anyone that might be interested in Private Mortgage Investing?
Thank You!
We appreciate any/all referral sources. Please enter their information below so that we can reach out to them.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Any other referrals??
You're the best!
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Should be Empty:

Rows	Yes	No
Foreign Politically Exposed Person (PEP) (ever)
Domestic PEP (Canada) (current or within the last 5 years; includes mayors)
Head of an International Organization (HIO) (current or within the last 5 years)
Family member of a PEP/HIO (spouse/CL partner, child, parent, parent-in-law, sibling)
Close associate of a PEP/HIO (close personal/business relationship)

KYC Form