Identification Verification & Attestation Requirements For Individuals

Loan Number: / Property Address:

In order for the borrower(s) to open this mortgage account, and for MCAP to comply with Canada's Proceeds of Crime (Money Laundering) and Terrorist Financing Act (the "Act"), the identity of individuals must be verified, along with the existence and/ or involvement of any third parties. MCAP mandates you to ascertain the identity of each Borrower and Guarantor and to complete this form in full prior to the release of funds. Please note that by accepting the Commitment Letter, the Borrower(s) and Guarantor(s) have authorized the collection of personal information to be used to ascertain their identity in accordance with the requirements of the Act.

If there are more than two Borrowers or one Guarantor or one PEP, please use additional copies of this form.

How many forms have been completed for this loan? # of Forms: .

SECTION A: / ID VERIFICATION AND SOURCE OF PAYMENTS AND INTENDED PURPOSE
(Completion is MANDATORY for EACH Borrower and Guarantor)
Borrower #1:
Last Name / First Name / Middle Name
Date of Birth (DD/MM/YY) / Sex / Personal Phone Number: (Where you may be reached after the closing of this transaction)
Name of Employer / Occupation /Position (Fully Describe Job and Title)
Address of Employer (Location where you work)
Street City Province / Type of Income (Circle One)
Salary / Commission / Business / Pension /
Other (please state)
Type of Document (Refer to Exhibit 1 for acceptable forms of ID) / Document Number
Expiry Date (DD/MM/YY) / Place of Issue / Issuing Authority
Type of Document (Refer to Exhibit 1 for acceptable forms of ID) / Document Number
Expiry Date (DD/MM/YY) / Place of Issue / Issuing Authority
Source of Down Payment (only applies to Purchases):
With the purchase of this Property I am providing equity (down payment) in the amount of $ ______
The original source of equity (down payment, including deposits on offer) is from: ______
(Savings, Borrowed Funds, Gifted Funds, Sale of Property)
Borrower #2:
Last Name / First Name / Middle Name
Date of Birth (DD/MM/YY) / Sex / Personal Phone Number: (Where you may be reached after the closing of this transaction)
Name of Employer / Occupation /Position (Fully Describe Job and Title)
Address of Employer (Location where you work)
Street City Province / Type of Income (Circle One)
Salary / Commission / Business / Pension /
Other (please state)
Type of Document (Refer to Exhibit 1 for acceptable forms of ID) / Document Number
Expiry Date (DD/MM/YY) / Place of Issue / Issuing Authority
Type of Document (Refer to Exhibit 1 for acceptable forms of ID) / Document Number
Expiry Date (DD/MM/YY) / Place of Issue / Issuing Authority
Source of Down Payment (only applies to Purchases):
With the purchase of this Property I am providing equity (down payment) in the amount of $______
The original source of equity (down payment, including deposits on offer) is from: ______
(Savings, Borrowed Funds, Gifted Funds, Sale of Property)
Guarantor #1:
Last Name / First Name / Middle Name / Date of Birth (DD/MM/YY) / Sex
Name of Employer / Occupation /Position (Fully Describe Job and Title)
Address of Employer (Location where you work)
Street City Province / Type of Income (Circle One)
Salary / Commission / Business / Pension /
Other (please state)
Type of Document (Refer to Exhibit 1 for acceptable forms of ID) / Document Number
Expiry Date (DD/MM/YY) / Place of Issue / Issuing Authority
Type of Document (Refer to Exhibit 1 for acceptable forms of ID) / Document Number
Expiry Date (DD/MM/YY) / Place of Issue / Issuing Authority
SECTION B: / POLITICALLY EXPOSED PERSONS (Domestic and Foreign) “PEP”
(Completion is MANDATORY for EACH Borrower and Guarantor)
To the best of your knowledge, have you or any close relative or any close associate, ever held any of the following positions or offices in or on behalf of a country/ province/ state or Public Body, listed in 1 through 11 below?
Yes o No o / (If you answered yes, you are considered a PEP, please complete this section. If there is more than one PEP, please use additional copies of this form.)*
*It is a criminal offence to intentionally provide false information.
Note: a close relative means a spouse, civil union spouse or common-law partner, children/step children, siblings/half siblings/ step siblings of the borrower(s), biological/adoptive/step parent of the Borrower(s), biological/adoptive/step parent of spouse, civil union spouse or common-law partner.
