Enter your details exactly as they appear on your GoEscrow account.
B. Expected GoEscrow use
Typical transaction value range
Select... $0-$10,000 $10,000-$25,000 $25,000-$250,000 $250,000-$1,000,000 $1,000,000-$10,000,000 $10,000,000+ Highly Variable Prefer not to say
C. Source of Funds
Will any third party provide funds? Select Yes if third parties other than the GoEscrow account holder or named transaction parties may make direct payments into the escrow transaction accounts on your behalf.
Select... No Yes Unsure
What is the third party’s relationship to you or the entity?
Select... Spouse / partner Family member Household member Employer Work colleague Friend Business associate Director / shareholder / beneficial owner Related company or related trust Customer / client Lender / finance provider Professional adviser, lawyer, accountant or conveyancer Other
Are any funds expected to come from outside Australia? Select Yes or Unsure if any money may come from outside Australia. This helps GoEscrow understand whether escrow payments may have an overseas source.
Select... No Yes Unsure
Are any funds expected to come from cash deposits or digital assets / cryptocurrency? Select Yes or Unsure if the funds may originate from cash deposits, digital assets or cryptocurrency. This helps describe the type of funds that may be used with GoEscrow.
Select... No Yes Unsure
D. Source of Wealth
Approximate annual income band
Select... Up to $100,000 $100,000 to $250,000 Over $250,000 Prefer not to say
E. Other declarations
Are you acting for another person or entity? Select Yes if you are completing this information for, or acting on instructions from, another person or entity.
Select... No Yes
Any bankruptcy, insolvency, freezing order or similar restriction? Select Yes or Unsure if there is any bankruptcy, insolvency, freezing order, court order or similar restriction that may affect funds or authority to transact.
Select... No Yes Unsure
Are you a wholesale client or sophisticated investor? In Australia, some people may be treated as wholesale clients or sophisticated investors if they hold a current certificate from a qualified accountant confirming they meet certain income or asset thresholds.
Select... No Yes Unsure
Anything unusual about the source of funds or wealth GoEscrow should know? Use this optional field for anything GoEscrow should know about the source of funds or wealth that may not be obvious from the answers above.
F. Declaration
I declare that the information provided is true, accurate and complete to the best of my knowledge. I understand that GoEscrow Pty Ltd may request additional information or supporting documentation where required for operational, compliance or risk review purposes. I have read, understood and agree to the Terms Of Use and have read and understood the Product Disclosure Statement and Financial Services Guide .
I confirm I am the declarant.
Digital signature acknowledgement.
SUBMIT
