ITCQ

IYANOLA TRUST COMPANY

Trusts

Due Diligence Information Sheet

Complete the Settlor’s details below. Fields marked * are required. Enter “Not applicable” where appropriate.

1. Full name of Settlor (given, middle, surname) *

2. Other names used

3. Date of birth *

4. Place of birth *

5. Nationality *

6. Residential address(es) *

7. Telephone *

7. Fax (if any)

7. Email (if any)

8. Employer’s name and address *

9. Occupation *

10. Purpose of Trust *

11. Source of income or wealth *

12. Confirm that the Settlor is not and has never been declared bankrupt * If you cannot confirm, please explain

13. Confirm that the Settlor has no judgements or freezing orders issued against them by creditors * If you cannot confirm, please explain

14. Confirm that the Settlor is not presently a party to any proceedings involving financial wrongdoing anywhere in the world * If you cannot confirm, please explain

15. Value and number of assets to be placed into the Trust (include currency) *

16. Proposed beneficiaries *

17. Proposed name of Protector (if any)

18. Proposed name of the Trust *

19. Proposed specific terms of the Trust (describe assets and whether revocable) *

20. Is the Settlor solvent? *

Required documents for the Settlor

Upload a clear notarized passport bio page showing the passport number, country of issuance, issue and expiry dates, and the person’s signature. Include any additional passport pages needed in the same PDF. Unclear, poorly copied or illegible copies will not be accepted.

Bank and lawyer references must be on the issuer’s letterhead and addressed to:

Iyanola Trust Company
A.C.ELLIOT ATTORNEYS
Top Floor
Rodney Court Building
Rodney Bay, Gros Islet
St. Lucia

PDF, JPG or PNG. Up to 5 MB per document, 12 MB total. Combine multiple pages of one document into a PDF.

Notarized passport bio page *

Bank reference on letterhead *

Lawyer reference on letterhead *

Original or certified utility bill *

Police Certificate of Character *

Signature by the Settlor

Full legal name *

Date signed *

Draw your signature using your mouse, finger or stylus.

I confirm that the answers and supporting documents are accurate and authorize submission to Iyanola Trust Company. *