Due Diligence Form

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Barnett 
and Associates

Barristers
Attorneys-at-Law
Copyright / Patent
Trade Mark Agents

Specializing in Offshore
Banking and the Creation of
Offshore Companies 
and Tax Shelters

TAINO PLACE
Suite 202
(Old) Airport Road
P.O. Box 45
GRAND TURK

TURKS AND CAICOS ISLANDS

PH: (649) 241-5043
A FAX Number will be provided
upon request.

info@barnett-and-associates.com

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Due Diligence Form
Company Information Form

Barnett and Associates requires a "due diligence" clearance which asserts that funds are not from an illicit source. We also ask for provision of one bank reference from a reputable bank with which the intended client has previously deposited funds. Further, the bank will require a passport photograph of the beneficial owner of the company and the intended client should be willing to give this. 

We also need to know the overall investment objectives for the funds intended to be deposited offshore.

Click HERE to download an Adobe Acrobat PDF version of these forms which you can print on you local printer to be filled out and returned to us. You can FAX or mail the completed forms to us for review.

Adobe Acrobat Reader is a plug-in that works with both Netscape and Microsoft Internet Explorer browser software. If you have an older version of Adobe Acrobat Reader, or need to download this FREE software, click HERE now.

Print the form on your local printer to be filled out and returned to us. You can then FAX or mail the completed form to us for review.

Due Diligence Form

  1. To: Barnett and Associates
  2. From:
    Name: ______________________________________________________
    Address _____________________________________________________
    City _______________________ State _____ Postal Code ____________
    Country: ____________________________________________________
    Telephone: _____________________ E-mail: ______________________
  3. Bank Reference
    Name of Bank: ______________________ Account Number: __________
    Address _____________________________________________________
    City ________________________ State ____ Postal Code ____________
    Country: ____________________________________________________
  4. Investment Objectives of Company: _______________________________
    ____________________________________________________________
    ____________________________________________________________
  5. A passport photograph of the beneficial owner of the company is enclosed 
    _____ Yes ____ No
  6. Assertion that funds are not from an illicit source:
     _____ Yes ____ No
  7. Date: ___________________ Signature: __________________________
 

Barnett and Associates
Barristers / Attorneys-at-Law
Copyright / Patent / Trade Mark Agents

TAINO PLACE, Suite 202, (Old) Airport Road
P.O. Box 45, GRAND TURK

TURKS AND CAICOS ISLANDS

PH: (649) 241-5043 - FAX: A FAX number will be provided upon request.

Courtenay Francis Raymond Barnett
B. Sc. (Hons) London
Barrister-at-Law (Lincoln’s Inn)
Attorney-at-Law
Turks and Caicos Islands
Jamaica

Senior Consultant:
Delano Harrison Q.C.
Attorney-at-Law
Jamaica

General Information: info@barnett-and-associates.com
Webmaster: admin@barnett-and-associates.com

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