GoEscrow Forms

Australian Business Register Details

These details come from ABN Lookup and cannot be edited here. If they are incorrect, check the ABN entered above.

Entity Type

Entity Type Code

Trust Indicator

ABN Status

ABN Status From

GST Status

GST From

ABR State

ABR Postcode

Business / Trading Names returned by ABR

Structure Options

If yes, GoEscrow may request additional information.

Is organisation majority owned by another Australian ABN holder?

Yes No

Is organisation majority owned by an overseas person or entity?

Yes No

Does organisation act “As Trustee For” a trust?

Yes No

Is organisation listed or majority owned by ASX listed company?

Yes No

Trust Documents

ABN Lookup suggests this organisation may be a trust or trustee. GoEscrow may request the trust deed and any amendments at a later date. You may provide them now if you choose.

Use ADD to upload trust deeds, amendments, trustee appointments or other supporting documents.

Trust document 1 (optional)

B. Primary Contact Person or Sole Trader

Who will be responsible for this ABN account?

First Name

Last Name

Date Of Birth

Email Address

Mobile Phone

Send an SMS link to scan your ID document?

Yes, send me the SMS No, I will enter identification below

Identification type

Select one identification type. Only the selected document fields will be shown.

Drivers Licence

Issuing State

Licence Number

Card Number

Expiry Date

Passport

First Name

Middle Name (If it appears on passport)

Last Name

Document / Passport Number

Country

Place of Birth (optional)

Date of Issue

Date of Expiry

Name (exactly) as on card

Medicare Card Number

Expiry Date (MM/YYYY)

The IRN is the number next to the name on the front of the Medicare card. View example Medicare card

Centrelink Card

Centrelink Card Type

HCC Health Care Card PCC Pensioner Concession Card SHC Senior Health Care Card

Customer Reference Number (CRN)

Name on Centrelink card

Expiry Date

ImmiCard

ImmiCard Type

AMS Australian Migration Status EIS Evidence Of Immigration Status PRE Permanent Residence Evidence RDI Residence Determination

ImmiCard No (Card Number)

Expiry Date

Given Name(s) (exactly as on card)

Surname (exactly as on card)

C. Directors and Beneficial Owners

List the organisation's directors and any individuals who directly or indirectly own 25% or more of the organisation.

Director or Beneficial Owner 1

First Name

Last Name

Date Of Birth

Email Address

Mobile Phone

Driver Licence or Passport Number

Director or Beneficial Owner 2 (Optional)

First Name

Last Name

Date Of Birth

Email Address

Mobile Phone

Driver Licence or Passport Number

Director or Beneficial Owner 3 (Optional)

First Name

Last Name

Date Of Birth

Email Address

Mobile Phone

Driver Licence or Passport Number

Director or Beneficial Owner 4 (Optional)

First Name

Last Name

Date Of Birth

Email Address

Mobile Phone

Driver Licence or Passport Number

Director or Beneficial Owner 5 (Optional)

First Name

Last Name

Date Of Birth

Email Address

Mobile Phone

Driver Licence or Passport Number

D. Bank Deposit Details

Bank account details are optional. To add a bank account now, enter the six-digit BSB and Account Number. You can also add or update the bank account later.

Account Name

Bank/Institution Name

BSB

Account Number

PayID (optional)

SWIFT (optional)

The bank account name should closely match the organisation's name or a registered business or trading name. Please select the name that matches the BSB and account number provided.

For ABN holders

Australian Business Register Details

Structure Options

Trust Documents

Drivers Licence

Passport

Centrelink Card

ImmiCard

Director or Beneficial Owner 1

Director or Beneficial Owner 2 (Optional)

Director or Beneficial Owner 3 (Optional)

Director or Beneficial Owner 4 (Optional)

Director or Beneficial Owner 5 (Optional)

Expected GoEscrow use

Source of Funds

Source of Wealth

Other declarations