Business Account Application

To help the U.S. Government fight terrorism funding and money laundering, federal law requires financial institutions, including dealers in precious metals, to obtain and verify identification information regarding each account applicant. Thank you for your cooperation in complying with these requirements.

General Business Information

Business Legal Name

Type of Organisation

State of Incorporation

Business Phone

Business Website

Office Location (City, State, and ZIP)

Type of Business

Sales Tax Number

Federal EIN

Contact Email Address

Business Documents

Sales Tax Certificate

Company Incorporation Documents

Business Owners

Owner 1 and Percent Ownership

Owner 2 and Percent Ownership

Other Managers (if applicable)

Manager 1

Manager 2

AML Program

Does your company have an Anti-Money Laundering policy? YesNo

Average Business Volume per Year

Acknowledgement and Agreement

Customer represents, by the below signature of its duly authorized representative, that all information provided on this Business Account Application form is true, complete and accurate, and that Customer has read, understands, and consents and agrees to be bound by all of the Kinesis General Terms & Conditions as condition of conducting business with Kinesis.

Customer Business Name

Signer's Full Name

Signature

Gold

Silver

Kinesis Bullion