Note: a close associate is any natural person who is known to have a joint beneficial ownership of legal entities or legal arrangements, or any other close business relations with PEP.
Note: a Public Body means an incorporated city, town, village, metropolitan authority, township, district, county, rural municipality or other incorporated municipal body; or an agent or mandatary of any of them.
1)  Head of State or Head of Government
2)  Member of Executive Council of Government
3)  Deputy Minister or Equivalent Rank
4)  Ambassador; or Attaché; or Counsellor of an Ambassador; or High Commissioner
5)  Military Officer with a rank of General or above
6)  President of a State-Owned Company or State Owned Bank / 7)  Head of a Government Agency
8)  Judge
9)  Leader or President of a Political Party represented in the Legislature
10)  Holder of any prescribed/elected office or position
11)  Head of an International Organization
If there is more than one PEP, please use additional copies of this form.
Borrower/ Guarantor Name / PEP’s Full Name
Relationship / Position Held / Office/ Institution/ Organization / Country Where Position Held
SECTION C: / DECLARATIONS
(Completion is MANDATORY for EACH Borrower and Guarantor)
Third Party Beneficiary Certification
I certify that the mortgage is for my/ our benefit and is not for the benefit of any undisclosed third party.
I further declare that the answers and statements given by me, to all the questions in Sections A and B of this form, are full, complete and true. I also acknowledge that when requested, I agree to provide updated identification documentation to MCAP to meet its regulatory obligations.
______
(Borrower #1 - Signature) (Date: DD/ MM/ YYYY)
______
(Borrower #2 - Signature) (Date: DD/ MM/ YYYY)
______
(Guarantor #1 - Signature) (Date: DD/ MM/ YYYY)
SECTION D: / SOLICITOR/ NOTARY/ AGENT ATTESTATION
(Completion is MANDATORY)
I certify that
1.  I have been appointed as solicitor/notary/agent of MCAP to verify the identity of the borrower(s)/guarantor(s); and
2.  I have personally met with each person named above and examined the original personal identification documentation disclosed herein, and certify that the name and photograph are those of the individual(s) I have met with; and
3.  The information in Section “A” matches the original personal identification documentation provided to me; and
4.  I have made reasonable efforts to ensure that the individual(s) who signed the Purchase and Sale Agreement/Offer to Purchase is the one and same individual(s) for whom I have verified the personal identity thereof; and
5.  Having made reasonable inquiries, I have no reason to believe the Borrowers are acting on behalf of any undisclosed third parties.
I will retain clear and legible copies of both sides of the identification examined. I will forward copies of the Primary Identification to MCAP prior to MCAP's release of funds, as well as clear and legible copies of the identification to MCAP with the Final Solicitor’s Report.
If this completed form and copies of required documentation is not received, mortgage funds will not be released.
Name: / Signature: / Telephone: / Date: (DD/MM/YYYY)
EXHIBIT 1: / ACCEPTABLE FORMS OF IDENTIFICATION
Each Borrower, Guarantor and Signatory, where applicable, must present to you for examination:
1. One piece of “Primary Identification” and one piece of “Secondary Identification” or
2. Two pieces of “Primary Identification
No other form of identification is acceptable. All identification must be original, valid, legible and in good condition. Each Borrower, Guarantor and Signing Officer, where applicable, is required to be physically present when you ascertain his or her identity.
Canadian Residents
NOTE:
1 In Quebec, never request a driver’s licence. Accept and record the number only if offered.
2 In Ontario, Manitoba, Nova Scotia and Prince Edward Island, the Provincial Health Card is NOT an acceptable form of identification. Please request another piece of Primary Identification. In Quebec, never ask to see a Health Card, if offered, record the particulars.

Return this completed form, ALONG WITH COPIES OF BOTH SIDES OF THE

“PRIMARY IDENTIFICATION” EXAMINED prior to release of funds.

Legible Copies are also to be returned with Solicitor’s Final Report.

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