Know Your Customer
Required Information Collection Form
To help the United States government fight the funding of terrorism and prevent money laundering activities, U.S. Federal law requires all financial institutions to obtain, verify, and record information that identifies each person (individual, corporation, partnership, trust, estate, or any other entity recognized as a legal person) who opens an account. U.S. Bank will ask for the legal name, address, tax identification number, and other identifying information that will assist us in completing the review of contract/application. We may also ask for copies of certified articles of incorporation, an unexpired government-issued business license, a partnership agreement, or other documents that indicate the existence and standing of the entity. U.S. Federal law also requires financial institutions to conduct ongoing customer due diligence, verify the identity of beneficial owners of certain legal entities, and comply with U.S. Economic Sanctions. U.S. Bank may require identification information on Customer, its Affiliates, Related Parties, or Cardholders, if applicable, to allow U.S. Bank to remain in compliance with U.S. Federal law or U.S. Bank policy. Customer agrees to promptly provide such identification information to U.S. Bank, and Customer shall cause its Affiliates, Related Parties or Cardholders, if applicable, to provide identification information to U.S. Bank.
Answer all questions completely and thoroughly. Provide first, middle and last names on all individuals. Date of Birth is to be in mm/dd/yyyy format. Forms that are returned with missing information will cause delays in processing. Do not leave any section blank unless instructed to do so. If additional space is needed, you may attach additional pages. Abbreviations or acronyms are not acceptable. P.O. Boxes are not acceptable in address. You must notify U.S. Bank if any information contained in the form changes during your relationship with us.
Company (Legal Entity) Name
Please include legal structure of business (e.g., Corporation, Limited Partnership/LLP, Not-for-Profit Organization, LLC).
Provide the full legal name of the customer as it is captured on formation documents, this does not include DBA/Trade names or Operating As names. Examples include Articles of Incorporation, Partnership Agreements, etc. If the entity is a Sole Proprietorship, provide the full legal name, first, middle, last, of the Owner.
Identification Number Type: TIN, EIN or SSN
For a Sole Proprietorship, a Non-U.S. business identification number from a government-issued document certifying the existence of a business or enterprise.
Must be a 9 digit number
Physical Business Address
For home base business, use residential address
PO Boxes are not acceptable
Does your company have a Doing Business As (DBA)/Assumed Name/Fictitious Name?
Section B: Related Parties (Authorized Signers, Trustees/Protectors, Living Grantors/Settlors, Guarantors, Executor)
Account Opener is the individual(s), who signed the Corporate Payment Systems (CPS) contract document(s) on behalf of the company. This is required for all entities each time this form is completed. The account opener must be a Member or Manager of an LLC, Partner of a Partnership, Business Owner, CEO, Controller or other individual who performs a similar function.
A Trustee, Living Grantor/Settlor and Beneficiary are the individual(s) who are related to any Trust listed in Section C.
If there are more than four (4) individuals, make a copy of the form and complete it.
Please fill out one of the following for each party:
Full Name and Date of Birth