CORPORATE ACCOUNT APPLICATION SECTION 1 – Corporate Account Details Legal Name of Entity Type Corporation
•
•■
Partnership
•
Non-profit organization
•
Sole Proprietorship
Other: please describe
•
Publicly traded – provide market symbol
S Corporation
•
Required Documents: y
y l
l
l
y
l
y
Public Account ID
Registered Email with Kraken
Business Address (no PO boxes)
Mailing Address (if different)
Corporate Website
Telephone:
l State/Country of Formation
•
US Entity
Secondary Telephone
• ■
Entity
Corporate Tax Identification Number
Date of Formation (DD-MM-YYYY) Number of Employees
Number of Locations and/or Offices
Officers/Title
Officers/Title Continued
Industry
y
l l
y
l
ly l
ly l
l
ly
ly
Goods and Services (Please be specific.) y
All business licenses and registrations (Please list all.)
y l
y
l l
l
y
CORPORATE ACCOUNT APPLICATION Approximate Net Worth
Annual Net Profit
Approximate Liquid Net Worth: (cash, stocks, etc.)
•
$0-$24,999
•
$0-$14,999
•
$0-$14,999
•
$25,000-$49,999
•
$15,000-$49,999
•
$15,000-$49,999
•
$50,000-$99,999
•
$50,000-$99,999
•
$50,000-$99,999
•■
$100,000-$249,999
•
$100,000-$249,999
•■
$100,000-$249,999
•
$250,000+
•
$250,000-$499,999
•
$250,000-$499,999
•
$500,000-$999,999
•
$500,000-$999,999
•
$1,000,000-$1,999,999
•
$1,000,000-$1,999,999
•■
$2,000,000+
•
$2,000,000+
ur o e o Account at
t e pr ar p rpo e o t
a o
t
ow an people will a e access to t is account lease list eac person t at will a e access to t is account Note: Each authorized user must provide verification information including valid governmentissued ID.
ly l
ly l
Banking Information Name of Financial Institution
Street Address
SWIFT
ABA
Bank Account Number
How Long With This Bank?
Bank Contact Person & Title
Bank Contact Business Telephone
l
l
CORPORATE ACCOUNT APPLICATION SECTION 3 – Each uthorized Individual must provide all the information below as well as a valid une pired government-issued ID F ut ori ed ndi idual Full Name Title Residential Address (no PO boxes)
Years with Company Telephone: Landline Mobile Other
Email Date of Birth (DD-MM-YYYY)
Nationality tere t
Co pa
SECOND ut ori ed ndi idual Full Name Years with Company!
Title Residential Address (no PO boxes)
Telephone: Landline Mobile Other
Email Date of Birth (DD-MM-YYYY)
Nationality tere t
Co pa
THIRD ut ori ed ndi idual Full Name Title Residential Address (no PO boxes)
Years with Company Telephone: Landline Mobile Other
Email Date of Birth (DD-MM-YYYY)
Nationality tere t
Co pa
CORPORATE ACCOUNT APPLICATION SECTION
– Certification
I hereby certify that I am an authorized representative of the legal entity and that the information provided in connection with this application is true and accurate. I authorize Kraken (collectively, "Kraken," "we" or "us"), to use and record the information it obtains from me for auditing, risk assessment, fraud and crime prevention, in accordance to the policies and procedures outlined in Kraken’s Privacy Policy, available at https://www.kraken.com/legal/privacy. A notarized English translation must be provided for any submitted document that contains nonRoman characters. Kraken will notify me if further information is required.
I agree that if the application is approved, will abide by Kraken Terms of Use and all applicable transaction rules, limits and guidelines, and will not use the Kraken service to commit fraud or violate any laws.
Signed this ____ day of _______________ at ___________________________.
Signature
Date
Printed Name
Title
e
n
e n en an a en
Company
e n n err r an ne a n er n a a e n a e a Customer Identification Program n en an a
n Kraken
re
r ra n e a an an re ere n e r n er e ar e n r ra n r en a n a re n
re ar ner er
ou o not ro i e t e in or ation re ue te tran action or ou an
e
e an
er a n n r a
er
e ar en an re r
n r
e rea r an r ean n r a n a en e ea a
e
n n r e re re nan a er n r e a en a
n
r r er e a en nee r e en a n e en n en a n a n e a er ae an n a ern en en a e a e en en e an re ere a Kraken or our i entit cannot e eri ie
ra en
a e a re
ne re a
en e en e na
a not e a e to o en an account or e ecute
Kraken thanks you for your patience and cooperation and is confident that you will support the financial industry s effort to deny terrorists and money launderers access to the financial system.
