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Client/Group Name
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Advisor Name
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Referral Source
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Client Manager (if known)
Select
Hamish
Matthew
Jenny
Janine
David
Megan
Karl
Hilton
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What services are being provided? Please list services and any quote prices per service. For instance, 6 x GST prep @ $50 each
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Provisional Tax Basis
Select
Standard
AIM
Ratio
None
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Would the client like a Fixed Price Agreement per your quote above?
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For FPA, what deduction date would the client prefer?
Select
20th of the Month
30th of the Month
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Have you provided the client with a Direct Debit Form to sign?
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AML Risk Assessment Completed, please select relevant option below;
Select
Yes
N/A
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AML - A (Acting as a formation agent of company or Trust?)
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AML - B (Acting as Nominee Director/Shareholder/Trustee?)
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AML - C (Providing Registered Office or Business Address?)
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AML - D (Managing funds/linked to IRD?)
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AML - E (Giving instruction regarding Real Estate Transaction?)
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Length of Business Relationship
Select
Less than 12 months - Score 3
Between 1-3 years - Score 2
More than 3 years - Score 1
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Industry Risk Level
Select
High Risk - Score 3 eg. Cash intensive, importing/exporting, high value, construction, currency exchange,
Medium Risk - Score 2 eg. Automotive, Restaurant
Low Risk - Score 1 eg. Dairy Farm
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Any business dealing in these countries? Iran, Islamic Republic of; North Korea; Afghanistan; Myanmar; Syria; Russian Federation; Congo, the Democratic Republic of; Haiti; Yemen; Somalia; South Sudan; Mali; Libya; Turkey; Mozambique; Philippines; Nigeria; Iraq; Venezuela; Burundi; Lebanon; West Bank (Palestinian Territory, occupied); Gaza Strip; Tanzania; Cameroon; Central African Republic; Guinea Bissau; Vietnam; Panama; Burkina Faso; Niger; Cuba; Senegal; Kosovo
Select
Yes - Score 3
No - Score 1
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Any significant changes to the business?
Select
Yes - Score 3
No - Score 1
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Is client high-net worth? (Over $1mil liquidated assets)
Select
Yes - Score 3
No - Score 1
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AML - Risk Level (add all values together)
Select
LOW - Score 5-7 per Survey
MEDIUM - Score 8-10 per Survey
HIGH - Score 11+ per Survey
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AML - Nature & Purpose please complete all of the following questions
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Why has client decided to engage in services with Matley?
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What is the client’s occupation or industry type?
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What types of transactions does the client expect to conduct through Matley's trust account (if applicable)?
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What is the client’s expected value, volume and velocity of transactions?
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Does the client expect to send or receive transactions or funds from overseas?
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If you have recommended a Xero subscription to your client, what product have your recommended?
Select
No recommendation
Ledger
Non-GST Cashbook
GST Cashbook
Xero Starter
Xero Standard
Xero Premium
Other - See Comments
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Onboarding Charge - I have made the client aware of the Onboarding & AML Charge to meet AML, set up and basic Xero requirements. How much have you quoted for the onboarding & AML charge?
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General Notes
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Address
Send
Message Sent.
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