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Trust Client Information Form

To become a client of Smith and Partners, we require you to complete the information in the form below.

We are required to collect some of this information from you to comply with our obligations under the Anti-Money Laundering and Countering Financing Terrorism Act 2009 (AML/CFT).

Please contact one of our staff if you wish to clarify any of the information requested in the form below.

Once you have completed the form you will receive an email confirming the information you have provided.

All trustees, settlors, beneficial owners and beneficiaries named on this form must also complete an Individual Client Information Form.

Full name of Trust *

Your contact at Smith and Partners *

The person you wish this information to be sent to.

Mailing address for the Trust will be: *

As set out below
Residential address of the trustee named below

Trustee Name *

First

Last

Address of Trust (best contact address)

Address Line 1

City

State / Province / Region

Postal Code

Country

NOTE: Please email proof of this address to your contact at Smith and Partners (letter or bill from a Government Department, or utility service provider e.g. power or telephone, or rates bill).

Contact Phone *

Please provide your preferred contact phone number.

Alternative Phone

(If you wish to provide an alternative or second contact phone number).

Email address *

Confirm Email

Alternative email address

Confirm Email

(If you wish to provide an alternative or second email address).

Fax number

IRD Number

Trustees

Each of the individual trustees named below will also be required to complete an Individual Client Information form.
If there is a non-individual trustee, then any beneficial owners of that trustee company will also be required to complete an Individual Client Information form.

Does the trust have a trustee company as a trustee? *

Name of the trustee company *

Other non-individual trustee *

Please provide the name of the trustee company. All directors, and any other individuals who own more than 25% of the trustee company, must complete an individual client information form. Please discuss with us if the names of the individuals who are required to complete a form.

How many individual trustees are there? *

Trustee 1 - Title and Full Name *

Mr
Mrs
Ms
Miss
Dr
Other

Full Name *

First

Middle

Last

This trustee is also a:

Settlor
Appointor
Beneficiary

Please select each role this trustee also holds

Trustee 2 - Title and Full Name *

Mr
Mrs
Ms
Miss
Dr
Other

Full Name *

First

Middle

Last

This trustee is also a:

Settlor
Appointor
Beneficiary

Please select each role this trustee also holds

Trustee 3 - Title and Full Name *

Mr
Mrs
Ms
Miss
Dr
Other

Full Name *

First

Middle

Last

This trustee is also a:

Settlor
Appointor
Beneficiary

Please select each role this trustee also holds

Trustee 4 - Title and Full Name *

Mr
Mrs
Ms
Miss
Dr
Other

Full Name *

First

Middle

Last

This trustee is also a:

Settlor
Appointor
Beneficiary

Please select each role this trustee also holds

Settlors

Please identify those settlors who continue to exercise effective control over the trust (if any).
Each of them will also be required to complete an Individual Client Information form.

How many settlors continue to exercise effective control over the trust? *

How many of those settlors are not trustees named above? *

Settlor 1 - Title and Full Name *

Mr
Mrs
Ms
Miss
Dr
Other

Full Name *

First

Middle

Last

Settlor 2 - Title and Full Name *

Mr
Mrs
Ms
Miss
Dr
Other

Full Name *

First

Middle

Last

Appointors

Please identify the person(s) who have the power to appoint or remove trustees.
Each of them will also be required to complete an Individual Client Information form.

How many appointors are there? *

How many of those appointors are not trustees named above? *

Appointor 1 - Title and Full Name

Mr
Mrs
Ms
Miss
Dr
Other

Name *

First

Middle

Last

Appointor 2 - Title and Full Name

Mr
Mrs
Ms
Miss
Dr
Other

Name *

First

Middle

Last

Beneficial Owners

Please identify any beneficiary of your trust who will definitely receive more than 25% of the trust assets (“Beneficial Owner“).

If the trust is discretionary it is unlikely that you can determine what percentage of the trust assets each beneficiary will receive unless there is only one beneficiary. If the trust is discretionary and there is more than one beneficiary, do not list any names here and move on to the next section of this form.

Each individual Beneficial Owner will also be required to complete an Individual Client Information form.

If any of the Beneficial Owners of the trust are other entities, the persons who ultimately own those other entities must also complete an Individual Client Information form, but only if those individuals are ultimately entitled to more than 25% of the assets of this trust.

How many Beneficial Owners are there? *

Beneficial owners are those beneficiaries who will definitely receive more than 25% of the assets of the trust.

How many of those Beneficial Owners are not trustees named above? *

Beneficial Owner 1 - Title and Full Name *

Mr
Mrs
Ms
Miss
Dr
Other

Full Name *

First

Middle

Last

Beneficial Owner 2 - Title and Full Name *

Mr
Mrs
Ms
Miss
Dr
Other

Full Name *

First

Middle

Last

Beneficial Owner 3 - Title and Full Name *

Mr
Mrs
Ms
Miss
Dr
Other

Full Name *

First

Middle

Last

Is the trust a discretionary trust? *

Is the trust a charitable trust? *

Does the trust have more than 10 beneficiaries? *

Please state the classes of beneficiaries of the trust *

For example, "children" or "grandchildren of the settlor".

What are the objects of the charitable trust? *

Beneficiaries

Please let us know the names and dates of birth of all beneficiaries. We do not need Individual Client Information Forms from these individuals.

How many Beneficiaries are there? *

Beneficiary 1 - Title and Full Name *

Mr
Mrs
Ms
Miss
Dr
Other

Full Name *

First

Middle

Last

Date of birth *

Beneficiary 2 - Title and Full Name *

Mr
Mrs
Ms
Miss
Dr
Other

Full Name *

First

Middle

Last

Date of birth *

Beneficiary 3 - Title and Full Name *

Mr
Mrs
Ms
Miss
Dr
Other

Full Name *

First

Middle

Last

Date of birth *

Beneficiary 4 - Title and Full Name *

Mr
Mrs
Ms
Miss
Dr
Other

Full Name *

First

Middle

Last

Date of birth *

Trust Deed

All information in this form must match the information in the trust deed (and/or match any updating document such as a document evidencing subsequent changes to trustees or beneficiaries) - which need to be emailed to us.

Please email us a certified copy of your trust deed, or bring your original trust deed (and any documents evidencing subsequent changes to the trust) to your first appointment, or pop into our offices with it so we can take a certified copy of it. Alternatively you can have a copy of your trust deed certified as true and correct by another solicitor or JP and provide the certified copy to us.

Acceptance

Accept terms and conditions *

By ticking this box I/we confirm that I/we have read and accept Smith & Partners Service Co Limited's ("Smith and Partners") Terms and Conditions of Engagement.
Those Terms and Conditions of Engagement together with Smith and Partners' letter of engagement govern all of the supply of legal services from Smith and Partners to me/us. They are effective from the date of this form and will replace all earlier written or oral agreements and any terms and conditions contained in any document issued by me/us and purporting to have contractual effect. My/our acceptance of any ongoing or further legal services from Smith and Partners indicates my/our continuing acceptance of these terms and conditions.

Privacy Agreement *

I have read and accept Smith and Partners’ Privacy Policy.

Signature

Please sign in the space provided by using your mouse, trackpad or touch screen.

Name of authorised signatory *

Date of signing *

Trust Client Information Form

To become a client of Smith and Partners, we require you to complete the information in the form below.

Trustees

Settlors

Appointors

Beneficial Owners

Beneficiaries

Trust Deed

Acceptance

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