Legal AML Declaration Form

LEGAL AML DECLARATION FORM

This Anti‑Money Laundering Declaration (the Declaration) is made on between Client Name: (Declarant) and Institution Name: (Recipient).

RECITALS

WHEREAS, Declarant seeks to establish or maintain a business relationship or transactional arrangement with Recipient that may involve receipt, transmission or holding of funds or assets; and

WHEREAS, Recipient requires representations and assurances concerning Declarant's compliance with applicable anti‑money laundering laws, sanctions laws, know‑your‑customer (KYC) procedures and related policies to satisfy Recipient's regulatory and contractual obligations; and

WHEREAS, Declarant is willing to provide certifications, disclosures and cooperation described in this Declaration to enable Recipient to evaluate and accept the business relationship.

NOW, THEREFORE, in consideration of the mutual covenants set forth below, the parties agree as follows:

1. DEFINITIONS

For purposes of this Declaration, the following terms have the meanings set forth below: "AML Laws" means applicable anti‑money laundering statutes, regulations and implementing guidance; "Sanctions Laws" means economic or trade sanctions and related prohibitions administered by competent authorities; and "Beneficial Owner" means any natural person who, directly or indirectly, owns or controls the Declarant or on whose behalf a transaction is being conducted.

2. DECLARANT IDENTIFICATION AND ORGANIZATION

3. BENEFICIAL OWNERSHIP AND KYC

Declarant represents and warrants that it has disclosed to Recipient the identity of all Beneficial Owners and provided any KYC documentation reasonably requested by Recipient. Declarant shall promptly update Recipient in writing of any change in Beneficial Ownership or material changes to KYC information.

4. REPRESENTATIONS AND WARRANTIES

Declarant certifies that to the best of its knowledge and after due inquiry: (a) Declarant and its Beneficial Owners are not listed on any sanctions, blocked parties or denied persons list under applicable Sanctions Laws; (b) funds and assets to be provided to Recipient are derived from legitimate sources and not from unlawful activity; (c) Declarant maintains policies and procedures reasonably designed to comply with AML Laws and has conducted customer due diligence consistent with such laws.

5. AML PROGRAMS AND INTERNAL CONTROLS

Declarant shall maintain an AML compliance program commensurate with its size and risk profile, including written policies, internal controls, training, ongoing monitoring and suspicious activity reporting mechanisms. Upon Recipient's reasonable request, Declarant will provide a summary description of such program and shall permit, within reasonable notice and scope, compliance reviews or audits related to AML compliance.

6. REPORTING AND COOPERATION

Declarant shall promptly notify Recipient if Declarant becomes aware of any event or information that would render any representation in this Declaration inaccurate, including detection of a suspicious transaction or a material regulatory inquiry. Declarant will cooperate and provide records, statements, and other information necessary for Recipient to meet legal, regulatory and law enforcement obligations.

7. RECORDKEEPING

Declarant agrees to retain records relevant to transactions and identification for a minimum of years or for such longer period as required by applicable law and to produce such records to Recipient or authorized authorities upon lawful request.

8. CONFIDENTIALITY

Information exchanged under this Declaration shall be treated as confidential and used solely for compliance, risk management and regulatory purposes; provided, however, that Recipient may disclose such information to regulators, law enforcement or auditors where required by law or regulation.

9. NOTICES

Notices required under this Declaration shall be delivered to the addresses below by registered mail, courier, or email if agreed by the parties.

10. AMENDMENTS; WAIVER

Any amendment or waiver of any provision of this Declaration must be in writing and signed by both parties. No failure or delay by either party in exercising any right shall operate as a waiver of that right.

11. GOVERNING LAW; SEVERABILITY; ENTIRE AGREEMENT

This Declaration shall be governed by and construed in accordance with the laws agreed by the parties below. If any provision of this Declaration is held invalid or unenforceable, the remaining provisions shall remain in full force and effect. This Declaration, together with any appendices or schedules signed by the parties, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior understandings.

12. REPRESENTATION CONCERNING SANCTIONS AND ILLEGAL ACTIVITY

Declarant affirms that neither it nor any of its Beneficial Owners is currently subject to any sanctions or is domiciled in a jurisdiction that would reasonably prevent the Recipient from engaging in the relationship without breaching Sanctions Laws. Declarant further represents that to the best of its knowledge the funds involved do not derive from illegal activity, including but not limited to fraud, tax evasion, corruption, or trafficking.

CERTIFICATION

The undersigned hereby certifies, warrants and acknowledges on behalf of Declarant that the statements made in this Declaration are true, complete and accurate as of the date of signature, that the undersigned is authorized to make such certifying representations on behalf of Declarant, and that knowingly providing false information may result in civil or criminal penalties.

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