Monaco Properties Client Form

Name

First NameLast Name

Email

example@example.com

Phone number

Please enter your phone number with the country code.

Date of birth

Birth place

Please provide a copy of your ID or Passport

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

The proof of the address (not older that 2 months)

Sector of activity

Professional situation

Place of work

Marital statuts

Other

Information regarding spouse:

How did you build your weath?

Wealth Range

Could you tell us more about how you builtup your assets?

Bank Name

Bank Address

Bank Account Name

Private Banker Name

Additional comments regarding banking information

Professional income (salaries,bonuses, dividends…)

Inheritance / Gift / Succession

If Yes (specify date & relationship to donor or deceased)

Savings

Yes (specify type of original proceeds)

Real Estate Sale

Sale of movable property (works of art, vehicle, jewerly)

Sale of business assets or company shares

If Yes (specify date & nature / sector of activity)

Benefit from a life insurance contract

If Yes (specify date & relationship)

Benefit or compensation (accident, divorce, death…)

Surrender of a life insurance / capitalization contract

Gambling winnings (casino, lotto, betting…)

Other

Yes (specify nature, date, home institution)

Do you hold or have you held important public functions in Monaco or in a foreign country during the last 12 months

If Yes (specify)

Are you, or have you been closely associated with a person holding or having held important public functions in Monaco or a foreign country during the past 12 months?

Yes (specify)

Additional comments

I certify on my honor that the sums which are or will be paid under this contract do not have a criminal origin in the sense of the regulation relating to money laundering.

I hereby certify on my honor that the information and elements provided in the present document are accurate, truthful, and correspond to the actual situation of the rental property, to the best of my knowledge.

Date:

Signature

Disclaimer:

In accordance with Monegasque Law No. 1.362, enforced on August 3, 2009, real estate agents are required to verify the identity and conduct due diligence on their clients before establishing a business relationship. MONACO PROPERTIES S.A.R.L. adheres to this legal obligation through the completion of the current identification form and submission of the necessary supporting documents. Without the required identification and due diligence process, including all substantiating documents, MONACO PROPERTIES S.A.R.L is legally prohibited from entering into a business relationship with a new client. We are committed to ensuring the security and confidentiality of your data, preventing any unauthorized access by third parties. In accordance with applicable regulations, you have the right to access, rectify, and object to the use of your personal information upon request. Your information is not shared or disclosed to any third party, particularly for commercial purposes.

Client Information Form

Professional situation

Personal Situation

Socio-economic background

Origin of funds

These specific funds originate from…

Political statuts

Certification