ENGLISH AFRIKAANS

Trust Information Form

Please read the instructions carefully and complete as fully as possible. Write in block capitals and tick the appropriate boxes where required or delete as appropriate. Use extra sheets if the space provided is not sufficient.

Name of Trust
Purpose of establising the Trust
Founder’s full names
ID number
Founders Address
Relationship to Trustees
Type of Trust

Special instructions (if any)
Letter of Wishes Required

Trustees' Information

1

Full Name
Occupation
Identity Number
Physical Address
Email Address

2

Full Name
Occupation
Identity Number
Physical Address
Email Address
Trustee on any other Trust?

3

Full Name
Occupation
Identity Number
Physical Address
Email Address
Trustee on any other Trust?

4

Full Name
Occupation
Identity Number
Physical Address
Email Address
Trustee on any other Trust?

Beneficiary Information

1

Full Name/Entity
Identity Number/IT Number/Reference Number
Relationship to settlor
Relationship to Trustees
Type of Beneficiary

2

Full Name/Entity
Identity Number/IT Number/Reference Number
Relationship to settlor
Type of Beneficiary

3

Full Name/Entity
Identity Number/IT Number/Reference Number
Relationship to settlor
Type of Beneficiary

4

Full Name/Entity
Identity Number/IT Number/Reference Number
Relationship to settlor
Type of Beneficiary

5

Full Name/Entity
Identity Number/IT Number/Reference Number
Relationship to settlor
Type of Beneficiary

6

Full Name/Entity
Identity Number/IT Number/Reference Number
Relationship to settlor
Type of Beneficiary

DECLARATION

  • I/We hereby confirm and certify that to the best of my/our knowlegde and belief that the information given above is complete and correct and that any estimates given above have been made in good faith
  • I/We confirm that I/We am/are the sole owner of the assets which are being settled and that no third party rights exist thereon and that any asset owned or introduced into the Trust has been owned or introduced lawfully and is not derived from or otherwise connectec with an illegal activity.
  • I/We hereby confirm and certify, to the best of my/our knowlegde and belief that I/we or note of beneficial owners(s), settlers(s), donor(s) and beneficiaries of the Trust have ever been convicted in a Court of Law for a criminal offence, penalized, sanctioned, declared bankrupt, is currently or have ever been under investigation for professional negligence or malpractice by any regulatory authority in any country.

INSTRUCTIONS TO FOUND A TRUST

We/I hereby appoint LDP Trust Company (Pty) Ltd as our/my agent and request that a Trust Deed be prepared and registered with the Master of the High Court on my/our behalf. We/I confirm that the details of this Application are correct.

TRUST FORMATION FEE:  R4000.00 + VAT + R100 STAMP DUTY

FINANCIAL INTELLIGENCE CENTRE ACT (FICA)

Please be advised that we will not process this application unless we receive all the documents as detailed below, where applicable. Thank you for your co-operation.

1. Trustees

  1. Passport or ID clearly showing specimen signature, passport expiry date and photograph of bearer.
  2. Confirmation of permanent residential address e.g. Recent utility bill or bank statement or credit card statement (not older than 6 months) – Original or certified copy

2. Beneficiaries

  • Passport or ID clearly showing specimen signature, passport expiry date     and photograph of bearer
  • Confirmation of permanent residential address e.g. Recent utility bill or bank statement or credit card statement (not older than 6 months) – Original or certified copy

LDP TRUST COMPANY (PTY) LTD

10 Helderberg Street
De Waterkant Building
Stellenbosch
7600
Tel:  021 888 5600