Source of Funds | Wealth

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A. Explanation

With this form, you indicate how you pay. Is the buyer paying or a third party? On the form below you can specify whether the amount due is paid as a lump sum or in installments and in what form it will be deposited onto the account “Stichting Derdengelden Notariskantoor mr. R.E. Yarzagaray”. Please include relevant information (eg. deposit or transfer slip) where possible. Additional information / documentation may be requested.

Buyer

The bank account from which funds will be deposited onto the “Stichting Derdengelden Notariskantoor mr. R.E. Yarzagaray” is in the buyer’s name. Please indicate the origin of your wealth and add relevant documentation.

Third Party

The bank account from which funds will be deposited onto the “Stichting Derdengelden Notariskantoor mr. R.E. Yarzagaray” is NOT in the buyer’s name. Attention! This person/ enterprise should also be identified according to Aruban Law (LWTF). Please add relevant documentation.


B. What is paid?

How?

1. Deposit according to contract

1. Deposit according to contract
Address

Bank account is in buyer’s name

Who pays?

Name
Declaration origin of wealth

Third party pays

Name
Relationship with buyer

2. Remaining amount due on invoice

How?

2. Remaining amount due on invoice

Bank account is in buyer’s name

Who pays?

Name
Declaration origin of wealth

Third party pays

Name
Relationship with buyer

3. Other, viz.

How?

2. Remaining amount due on invoice
Address

Bank account is in buyer’s name

Who pays?

Name
Declaration origin of wealth

Third party pays

Name
Relationship with buyer

4. Other, viz.

How?

2. Remaining amount due on invoice
Address

Bank account is in buyer’s name

Who pays?

Declaration origin of wealth

Third party pays

Name
Relationship with buyer


C. Date & Signature

Date
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