Declarations
PEP Declaration Form
A short declaration where a customer confirms whether they, a family member or a close associate hold a prominent public function, with the source of funds and wealth that follows.
12 questionsEU AMLR
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Source of Funds and Wealth Declaration
Individual · Enhanced · UK MLRs 2017
1. Personal details
Full legal name (all first names and surnames)*Reg 28(2)
Date of birth*
DD / MM / YYYY
Residential address*
2. Purpose and expected activity
Do you expect any large or one-off transactions? Describe them and why.*
3. Source of funds and wealth
Where will the money for this relationship come from?*
Salary or pensionBusiness incomeSavingsInvestmentsSale of property or assetsInheritance or giftLoanDonations or grantsOther
Bank and country of the account the funds will come from
How was your overall wealth built up? (source of wealth)*Reg 35(5)
Evidence of source of funds and wealth (for example payslips, sale contract, audited accounts)*Reg 35(5)
Upload a file (PDF, JPG or PNG)
Approximate total net worth (EUR or equivalent)
Under 100,000100,000 to 1 million1 to 5 millionOver 5 million
Will your first payment come from an account in your own name at a bank that applies customer due diligence?*
YesNo
4. Declaration and signature
I confirm the information in this form is true and complete, and I will tell you promptly if it changes.*
I agree
Name, position and signature*
Date*
DD / MM / YYYY
About this template
A declaration that explains where the money for a relationship or transaction comes from and how the customer built their wealth, with the evidence to back it up.
When to use it
Use it for enhanced due diligence, large deposits or one-off transactions that need an explanation.
What it covers
This is a focused form. It collects only what this declaration needs. For full onboarding, pair it with a complete KYC or KYB form.
Edit it before you use it
Every question can be removed, reworded, reordered or made optional in the editor. You can add your own questions and fields too.
| Question | Field type | Section | Legal basis |
|---|---|---|---|
| Full legal name (all first names and surnames) * | Text | Personal details | Reg 28(2) |
| Date of birth * | Date | Personal details | Good practice |
| Residential address * | Long text | Personal details | Good practice |
| Do you expect any large or one-off transactions? Describe them and why. * | Long text | Purpose and expected activity | Good practice |
| Where will the money for this relationship come from? * | Multiple choice | Source of funds and wealth | Good practice |
| Bank and country of the account the funds will come from | Text | Source of funds and wealth | Good practice |
| How was your overall wealth built up? (source of wealth) * | Long text | Source of funds and wealth | Reg 35(5) |
| Evidence of source of funds and wealth (for example payslips, sale contract, audited accounts) * | File upload | Source of funds and wealth | Reg 35(5) |
| Approximate total net worth (EUR or equivalent) | Single choice | Source of funds and wealth | Good practice |
| Will your first payment come from an account in your own name at a bank that applies customer due diligence? * | Single choice | Source of funds and wealth | Good practice |
| I confirm the information in this form is true and complete, and I will tell you promptly if it changes. * | Checkbox | Declaration and signature | Good practice |
| Name, position and signature * | Text | Declaration and signature | Good practice |
| Date * | Date | Declaration and signature | Good practice |
What counts as evidence?
Payslips, tax returns, a sale contract, inheritance papers, audited accounts or bank statements that match the explanation.
Do I need both source of funds and wealth?
Source of funds always. Source of wealth for enhanced due diligence and politically exposed persons.
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