KYB — Business AML Form — Crown Payroll Services

This form is for all business clients — limited companies, LLPs, partnerships, sole traders, charities, and other entities. A separate KYC form is also required for each individual requiring CDD (directors, UBOs, partners).

Fields marked * are required.

Business Details

Full legal business nameRequired

Trading name (if different to legal name)

Business email addressRequired

Legal structure Required

Date business startedRequired

Companies House Registration No.

Required for limited companies, LLPs, and CICs

Registered business address (including post code)Required

Is your business registered for VAT?

Yes — provide VAT number below No — not required No — I need to register

Please select an option

VAT registration numberRequired

Does the business have a PAYE scheme?

Yes — registered with HMRC No — not required No — I need to register

Please select an option

PAYE reference

Accounts Office reference

Business UTR

Only if the entity has its own UTR — do not enter a personal UTR as this is collected separately via the KYC form

Principal contact

The main person Crown Payroll Services will deal with for this business. They are automatically an authorised contact. You can add any additional authorised contacts later in this form (Section 10).

Principal contact — full nameRequired

Principal contact — role / positionRequired

Principal contact — emailRequired

Principal contact — phoneRequired

Address Verification

If your trading address differs from your registered address, please provide proof of trading address dated within the last 3 months — utility bill, lease agreement, bank statement, or HMRC correspondence.

Do you trade from a different premises than your registered business address?

The registered address is the official address on Companies House / your registration. The trading address is where the business actually operates from, if different.

Yes No — same as registered address

Please select an option

Trading address (including post code)

Proof of trading address

Yes — will be provided Not required — trading address same as registered address

Please select an option

Upload proof of trading address

Utility bill, lease agreement, bank statement, or HMRC correspondence dated within the last 3 months. Accepted formats: PDF, JPG, PNG. Max 10MB.

Please upload proof of trading address

Do you have more than one branch or location?

Yes No

Please select an option

Details of all branches (address and primary activity)

Ownership & Control

Under MLR 2017 we are required to identify all UBOs holding 25% or more, and all directors, partners, or responsible persons. Each individual will also need to complete a separate KYC form.

Shareholders / UBOs with a holding of 25% or more

How many UBOs hold 25% or more?

Directors / Partners / Responsible Persons

How many directors / partners / responsible persons?

Services Requested from Crown Payroll Services

Required under Reg. 28(2) of the Money Laundering Regulations 2017 — we must understand the purpose and intended nature of the business relationship before onboarding can proceed.

Services you are engaging Crown Payroll Services for (tick all that apply)

Purpose and intended nature of the business relationship

Briefly describe why you are engaging Crown Payroll Services and what the ongoing relationship will involve

Required

Source of Funds & Wealth

Main source of funds for transactions with Crown Payroll ServicesRequired

Are any funds paid to us coming from a third party (not from the business's own bank account)?

Yes No

Please select an option

Third party name, relationship to the business, and reason

Origin of overall wealth of the businessRequired

Estimated annual turnover (£)Required

Expected typical transaction size (£)Required

Expected changes in the next 12 months (tick all that apply)

Significant change in turnover Entry into new geographic markets Launch of new products / services Acquisition or merger activity Corporate restructuring Change in ownership or control None of the above

International & Geographic Activity

Do you make or receive payments to or from outside the UK?

Select Yes if money is sent to or received from outside the United Kingdom — e.g. paying overseas suppliers or staff, or receiving payments from clients based abroad. This includes payments in any currency, including in a foreign currency.

Yes No

Please select an option

Which countries and currencies are involved, and for what purpose?

Will you use third-party payments or intermediaries?

A third party or intermediary is anyone who pays or receives money on the business's behalf, rather than the business dealing directly — e.g. an agent, broker, or another company handling funds for you.

Yes No

Please select an option

Who and why

Do you operate in any countries other than the UK?

Select Yes if the business has offices, employees, clients, or trading activity outside the United Kingdom.

