PARTNERSHIP MEMBERSHIP OPENING - REQUIRED DOCUMENTS
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1 PARTNERSHIP MEMBERSHIP OPENING - REQUIRED DOCUMENTS Member number Date / / When to use this form Use this form when a new membership is required for the following: Partnership (two or more individuals who have a formal partnership agreement) Registered Business where there is more than one Proprietor Documents - partnership Original or certified copy of Partnership Agreement OR Original or certified copy of Certificate of Registration of Business Name (if trading as a business) AND/OR Business Name Extract required if Certificate of Registration of Business Name is more than 30 days old (search fee applies if not supplied) Original or certified copy of Australian Business Register showing the ABN (if applicable) Identification requirements Should a Partner be an existing Heritage customer; details of their existing membership are to be recorded in the Partner Details section of the Membership Form. Should a Partner not be a Heritage customer; they will be required to provide identification which meets an Acceptable Identification Combination and all their details will need to be recorded in the Partner Details section of the Membership Form. Tax File Number Relevant Tax File Number for Membership Type (Whilst it is not compulsory to provide a tax file number, we recommend that it is supplied. If a tax file number is not provided, Heritage is required by law to deduct withholding tax from any interest earned above a certain threshold.) Page 1 of 7
2 PARTNERSHIP MEMBERSHIP APPLICATION FORM Member number Date / / Membership details - customer code Customer type: P - Partnership Is there a partnership agreement in existence or is the partnership name registered (y/n)? If no you must open an individual account. Do not complete this form. How many individual partners make up the partnership Existing membership / relationship Do you have an existing membership titled in the same name under which you would like to open this account (y/n)? If yes, list existing member number Referral information (Answer this question if you chose N above) Were any parties on this new membership referred to Heritage by a family member, friend or colleague (y/n)? If yes, enter the details of the member who referred you to Heritage. Referrer Member Number (if unsure, leave blank) Referrer Name Relationship Family Friend Colleague Signing instructions Number to sign on accounts of to sign Is there a special signing authority (y/n)? If yes, list position / party required to sign at all times Membership address details Membership mailing address State Postcode Membership address Partnership details Full name of partnership Business details - if partnership is trading as a business Full registered business name Partnership ABN Country where established Address of the partnership Property Unit/ flat # House # Street Street type Suburb State Postcode Page 2 of 7
3 Membership details continued Mailing address of the partnership Mailing address of the partnership State Postcode Partnership contact details Work Mobile Fax Partnership occupation details Main business activity Industry Nomination of primary contact List primary contact name Signature of authorised account opener/s By signing this Membership Application Form, I/we I/we agree agree to the to the following: To To be be bound by by the the Constitution of Heritage of Heritage Bank Bank Limited. Limited. Acknowledge To be bound having by the received terms and a copy conditions of Heritage s as outlined Privacy in Commitment the Guide to and Heritage consent Deposit to the collection, Products. use and disclosure of my/our personal information as set out in that document. That it is an offence under the Anti-Money Laundering and Counter-Terrorism Financing Act 2006 to make a false and misleading Any statement. tax file number I/We declare submitted that to the Heritage details will as apply shown to on all this existing form and are future complete accounts and accurate. opened under this membership. Under For my Heritage s personal Constitution, information Heritage to be collected, may charge used the and credit disclosed balance in of accordance my deposit with account Heritage s or any dividend, Privacy Policy. interest, This bonus includes or rebate verification payable of to me/us personal in respect information to any as debt required owed by me/us the Anti-Money to Heritage. Laundering and Counter-Terrorism Financing Act Heritage That any will tax request file number the personal submitted details will of apply all parties to all to existing the membership and future to accounts be confirmed, opened and under updated this if membership. changes occur, on a periodic basis as part The of signing its obligations instructions under on the this Anti-Money membership Laundering apply to and all accounts Counter-Terrorism and term Financing deposits Act under this member number and will remain in force The until full Heritage name, residential receives notice and postal in writing address, of occupation cancellation, and which telephone is signed number in accordance need to be with confirmed the signing for all individual instructions. parties to the membership. Parties Heritage may may confirm/update use my electronic their own or telephone details. details to communicate with me regarding details about my account. Heritage may