Customer Due Diligence | CS Law - Cullinane Steele Lawyers

Getting Started

As of 1st July 2018 the Anti-Money Laundering and Countering Financing of Terrorism rules will apply to lawyers and law firms. As a result we now need to collect more detailed information about you and will need you to verify some of your details.
Are you completing this form as*
- an individual/couple
- a Trust
- an Estate
- a Company
(Choose one or as many that apply)
Please provide a contact email address*
Let us know how we can help*

Your Details
Full Legal Name
Date of Birth
DD slash MM slash YYYY
Do you hold residency in any other country? If yes, please provide details
Address - residential
Do you have a different postal address?
- Yes
- No - same as above
Address - postal
Home and/or Work Phone
Mobile
Email Address
Occupation
IRD Number
Would you like to list another person?
- Yes
- No

List another person
Full Legal Name
Date of Birth
DD slash MM slash YYYY
Do you hold residency in any other country? If yes, please provide details
Address - residential
Do you have a different postal address?
- Yes
- No - same as above
Address - postal
Home and/or Work Phone
Mobile
Email Address
Occupation
IRD Number

Estate - Details about the deceased
Full Legal Name
Date of Birth
DD slash MM slash YYYY
Did they hold residency in any other country? If yes, please provide details
What was their last address?
Please attach a certified copy of the death certificate of probate
Drop files here or

Max. file size: 25 MB.

Estate - Trustee/Executors Details
Full Legal Name
Date of Birth
DD slash MM slash YYYY
Did they hold residency in any other country? If yes, please provide details
Address - residential
Do you have a different postal address?
- Yes
- No - same as above
Address - postal
Would you like to list another Trustee/Executor?
- Yes
- No

Estate - Add Another Trustee/Executor
Full Legal Name
Date of Birth
DD slash MM slash YYYY
Did they hold residency in any other country? If yes, please provide details
Address - residential
Do you have a different postal address?
- Yes
- No - same as above
Address - postal

Estate - Estate Beneficiaries
List the Beneficiaries
Full Name Date of Birth Country of Residence

Company - Details
What is your company's legal name?
What is your company's incorporation number?
What is your company's trading name/s?
What country was your company set up in?
What is the company's registered address?
What assets does your company hold? (If it holds your personal assets please let us know)

Company - Director/s Details
Are any of the shareholders trusts?
- Yes
- No
Please make sure you complete the Trust section of this form if you've selected yes.
Full Legal Name
Date of Birth
DD slash MM slash YYYY
Do you hold residency in any other country? If yes, please provide details
Address - residential
Do you have a different postal address?
- Yes
- No - same as above
Address - postal
Work and/or Home Phone
Mobile
Email Address
Occupation
IRD Number
Would you like to list another director?
- Yes
- No

Company - Add Another Director
Full Legal Name
Date of Birth
DD slash MM slash YYYY
Do you hold residency in any other country? If yes, please provide details
Address - residential
Do you have a different postal address?
- Yes
- No - same as above
Address - postal
Work and/or Home Phone
Mobile
Email Address
Occupation
IRD Number

Company - Shareholders Details
Full Legal Name
Date of Birth
DD slash MM slash YYYY
Do you hold residency in any other country? If yes, please provide details
Address - residential
Do you have a different postal address?
- Yes
- No - same as above
Address - postal
Would you like to list another shareholder?
- Yes
- No

Company - Add Another Shareholder
Full Legal Name
Date of Birth
DD slash MM slash YYYY
Do you hold residency in any other country? If yes, please provide details
Address - residential
Do you have a different postal address?
- Yes
- No - same as above
Address - postal

Trust - Details

Note: we will need to see a certified or verified copy of your trust deed, even if you upload it in this section.
What is your Trusts name
Please provide a copy of your trust deed
Max. file size: 25 MB.

