Eduardo B. Aguilar & Associates

Seller Due Diligence Form

The Financial Intelligence Unit of Belize requires real estate transactions to comply with Belize’s Anti-Money Laundering Regulations. Please complete this form as accurately as possible.

Complete the form below and submit it directly to our office. Please have your supporting documents ready for review.

B. Personal Information

First nameMiddle nameSurname

Maiden nameAlso known asNationalityDual citizenshipIf yes, countryMobile numberEmail

Current addressMailing address

Secondary contact

Contact personNumberEmail address

C. Source of Funds

Primary source of incomeBriefly describe what you doIf retired, prior occupation

Employment or business details

Company or business nameType of businessPosition heldLength of employment or ownershipPhoneWebsite or emailLocation or address

D. Ownership Details

Are you the sole beneficial owner?Other person(s) with interestHow are they affiliated to you?

E. Politically Exposed Person (PEP)

Are you, a beneficial owner, or a related party a Politically Exposed Person (PEP)? A PEP is an individual who is or has been entrusted with a prominent public function in Belize, a foreign country, or an international organization, and includes immediate family members and close associates.

Is any party to this matter a PEP?

PEP category	Prominent public functions / relationships
Domestic (Belize) PEP or Foreign PEP	Head of State/Government, Ministers or Senior Politician; high-ranking armed forces member; law enforcement officer above sergeant; Ambassador / Chargés d'affaires; senior judicial officer; judge or magistrate of the High Court or Court of Appeal; Permanent Secretaries or CEO; member of courts of auditors or board of central banks; important political party official; board member, CEO, or senior official of a government-owned or controlled entity.
By an International Org. PEP	Member of a board or governing body; senior management; director or deputy director of an international organization.
Family member of a PEP	Spouse or common-law partner; child of the PEP or the child's spouse or partner; parent, brother, or sister; grandparent or grandchild.
Close associate to a PEP	Sole beneficial ownership of a legal entity or arrangement for the benefit of the PEP; substantial financial transactions on behalf of the PEP; joint beneficial ownership; or a close business relationship.

If yes, complete the information below for each person who is a PEP.

Name of the PEPPEP categoryProminent public functionRelationship to the PEP (if applicable)

Title / Ownership

Is the title or ownership in your possession?If not, where is it?

F. Release of Funds

Funds should be directed toName of alternate recipient or entityYour affiliation with the recipient

G. Supporting Documents

A valid ID: a clear, color copy of your passport or Belize Social Security card with photo identification and signature.
Proof of address: a recent utility bill, driver license, or statement clearly displaying your name and address.
For companies: latest annual return and certificate of good standing.

H. Indemnification

That I and all parties related to this transaction acting on my behalf are not involved, to the best of my knowledge, in any illegal or illicit activities. I assure Eduardo B. Aguilar & Associates that the recipient of the proceeds of the sale is of legitimate background and status.

That the information provided herein is not intended to defraud, harm, or cause any party to this transaction to become unknowingly involved in any illegal or corrupt conduct. I agree to hold harmless and indemnify Eduardo B. Aguilar & Associates and all its affiliates, representatives, and industry partners against claims, losses, liabilities, or settlements arising from reliance on information that proves untrue, materially inaccurate, or knowingly withheld.

I have read and understand the above-mentioned and will provide any information needed to further complete this closing.

I confirm that I have read and agree to this declaration.

Seller / beneficial owner signature (type full name)Date

Signature