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| Subject:
Is Diane Glatfelter or this form a scam?
Category: Business and Money > Finance Asked by: beamergirl-ga List Price: $50.00 |
Posted:
29 Mar 2006 10:36 PST
Expires: 28 Apr 2006 11:36 PDT Question ID: 713219 |
Is K2 Unlimited, Inc. a scam? Is this form the beginning of an
identity scam? She sent me this form to fill out and
said she has a "grant program" for my investment opportunity.
CLIENT INFORMATION SHEET
In accordance with articles 2 and 5 of the Due Diligence and Federal
Banking Commission Circular of December 1999, concerning the
prevention of money laundering, and article 305 of the Swiss Criminal
Code, the following information may be supplied to banks and to
financial institutions for purposes of verification of identity and
activities of the investing member, and the nature and origin of the
funds which are to be utilized.
1. CLIENT'S NAME:
2. NATIONALITY:
3. PASSPORT NUMBER:
ISSUED BY:
4. ISSUE DATE:
5. DATE OF BIRTH:
6. PLACE OF BIRTH:
7. HOME ADDRESS:
8. HOME TELEPHONE:
HOME FAX:
9. COMPANY NAME:
10. REGISTERED OFFICE:
11. REGISTRATION NUMBER:
12. BUSINESS TELEPHONE:
CELLULAR PHONE:
FAX:
13. E-MAIL ADDRESS:
14. ATTORNEY:
15. MAILING ADDRESS:
16. COURIER ADDRESS:
17. NAME OF BANK: ssert als Road, Victoriville,
18. ADDRESS:
19. TELEPHONE:
FAX:
20. BANK OFFICER(S):
NAME AND TITLE:
ACCOUNT NUMBER:
Routing:
Swift:
ACCOUNT NAME:
17. FUNDS AVAILABLE FOR THIS TRANSACTION:
18. ORIGIN OF FUNDS:
19. ARE FUNDS FREE AND CLEAR?
20. BRIEF CORPORATE ACTIVITY:
21. I HEREBY SWEAR UNDER PENALTY OF PERJURY THAT THE
INFORMATION GIVEN ABOVE IS ACCURATE AND TRUE.
______________________________
AUTHORIZED SIGNATURE
PRINTED NAME:
TITLE:
DATE: | |
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