Enter an ABN and the organisation name will be retrieved from the Australian Business Register.
Primary Place of Business
Enter the organisation’s physical business address. This cannot be a PO Box.
Structure Options
If yes, GoEscrow may request additional information. If ABN Lookup indicates a trust/trustee entity, the “As Trustee For” answer will default to Yes, but you may change it if that is not correct.
Trust Documents
ABN Lookup indicates this may be a trust or trustee entity. GoEscrow is likely to request copies of the relevant trust deed and any trust amendment documents. If these documents are not on hand now, it is okay to submit the application and provide them later if requested.
You may upload multiple documents. Use the button below to add another upload row for trust deeds, variations, trustee appointment documents or other supporting trust documents.
Add another trust document
C. Directors and Beneficial Owners
Please list directors and beneficial owners. i A beneficial owner is a person who owns 25% or more of the organisation directly or indirectly. You do not need to list every shareholder, only those who own 25% or more, if any.
Director or Beneficial Owner 1
Director or Beneficial Owner 2
Director or Beneficial Owner 3
Clear
Director or Beneficial Owner 4
Clear
Director or Beneficial Owner 5
Clear
ADD
D. Bank Deposit Details
When acting as a seller or when receiving refunds we will settle money to your organisation's bank account.
You may provide that now, or it can be updated later in the GoEscrow Apps.
The bank account name should closely match the organisation's name or a registered business or trading name. Please select the name that matches the BSB and account number provided.
E. Source of Funds and Wealth
For transactions above $25,000.00, GoEscrow may request information regarding your financial situation. You may optionally submit this information now.
Typical transaction value range
Select... $0-$10,000 $10,000-$25,000 $25,000-$250,000 $250,000-$1,000,000 $1,000,000-$10,000,000 $10,000,000+ Highly Variable Prefer not to say
Will any third party provide funds? i Select Yes if third parties other than the GoEscrow account holder or named transaction parties may make direct payments into the escrow transaction accounts on your behalf.
Select... No Yes Unsure
What is the third party’s relationship to you or the entity?
Select... Spouse / partner Family member Household member Employer Work colleague Friend Business associate Director / shareholder / beneficial owner Related company or related trust Customer / client Lender / finance provider Professional adviser, lawyer, accountant or conveyancer Other
Are any funds expected to come from outside Australia? i Select Yes or Unsure if any money may come from outside Australia. This helps GoEscrow understand whether escrow payments may have an overseas source.
Select... No Yes Unsure
Are any funds expected to come from cash deposits or digital assets / cryptocurrency? i Select Yes or Unsure if the funds may originate from cash deposits, digital assets or cryptocurrency. This helps describe the type of funds that may be used with GoEscrow.
Select... No Yes Unsure
Approximate annual turnover band
Select... Up to $100,000 $100,000-$250,000 $250,001-$1 million $1 million-$5 million $5 million+ Prefer not to say
Are you acting for another person or entity? i Select Yes if you are completing this information for, or acting on instructions from, another person or entity.
Select... No Yes
Any bankruptcy, insolvency, freezing order or similar restriction? i Select Yes or Unsure if there is any bankruptcy, insolvency, freezing order, court order or similar restriction that may affect funds or authority to transact.
Select... No Yes Unsure
Anything unusual about the source of funds or wealth GoEscrow should know? i Use this optional field for anything GoEscrow should know about the source of funds or wealth that may not be obvious from the answers above.
F. Authority and Execution
This ABN already has an account with GoEscrow. This form is not required.
This form is presented by Globalclouds, a GoEscrow referral partner. The escrow payment service is provided and administered by GoEscrow Pty Ltd. Information submitted through this form is provided directly to GoEscrow. Globalclouds does not provide the escrow service, hold or control escrow funds, bind GoEscrow, or determine transaction, settlement, refund or dispute outcomes.
I authorise GoEscrow Pty Ltd ACN 650 709 354 to create an account in our organisation's name. I consent to my information being checked with the document issuer or official records holder via third party systems for the purpose of confirming my identity. I have read, understood and agree to the Terms Of Use Agreement and have read and understood the Product Disclosure Statement and Financial Services Guide .
This Escrow Agreement is executed for and on behalf of:
By:
I confirm I am the applicant
I confirm the information supplied is true, accurate and complete.
Digital signature acknowledgement.
SUBMIT