Trust - Settlor/s of the Trust
Full Legal Name
Date of Birth
DD slash MM slash YYYY
Do you hold residency in any other country? If yes, please provide details
Address - residential
Do you have a different postal address?
- Yes
- No - same as above
Address - postal
Work and/or Home Phone Number
Mobile
Email Address
Occupation
IRD Number
Would you like to list another Settlor?
- Yes
- No

Trust - Add Another Settler
Full Legal Name
Date of Birth
DD slash MM slash YYYY
Do you hold residency in any other country? If yes, please provide details
Address - residential
Do you have a different postal address?
- Yes
- No - same as above
Address - postal
Work and/or Home Phone Number
Mobile
Email Address
Occupation
IRD Number

Trust - Trustees Details
Full Legal Name
Date of Birth
DD slash MM slash YYYY
Do you hold residency in any other country? If yes, please provide details
Address - residential
Do you have a different postal address?
- Yes
- No - same as above
Address - postal
Work and/or Home Phone
Mobile
Email Address
Occupation
IRD Number
Would you like to list another Trustee?
- Yes
- No

Trust - Add Another Trustee
Full Legal Name
Date of Birth
DD slash MM slash YYYY
Do you hold residency in any other country? If yes, please provide details
Address - residential
Do you have a different postal address?
- Yes
- No - same as above
Address - postal
Work and/or Home Phone
Mobile
Email Address
Occupation
IRD Number

Trust - Beneficiaries
The Trust Beneficiaries
Full Name Date of Birth

Assistance

Is anyone else going to be assisting you - for example; your Attorney, Company Attorney, Advisory Trustee or Advisory Beneficiary?

If yes, please fill out their details below. Otherwise skip through to the next stage.
Full Legal Name
Date of Birth
DD slash MM slash YYYY
Do you hold residency in any other country? If yes, please provide details
What is your relationship to the client?
Address - residential
Do you have a different postal address?
- Yes
- No - same as above
Address - postal

How can CS Law help you?
Why have you come to see us today and what do you need our assistance with?
Do you have or is part of our work together include a trust, company or society or partnership?
What is the trusts source of wealth and source of funds?
What is the estate source of wealth and source of funds?

Identification & other verification

We need to collect the following verification of identity for each of the parties you have named.

Types of identification;
- Valid Passport - this must meet NZ Government requirements
- OR if you don't have a valid NZ Passport; New Zealand birth certificate, Certificate of New Zealand Citizenship; and,
  - New Zealand drivers licence
  - 18+ card
  - Valid and current international driving permit and a licence from another country with a translation to English
- Or a New Zealand Drivers Licence; together with,
  - a registered bank document that contains your name and signature (ie Eftpos card)
  - an Government agency issued document that contains your name and signature (ie Super Gold card)
  - a Government agency issued statement within the last 12 months (ie statement from Inland Revenue)
Types of Address Verification
- certified or original bank statement showing your address; or
- certified or original utility bill; or
- certified or original rates bill
Identification - documents
Drop files here or

Max. file size: 2 MB.
Address Verification - documents
Drop files here or

Max. file size: 2 MB.
NOTE: CS Law MUST sight an original OR a certified copy of your chosen forms of identification/verification - even if you supply them now.

Documents must either be brought into us in original form so our staff can verify them or you may bring in a certified copy of the documents provided the certification is given by a Justice of the Peace or, Lawyer (other than us), or Notary Public.
Comments
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Online Services » Customer Due Diligence

To complete this form you'll need

Getting Started

Your Details

List another person

Estate - Details about the deceased

Estate - Trustee/Executors Details

Estate - Add Another Trustee/Executor

Estate - Estate Beneficiaries

Company - Details

Company - Director/s Details

Company - Add Another Director

Company - Shareholders Details

Company - Add Another Shareholder

Trust - Details

Trust - Settlor/s of the Trust

Trust - Add Another Settler

Trust - Trustees Details

Trust - Add Another Trustee

Trust - Beneficiaries

Assistance

How can CS Law help you?

Identification & other verification

Full Name	Date of Birth	Country of Residence

Full Name	Date of Birth