also A send membership required mailing documents address change in . must be I understand made in accordance that in these with instances the signing paper instructions copy will for not the be membership. sent. I should check my s The regularly signing and instructions I can withdraw will extend this to consent all accounts at any and time. term If I deposits change my operated personal under details the above (for example member address number and or will remain address). in force I will until inform Heritage Heritage receives as soon notice as possible. in writing If you of cancellation do not wish thereof, to receive which s is signed from in Heritage accordance in relation with the to signing your account instructions. please tick here [ ] Signature of Authorised Account Opener Signature of Authorised Account Opener Branch Branch Stamp: Coded: Checked: Verification obtained (y/n)?: CSO Signature: Checking Officer Signature: use only NOTE: It is an offence under the Financial Transaction Reports Act 1988 and the Anti-Money Laundering and Counter-Terrorism Financing Act 2006 to give false and misleading information. Page 3 of 7
4 Partner details Partner One Existing relationship with Heritage Do you have an existing relationship with Heritage (y/n)? For example, do you have a membership or are you listed as a signatory on another membership If yes, list existing member number Personal details Title Surname Given names Commonly known as First school attended Mother s maiden name Date of birth Gender M/F Drivers licence ABN Residential address Property Unit/ flat # House # Street Street type Mailing address Mail address Contact details Home Work Mobile Other If other, relationship Specimen signature Signature of Partner One Page 4 of 7
5 Partner details continued Partner Two Existing relationship with Heritage Do you have an existing relationship with Heritage (y/n)? For example, do you have a membership or are you listed as a signatory on another membership If yes, list existing member number Personal details Title Surname Given names Commonly known as First school attended Mother s maiden name Date of birth Gender M/F Drivers licence ABN Residential address Property Unit/ flat # House # Street Street type Mailing address Mail address Contact details Home Work Mobile Other If other, relationship Specimen signature Signature of Partner Two Page 5 of 7
6 Partner details continued Partner Three Existing relationship with Heritage Do you have an existing relationship with Heritage (y/n)? For example, do you have a membership or are you listed as a signatory on another membership If yes, list existing member number Personal details Title Surname Given names Commonly known as First school attended Mother s maiden name Date of birth Gender M/F Drivers licence ABN Residential address Property Unit/ flat # House # Street Street type Mailing address Mail address Contact details Home Work Mobile Other If other, relationship Specimen signature Signature of Partner Three Page 6 of 7
7 PARTNERSHIP MEMBERSHIP OPENING - BRANCH CHECKLIST Member number Date / / Documents - partnership Are all the documents listed below that support the opening of this membership attached, certified and correct: Original or certified copy of Partnership Agreement Documents - business (if trading as a business) Original or certified copy of Certificate of Registration of Business Name AND/OR Business Name Extract if Certificate of Registration of Business Name is more than 30 days old Original or certified copy of Australian Business Register showing the ABN (if applicable) Membership application form Has the membership application form been completed in full, including the following: Has the membership application form been signed by the person/s authorised to open the membership in the Signature of Authorised Account Opener/s section in accordance with the signing instruction? Have the name and KyC information for all of the Partners been included on the application form? If there are more than three partners, has an Addition of Party form been completed for each of the additional partners? Has the Partnership ABN been provided (if any)? If the Partnership is not trading as a business, has a Tax File Number for the Partnership been provided (if any)? If the Partnership is trading as a business, has either a Tax File Number for the Partnership or the Business been provided (if any)? System Has the membership been opened correctly on the system, including the following: Is the membership titled correctly? Has the correct account type been opened? Have all partners been loaded as Authorised Signatories on the system? Has the Entity Screen been completed? Identification Have all parties to the membership been fully identified (eg the ID provided meets an Acceptable Identification Combination)? Has ID been loaded on the system for all parties? Cheque book and card Have notes been loaded into Prosper to order after BOPS have notified they have finalised checking the account? Checking Officer responsibilities Has the Membership Application been reviewed to ensure correctness? Are all required supporting documents attached? Note: The application form and supporting documents are to be scanned to MDSS and the ORIGINALS forwarded via internal mail to Banking Operations Department. Opening Officer Signature Checking Officer Signature Page 7 of 7
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