Yes No

Please select an option

Which countries do you operate in?

Do you have any dealings with high-risk or sanctioned jurisdictions?

High-risk or sanctioned jurisdictions are countries subject to enhanced monitoring or sanctions (e.g. those on the FATF or UK sanctions lists). Select Yes if the business trades with, sends money to, or receives money from any such country.

Yes No

Please select an option

Country, nature, and frequency of dealings

Politically Exposed Persons (PEP)

Important: If you answer Yes to either question below, Enhanced Due Diligence will be required before onboarding can proceed. Please continue completing the form — Crown Payroll Services will be in touch regarding the additional checks and MLRO approval required. Being a PEP does not automatically prevent engagement.

A PEP is someone entrusted with prominent public functions — heads of state, government ministers, senior judges, ambassadors, senior military, or senior executives of state-owned enterprises. This includes family members and known close associates. This is a business-level declaration; each individual will also confirm their own PEP position on their KYC form.

Are any directors, partners, shareholders/UBOs or controlling persons a PEP?

Yes No

Please select an option

Are any family members or close associates of those listed above a PEP?

Yes No

Please select an option

Please provide full details

Include the individual's full name, their role or relationship to the business, the public function they hold or held, and the country in which they are or were a PEP

Compliance Declarations

These questions relate to the business and to all directors, partners, UBOs, and controlling persons. Answer Yes if any of these apply to any individual or entity associated with the business. This is a business-level declaration; each individual will also confirm their own position on their KYC form.

Has the business or any controlling person ever been convicted of financial crime?

Yes No

Please select an option

Has the business or any controlling person ever been subject to investigation, or currently under investigation?

Yes No

Please select an option

Has the business or any controlling person ever been involved in regulatory action?

Yes No

Please select an option

Has the business ever entered insolvency, or has any controlling person been declared bankrupt or subject to an IVA / DRO?

Yes No

Please select an option

Please provide full details

Authorised Contacts

The principal contact named in Section 1 is automatically an authorised contact. List below any additional people (other than the principal contact) who are authorised to give instructions to Crown Payroll Services on behalf of this business. If there are no additional authorised contacts, leave this section blank.

Full name

Role / title

Email address

Document Uploads

Note: Identity documents for UBOs, directors, partners, and trustees are collected separately via the individual KYC forms. Upload any additional business documents below.

Additional supporting documents (if applicable)

e.g. certificate of incorporation, partnership agreement, trust deed, charity registration certificate, or any other relevant documents. Accepted formats: PDF, JPG, PNG. Max 10MB per file.

Declaration

I confirm that I am authorised to provide this information on behalf of the business named above, and that the information provided is true, accurate, and complete to the best of my knowledge. I agree to provide supporting documentation where required and understand that Crown Payroll Services may carry out identity verification, beneficial ownership, sanctions, PEP and adverse media checks (including via Veriphy or another third-party electronic verification provider) in accordance with UK Money Laundering Regulations and CCAB AML Guidance for the Accountancy Sector. I consent to the personal data of relevant individuals being shared with Veriphy or another third-party electronic identity verification provider for the purpose of completing AML checks. I understand that Crown Payroll Services is required to carry out ongoing monitoring of the business relationship and may periodically request updated information, documentation, or re-verification of identity as part of that process. I consent to the personal data of relevant individuals being processed for these purposes in line with Crown Payroll Services' Privacy Notice and UK GDPR.

I confirm and agree to the declaration above

Print full nameRequired

Position / role in the businessRequired

DateRequired

Electronic Signature

Draw your signature below to confirm your submission

Your signature confirms that you have provided this information authorised by the business. The submission will be timestamped and recorded for audit purposes.

Crown Payroll Services Ltd | AML Policy May 2026 | IAB Supervised | MLRO: Dean Ainslie
MLR 2017 (as amended) | Regulation 40 — retain for 5 years from end of business relationship

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