Establishing secure connection…Loading editor…Preparing document…

Beneficial Owner Declaration

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

Beneficial Owner Declaration

This Beneficial Owner Declaration (the Declaration) is made on by Company Name: , Entity Type: , Jurisdiction of Formation: , Principal Place of Business: (the "Company"), in favor of Recipient Name: (the "Recipient").

RECITALS

WHEREAS, applicable law and regulatory requirements require disclosure of individuals who are beneficial owners or who exercise substantial control over legal entities for purposes of customer due diligence and similar compliance obligations; and

WHEREAS, the Company has knowledge of the identity of each natural person who, directly or indirectly, owns or controls the Company, including those who exercise substantial control (each, a Beneficial Owner); and

WHEREAS, the Recipient requires this Declaration to verify the identity of Beneficial Owners and to satisfy its legal and regulatory obligations.

NOW, THEREFORE, in consideration of the Recipient's acceptance of this Declaration and the mutual covenants set forth below, the Company hereby certifies and declares as follows:

1. Definitions

For purposes of this Declaration: "Beneficial Owner" means any natural person who, directly or indirectly, (a) owns 25% or more of the equity interests of the Company, or (b) otherwise exercises substantial control over the Company through means including but not limited to senior executive functions, appointment or removal of a majority of the board of directors, or any arrangement by which decision-making authority is vested in that person.

2. Beneficial Owner Disclosures

The Company identifies the following natural persons as Beneficial Owners and provides the prescribed identifying information for each. If additional Beneficial Owners exist beyond those listed, the Company shall attach an addendum identifying such persons in the same form.

Beneficial Owner 1

Beneficial Owner 2

Beneficial Owner 3

Beneficial Owner 4

3. Certification and Accuracy

The undersigned authorized representative of the Company hereby certifies, to the best of the representative's knowledge and belief, that the information provided in this Declaration is true, correct and complete. The undersigned acknowledges that the Recipient is relying on this Declaration for compliance with applicable laws and regulations and that any material misstatement, omission, or failure to update materially accurate information may subject the Company and the undersigned to remedies provided by law, including termination of services and indemnification.

The undersigned further certifies under penalty of perjury that the information provided in this Declaration is accurate as of the date set forth below.

4. Ongoing Obligations

The Company shall promptly notify the Recipient in writing of any change to the information provided herein within days of such change. Such notice shall include revised identifying information for any new or departing Beneficial Owners and any updated information about existing Beneficial Owners.

5. Confidentiality and Use

The Recipient will treat information provided in this Declaration as confidential and will use it solely for the purpose of regulatory compliance, customer due diligence, and other legitimate business purposes consistent with applicable law. The Recipient may disclose this information to government regulators, law enforcement, and auditors as required by law.

6. Representations, Warranties and Indemnity

The Company represents and warrants that it has authority to provide the information contained in this Declaration, that the information is true and complete, and that it will indemnify and hold harmless the Recipient from any claims, liabilities, losses or expenses arising out of any breach of these representations and warranties or any material misstatement or omission.

7. Notices

All notices required or permitted under this Declaration shall be in writing and delivered to the parties at the contact information set forth below. Notice to the Recipient:

8. Governing Law; Miscellaneous

This Declaration shall be governed by and construed in accordance with the laws of the State of without regard to its conflict of laws principles.

Entire Agreement: This Declaration constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous understandings and agreements, whether written or oral.

Severability: If any provision of this Declaration is held to be invalid or unenforceable, such provision shall be severed and the remaining provisions shall continue in full force and effect.

Amendments and Waiver: No amendment or waiver of any provision of this Declaration shall be effective unless in writing and signed by both parties.

Counterparts: This Declaration may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one instrument.

Declarant (Company Authorized Representative):

By (Signature):

Title:

Date:

Recipient (Acknowledging Party):

By (Signature):

Title:

Date:

Enter text✕

What a Beneficial Owner Declaration Is and when it’s used

A Beneficial Owner Declaration is a signed statement that identifies the natural persons who ultimately own or control a legal entity. Financial institutions, regulated entities, and certain commercial counterparties use this declaration to satisfy customer identification and anti-money laundering (AML) obligations, to document ownership percentages and control relationships, and to support Know Your Customer (KYC) files. The form typically collects names, dates of birth, addresses, ownership percentages, and the nature of control; it is retained as part of compliance records to demonstrate due diligence and decision-making around onboarding and ongoing monitoring.

Why completing a clear Beneficial Owner Declaration matters

Accurate declarations reduce onboarding delays, support AML/KYC compliance, and limit regulatory exposure for both the reporting party and the requesting institution. Properly completed forms help establish a defensible audit trail and simplify future updates when ownership or control changes.

Why completing a clear Beneficial Owner Declaration matters

Who generally completes or reviews this declaration

The declaration is completed by authorized representatives of the entity and reviewed by compliance, legal, or account-opening teams at the requesting organization.

  • Company officers and authorized signers who can certify ownership and control
  • Bank onboarding and compliance officers performing KYC/AML checks
  • Outside counsel or corporate service providers preparing entity formation documentation

Keep a clear delegation record: if an agent signs on behalf of an entity, retain the authorization showing their authority to certify beneficial owners.

