KYC Info Form - New Clients (ID #230163)We are updating our Know Your Client information in order to ensure we have the proper information for each client. Many have changed employers and have different incomes. In preparing paperwork we need to ensure we have the most up to date information for securities regulations.Please enable JavaScript in your browser to complete this form.Are you a new client of Wellington-Altus/Tower Wealth?YesNoPERSONAL INFORMATIONFull Name or Corporate Name: *Has any of your personal information below changed in the past year? *AddressEmploymentIncomeID expired? Upload you ID here.AddressAddress Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryEmployment:Income:ID expiration date:Attach Photo ID: Click or drag a file to this area to upload. Trusted Contact Would you like to appoint a Trusted Contact? *YesNoThis is someone your advisor can reach out to if he or she is concerned you are being financially exploited.Name of Trusted Contact:Relationship:Trusted Contact Information:Liquidity RequirementsDo you require any lump sums from your portfolio in the next 1 to 3 years? *YesNoHow much?Approximate Date:Account Specific Information – AssetsCash and Cash Equivalents: *Cash, in common language, means money (currency) in physical form. Cash equivalents are any highly secure financial asset that is liquid, i.e. can be readily converted into cash, such as high-interest savings accounts, short-term Guaranteed Investment Certificate (GICs), money market funds, treasury bills (T-bills), and other debt instruments with less than a year to maturity. Fixed Income Securities: *Fixed income refers to any type of investment that is not equity, which obligates the borrower/issuer to make payments on a fixed schedule, even if the number of the payments may be variable A common type of fixed income investment is a bond. Other common types are savings bonds, such as Canada Savings Bonds, and guaranteed investment certificates (GICs) issued by a variety of financial institutions. Equities: * An equity is a stock or any other security representing an ownership interest. The following are various classes of equities held individually or through a mutual fund: Common shares, Preferred shares, Hybrid Securities, Real estate investment trust, Split share corporation, Debenture, US equities, International equities, Emerging markets, Hedge funds, Flow-through shares, Warrants and Right, offerings, Limited Partnerships Alternative Securities: * An alternative investment is a financial asset that does not fit into the conventional equity/income/cash categories. Private equity or venture capital, hedge funds, real property, commodities, and tangible assets are all examples of alternative investments. Fixed Assets and Real Estate: * Assets like homes, land, vehicles, recreational vehiclesAccount Specific Information – LiabilitiesPersonal Loans & Credit Card Balances: *These are loans that are not secured by Assets Lines of Credit: *Typically, a Line of Credit is secured against an asset such as a HELOC (Home Equity Line of Credit. Mortgages: *A loan against a property Other (please specify): * Debts owed to non-institutional entities * open field is required Estimated Total Net Worth: * *For an existing client this number will change if Wellington-Altus/Tower Wealth Assets were excluded Full account information & Profile Full Name *FirstLastClient Birthdate *Client Address *Address Line 1CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryEmail *Client Home PhoneClient Cell PhoneClient Work PhoneDrivers License/Passport # *Drivers License/Passport Expiry Date *Attach Photo ID * Click or drag a file to this area to upload. Drivers License/PassportSIN Number *Social Insurance NumberVoid Cheque * Click or drag a file to this area to upload. Number of Dependants *Dependant(s) InformationFirst Name / Last Name / D.O.B / SIN # / Relationship / Male or FemaleEmployer's Name: *(If retired or unemployed, must list past employment)Job Type: *Position: *Employment Address: *Annual Income *Spousal InformationIs your spouse a current clientYesNoSpouse Name *FirstLastSpouse Birthdate:Employers Name:(If retired or unemployed, must list past employment)Employers Address:Spouse Job Type:Occupation:Spouse Annual IncomeSpouse Liquid Fixed Assets ($)Spouse Fixed Assets ($) Spouse Drivers License/Passport # Spouse Drivers License/Passport Expiry DateAttach ID (Spouse) Click or drag a file to this area to upload. Trusted ContactWould you like to appoint a Trusted Contact? *YesNoThis is someone your advisor can reach out to if he or she is concerned you are being financially exploited.Name of Trusted Contact:Relationship:Trusted Contact Information:Liquidity RequirementsDo you require any lump sums from your portfolio in the next 1 to 3 years? *YesNoHow much?Approximate Date:Account Specific Information – AssetsCash and Cash Equivalents: *Cash, in common language, means money (currency) in physical form. Cash equivalents are any highly secure financial asset that is liquid, i.e. can be readily converted into cash, such as high-interest savings accounts, short-term Guaranteed Investment Certificate (GICs), money market funds, treasury bills (T-bills), and other debt instruments with less than a year to maturity. Fixed Income Securities: *Fixed income refers to any type of investment that is not equity, which obligates the borrower/issuer to make payments on a fixed schedule, even if the number of the payments may be variable A common type of fixed income investment is a bond. Other common types are savings bonds, such as Canada Savings Bonds, and guaranteed investment certificates (GICs) issued by a variety of financial institutions.Equities: *An equity is a stock or any other security representing an ownership interest. The following are various classes of equities held individually or through a mutual fund: Common shares, Preferred shares, Hybrid Securities, Real estate investment trust, Split share corporation, Debenture, US equities, International equities, Emerging markets, Hedge funds, Flow-through shares, Warrants and Right, offerings, Limited PartnershipsAlternative Securities: *An alternative investment is a financial asset that does not fit into the conventional equity/income/cash categories. Private equity or venture capital, hedge funds, real property, commodities, and tangible assets are all examples of alternative investments.Fixed Assets and Real Estate: *Assets like homes, land, vehicles, recreational vehiclesAccount Specific Information – LiabilitiesPersonal Loans & Credit Card Balances: *These are loans that are not secured by AssetsLines of Credit: *Typically, a Line of Credit is secured against an asset such as a HELOC (Home Equity Line of Credit.Mortgages: *A loan against a propertyOther (please specify): *Debts owed to non-institutional entities * open field is requiredEstimated Total Net Worth: **For an existing client this number will change if Wellington-Altus/Tower Wealth Assets were excludedSubmit