FORM DECLARATION OF ORIGIN OF HERITAGE FOR A LEGAL ENTITY

FORM DECLARATION OF ORIGIN OF HERITAGE FOR A LEGAL ENTITY

Form of Declaration of Origin of Assets for Legal Entities

PLEASE COMPLETE AND SEND

GENERAL DATA LEGAL ENTITY *

National taxpayer registration number *

Main activity. *

Email *

Correo electrónico

Confirmar el correo electrónico

CONSTITUTION DATE *

Documento de representante *

• IDENTIFICATION CARD
• PASSPORT
• ID
• OTHER

PLACE OF BIRTH *

FECHA DE EXPEDICION

WORK COMPANY *

POSITION IN THE COMPANY

NATIONALITY

MARITAL STATUS *

• SINGLE
• MARRIED
• WIDOWER
• FREE UNION

CELLPHONE NUMBER *

TRADENAME *

Commercial Registry Number *

PHONE(S): *

COMPANY ADDRESS *

Represented by: *

Document Number *

EXPEDITION PLACE

ADDRESS OF THE RESPONSIBLE *

SECTOR AND CITY *

CITY AND COMPANY SECTOR

PROFESSION / JOB / OCCUPATION

TELEPHONE NUMBER

AUTHORIZED BY: *

FINAL BENEFICIARY

DIRECTION: *

PLACE OF BIRTH *

SURNAMES

TELEPHONE / MOBILE NUMBER *

NATIONALITY *

POLITICALLY EXPOSED PERSON (PEP)

In accordance with the provisions of numeral 19 of article 2 of Law 155/17, politically exposed persons (PEP) are those officials obliged to present their sworn statement of assets in accordance with article 2 of Law 311-14 on sworn statement of assets, and. When they identify themselves as high-risk people, their spouses, partners and other people with whom a PEP is related by consanguinity or affinity up to the second degree.

Are you or were you a government employee? *

• YES
• NO

Does it exercise any degree of political power? *

• YES
• NO

Do you enjoy public recognition? *

• YES
• NO

Is there any family link with a PEP? *

• YES
• NO

Are you a PEP? *

• YES
• NO

ACTUAL CHARGE

DATE

PREVIOUS POSITION

DATE

I *

ID number *

acting voluntarily in my own name, I certify that everything stated is true, I declare that both my activities and my profession and/or trade are lawful, I exercise them within a legal framework and the resources I have do not come from illegal activities, nor are they destined to finance terrorism, nor do they violate those established by the penal code or the Laws of the Dominican Republic. I know, declare and accept that the DREAMHOME REAL ESTATE offices and their Agents are under the legal obligation to request the clarifications they deem appropriate, and that, in the event that circumstances arise based on which the Financial Analysis Unit (UAF) ), I may have reasonable doubts about my operations, as well as the origin of my assets, I will provide the clarifications of place. The origin of the funds for this operation is: *

I authorize the UAF and the entity in charge of the Supervision of the Non-Financial Reporting Entities to corroborate the information provided here and to obtain and request any additional information. *

SIGNATURES

E-MAILS *

Email

SEND

At Dreamhome Real Estate, we strive every day to offer real estate services that can meet the expectations that you have with us.

Our modern page has multiple options for selling and renting real estate properties.

In summary, for more information or photos, about the hundreds of real estate properties that we have in inventory, we recommend you browse our page dreamhomedr.com.

In this sense, we leave our contact channels so that you can tell us exactly what you are looking for in Santo Domingo.

We are first in house options for sale, apartments in Santo Domingo, Bávaro, Punta Cana.

By: Dreamhome Real Estate®™.

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