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Anti-Money Laundering Campaign Form for Businesses

Customer Information Instructions

Scientific Converter Recycling LLC is required by law, by corporate policy, and by good business practice to identify and know our customers, and to ensure that our transactions with them meet high standards of integrity. Accordingly we require customers to provide the following information and certification, as a condition to doing business.

The following Customer Identification Form seeks basic information that identifies a customer, and that permits Scientific Converter Recycling LLC to verify that information, to check with third parties, and to make contractual commitments. Scientific Converter Recycling LLC requires that all applicable information requested in this form be provided.

For each natural person who is identified as a customer, or as an owner (ten percent or greater) or general partner of a customer, Scientific Converter Recycling LLC requires a copy of a current government-issued photo identity document, such as a passport or driver’s license. This document must show the issuing government, document number, dates of issue and expiration, date of birth and signature of the individual, and a clear photograph.

For each customer that is a business corporation that is not incorporated in the United States, Scientific Converter Recycling LLC requires a notarized copy of the Articles of Incorporation of the company.

Company Information

If you have moved in the last 3 years

Business Information

Type of Company *
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Key Officers Information

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Attach scan/copy. File should be JPG, PNG, or PDF. File size limit: 10 MB
If your company has more than two owners/shareholder, please list the remaining individuals here.

Foreign Businesses

If you are a business located outside of the United States, please provide us with copies of your articles of incorporation and any other business documents that you are required to have under the laws of your local government. Additional Corporate Documentation Attachments should be in PDF format. Email scan/copy as attachment below.

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Attach scan/copy. File should be PDF. File size limit: 10 MB
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Attach scan/copy. File should be PDF. File size limit: 10 MB
Anti-Money Laundering (AML) Compliance Requirement. Please select one: *
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Attach scan/copy. File should be PDF. File size limit: 10 MB

Transaction Information

Please describe what your company does.
Please give us a brief description of your transaction with us (i.e., sale of excess/old inventory, sale of investments, refining of production scrap, etc.)
Please describe the source of the material you have for refining and brief explanation of how it was obtained.
How did you obtain this material?

Trade References

Please Provide a Trade Reference

Bank/Financial Institution Information

Enter your Bank/Financial Institution Information

Agree to Terms

By checking this box, I warranty to Specialty Metals Smelters & Refiners, LLC that any products or materials I submit for smelting, refining and purchase is with good legal title. *YOU MUST AGREE TO THE TERMS TO PROCEED.
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