Core elements included in a professional Beneficial Owner Declaration

A well-structured declaration groups identity, ownership, control, certification, and supporting evidence to make review and verification efficient for compliance teams.

Entity details

Legal entity name, formation jurisdiction, and tax identification number to tie the declaration to corporate records and filings.

Owner identification

Full legal names, dates of birth, residential addresses, and ownership percentages for each natural person meeting the beneficial owner threshold.

Control persons

Names and roles of individuals with significant control (e.g., senior officers, managing members) even if their ownership percentage is below reportable thresholds.

Certification statement

A signed declaration certifying that the information is accurate and complete, with signature, printed name, title, and date.

Supporting documents

Documents such as government ID, corporate formation records, operating agreements, or shareholder ledgers that corroborate identity and ownership claims.

Revision and update block

Fields to record future amendments, the effective date of changes, and required reviewer or approver signatures.

Data and security items to include on or with the declaration

Encryption: TLS 1.2/1.3 in transit; AES-256 at rest
Audit trail: Signed timestamp, IP, and action history
HIPAA option: BAA required when PHI present
ESIGN/UETA: Compliant for electronic records
21 CFR 11: Available for regulated workflows
Access controls: Role-based permissions and SSO

Stepwise process to complete and certify the declaration

Use this concise checklist to gather information, complete the form, and record verification steps before final submission.

  • 01
    Gather records: Collect IDs, formation documents, and shareholder ledgers before starting.
  • 02
    Complete fields: Enter entity and owner data consistently with source documents.
  • 03
    Authenticate signer: Confirm authority to sign and capture identity evidence.
  • 04
    Sign and retain: Sign electronically or on paper and store with supporting files.

How to configure an online declaration workflow

Set up a repeatable online workflow that enforces required fields, collects documents, and preserves an audit trail.

Field Configuration
Required fields Make identity and signature fields mandatory
Conditional logic Show ownership fields only if threshold exceeded
Authentication Use email + SMS or higher for signer identity
Routing order Set reviewer and approver steps before finalization

Typical end-to-end flow for submitting the declaration

This sequence describes how organizations usually prepare, sign, and deliver a Beneficial Owner Declaration in digital workflows.

  • Prepare document: Populate entity fields and attach supporting records
  • Collect signatures: Send via secure eSignature or collect wet signatures
  • Verify information: Compliance reviews IDs and ownership evidence
  • Submit to requester: Provide signed declaration and retention metadata

Technical considerations for eSubmission and storage

Ensure your platform supports secure upload, audit trails, and required integrations before eSubmitting declarations.

  • File formats: PDF, DOCX accepted; PDF/A recommended for long-term storage
  • Integrations: Connectors for CRM and document repositories (Salesforce, NetSuite, Google Workspace)
  • Authentication: Support for SMS, KBA, or advanced signer verification

Pick a solution that preserves metadata, provides tamper-evident archives, and supports the legal standards your reviewers expect.

Timing expectations and typical update windows

Timing for providing or updating a Beneficial Owner Declaration depends on the requesting process; below are common service-driven deadlines.

Initial request:

Provide at account opening or upon formal request by the institution

Change in ownership:

Update promptly; many institutions expect notice within 30 days

Periodic review:

Subject to periodic refresh during KYC/AML reviews

Regulatory reporting:

Respond within timelines set by the requesting regulator or institution

Internal retention:

Retain original and updates per document retention policy

Common mistakes to avoid when preparing the declaration

  • Using nicknames instead of legal names — leads to verification failures
  • Omitting ownership percentages or using vague terms like 'majority' without amount
  • Failing to attach required supporting documents such as ID or operating agreement
  • Allowing unauthorized agents to sign without documented authority

Risks and consequences of incorrect or missing details

Account delays: Onboarding or transactions may be denied
Regulatory review: Enhanced scrutiny from compliance teams
Fines risk: Possible administrative penalties under AML rules
Reputational harm: Industry and counterparty trust may be affected
Contract issues: Invalid or unenforceable certifications
Operational cost: Time spent correcting or re-verifying records

Representative pricing and capability snapshot for eSignature options

Compare starting price and common capability lines for popular eSignature vendors; signNow is listed first per platform data.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day trial Varies Varies Varies Varies
Bulk Send Yes Yes Yes Yes Yes
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No
Envelope Cap No cap 100 envelopes/user/year Varies by plan Varies by plan Varies by plan

Practical scenarios showing typical usage

Two concise examples show how organizations use the declaration to complete onboarding and meet compliance needs.

Small bank onboarding

A regional bank collects completed declarations at account opening to meet KYC checks and verify owners.

  • The form ties to corporate formation records for verification.
  • Retaining the signed declaration alongside identity documents created a clear audit trail and reduced follow-up requests during periodic reviews.

Real estate closing

A title company requires a declaration before closing to confirm beneficial owners.

  • The signer attaches certified formation papers.
  • The combined package prevented title delays by providing immediate proof of ownership and authority for the closing.

Frequently asked questions about completing and submitting the declaration

Answers below address common execution, verification, and submission issues encountered by filers and reviewers.


Need help? Contact support

be ready to get more
Join over 28 million airSlate SignNow users