RIG LTD KYC

KYC

Know Your Customer
The purpose of the Checklist and Form is to confirm the identity of the Client making an application for a financial transaction, as well as, confirming the sources of funds to meet the compliance requirements by the Financial Institutions engaged or to be engaged.

Anyone with a 10% or greater interest in any Business Concern engaging in a financial transaction through Ronald I Gross Ltd. must complete this form and submit the appropriate attachments requested.
Date*

MonthDayYear
Date
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Date
City of Birth*
State of Birth*
Email*
example@example.com
Personal Cell Phone Number*

Area CodePhone Number
Business Phone Number*

Area CodePhone Number
Fax Number*

Area CodePhone Number
Corporate Name or Entity Name (i.e. LLC)*
Type of Business (i.e. RE Developer, Oil & Gas, Fintech)*
Date of Incorporation or Creation*
Place of Incorporation or Creation*
DATA CHECKLIST (please check off each document ready to be sent)*

Articles of Incorporation and Origination DocumentsList of Principals and % of OwnershipBy-LawsPassport and Driver's Licenses for each PrincipalList of all ShareholdersAny Power of Attorney AuthorizationsLast 3 years of Audited Financial Statements - BusinessPersonal Financial Statements of any Principal with 20% or more Interest in Co.Last 3 years of Tax Returns - Business and PersonalPersonal Trust Documents (If Applicable)Banking References
TO SEND ATTACHMENTS AND FILES:
- Click on Browse Files Below
- Attach Files to Send
- Hit "Submit" at bottom of this Form to Complete download
- Files will be sent to Ronald I Gross LTD's Dropbox
Browse Files

Cancelof
Bank Reference*
Bank Account Number*
Bank ABA Number (for wires)*
Banker's Name*

First NameLast Name
Banker's Position*
Bank Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Bank Phone number*

Area CodePhone Number
Explanation for any Missing Attachments requested: Please list each item followed by a "dash" and then an explanation if not available*
Please list Missing Attachments here
Signature*

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