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AML Questionnaire

Client Details

Client Name *
Email *
Client Type *
Completed By *
Position *
Date *

Changes Since Last Review

Have there been any changes to your contact details during the last 12 months? *
Please provide details *
Have there been any changes to the ownership, directors, partners, trustees, beneficial owners or persons exercising control during the last 12 months? *
Please provide details *
Have there been any significant changes to the nature of your business activities during the last 12 months? *
Please provide details *
Have there been any significant changes to turnover, income levels or trading activity during the last 12 months? *
Please provide details *

Business Activities

Do you, or the business, trade with customers or suppliers outside the United Kingdom? *
Please provide details *
Do you, or the business, routinely receive or make cash payments as part of normal activities? *
Please provide details *
Are you, or the business, involved in any cryptocurrency activities? *
Examples include buying or selling cryptoassets, accepting cryptocurrency as payment, crypto mining, and crypto investment activity.
Please provide details *
Has the business received funding, loans, investments or capital injections from third parties during the last 12 months? *
Please provide details *
Is the business involved in any of the following sectors? *
If applicable, Please provide details

Individual Risk Factors

Are you, or any director, partner, trustee, beneficial owner or person exercising control over the business, a Politically Exposed Person (PEP)? *
Please provide details *
Are you, or any director, partner, trustee, beneficial owner or person exercising control over the business, a close family member or known associate of a Politically Exposed Person? *
Please provide details *
Are you, or any director, partner, trustee, beneficial owner or person exercising control over the business, currently subject to financial sanctions or sanctions investigations? *
Please provide details *
Have you, or any director, partner, trustee, beneficial owner or person exercising control over the business, become aware of any criminal investigations, fraud investigations, regulatory actions or prosecutions during the last 12 months? *
Please provide details *
Has there been any significant change to the source of wealth or source of funds of any owner, director, partner, trustee or beneficial owner during the last 12 months? *

Examples may include the sale of a business, a property sale, an inheritance, significant investment proceeds, or funds received from overseas.
Please provide details *
Is there anything else which may affect your AML risk profile, or which you believe Yorkshire Accountancy should be aware of? *
Please provide details *

Declaration

Name *
Position *
Date *

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