Fluz Additional Owners Information Sheet Feb2022

Fluz Business Accounts - Additional Owners

Please complete this form to submit the information on any additional owners referenced on the business account application form. We will need the information for each owner with more than 10% in the company.

Email Address*

First Name*

Last Name*

Owner Information

Please submit the details of the beneficial owner of the entity listed above.

Owner Full Legal Name*

Ownership Percentage*

Job title

Owner Since*

Year/Month/Day

Government ID*

Government ID Issued By*

Government ID Number*

Company name

Fluz Business Accounts - Additional Owners

Company Information

Owner Information