This form contains 135 fields organized into 48 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Attachment Confirmation
Check this box when attached Checkbox
Check this box if you have attached a copy of the corporate records showing authority to bind the corporation regarding the transaction, as requested in section A.1, point 8. Fill only if 'Transaction Property Address' is filled
Depends on: Transaction Property Address
B.1 Third Party Reasonable Measures
Yes Checkbox
Check this box if the client states that the transaction is being conducted on behalf of a third party.
No Checkbox
Check this box if the client states that the transaction is not being conducted on behalf of a third party.
Reason for Suspecting Third Party Involvement Text
Provide a detailed explanation of why you believe your client may be acting on behalf of a third party. Fill only if 'No' is 'Yes'.
Max length: 59 characters
Depends on: No
Corporation Information
Name of Corporation Text
Enter the full legal name of the corporation. Fill only if 'Transaction Property Address' is filled
Max length: 143 characters
Depends on: Transaction Property Address
Corporate Address Text
Provide the complete street address of the corporation. Fill only if 'Transaction Property Address' is filled
Max length: 42 characters
Depends on: Transaction Property Address
Name of Directors Text
List the full names of all directors of the corporation. Fill only if 'Transaction Property Address' is filled
Max length: 32 characters
Depends on: Transaction Property Address
Nature of Principal Business Text
Describe the primary type of business or activities conducted by the corporation. Fill only if 'Transaction Property Address' is filled
Max length: 133 characters
Depends on: Transaction Property Address
Corporation/Entity Identification
Transaction Property Address Text
Please provide the complete address of the property involved in the transaction.
Max length: 41 characters
Sales Representative/Broker Name Text
Please enter the full name of the sales representative or broker associated with this record.
Max length: 127 characters
Date Date
Please enter the current date.
Max length: 170 characters
D.2. Measures Taken to Monitor Business Relationship and Keep Client Information Up-To-Date
Additional Monitoring Measures Text
Specify any measures taken to monitor the business relationship with the client, beyond simply keeping correspondence on file.
Max length: 39 characters
Enhanced High-Risk Client Measures Text
Document the enhanced measures applied to monitor the brokerage's business relationship with high-risk clients and keep their information up to date. Fill only if 'Client Risk' is 'high risk'
Max length: 39 characters
Depends on: Total Yes Score, Total No Score, Total Unknown/Possibly Score
Date Measures Taken
Date Measures Taken Date
Enter the date when the measures mentioned above were taken. Fill only if 'Able to ascertain the existence of an unrepresented entity' is 'No'
Max length: 116 characters
Description of Business Dealings
Business Dealings Description Text
Describe your business dealings with the client and include information that would help anticipate the types of transactions and activities the client may conduct.
Max length: 70 characters
Measures Taken to Confirm Existence
Asked for information to confirm existence Checkbox
Check this box if you asked the unrepresented entity for information to confirm their existence. Fill only if 'Able to ascertain the existence of an unrepresented entity' is 'No'
Other Checkbox
Check this box if you took other measures to confirm the unrepresented entity's existence and need to provide an explanation. Fill only if 'Able to ascertain the existence of an unrepresented entity' is 'No'
Other Measures Explained Text
Provide a detailed explanation of other measures taken to confirm the existence of the unrepresented entity. Fill only if 'Other' is 'Yes'.
Max length: 145 characters
Depends on: Other
Property Type for Purchase or Sale
Other Property Type Text
Please specify the type of property for the purchase or sale if it falls under the 'Other' category. Fill only if 'Other, please specify' is 'Yes'.
Max length: 137 characters
Depends on: Other, please specify
Land for Commercial Use Checkbox
Check this box if the agent is acting for the purchase or sale of land intended for commercial use.
Commercial property Checkbox
Check this box if the agent is acting for the purchase or sale of a commercial property.
Other, please specify Checkbox
Check this box if the agent is acting for the purchase or sale of a property type not listed above, and then specify the type.
Question 1: Previous Client Relationship
Yes Checkbox
Check this box if you previously worked with this client or had a relationship with them prior to this transaction.
No Checkbox
Check this box if you did not previously work with this client or have a relationship with them prior to this transaction.
Question 10: Transaction Unusualness
Yes Checkbox
Check this box if the transaction seems unusual in light of the client's business.
No Checkbox
Check this box if the transaction does not seem unusual in light of the client's business.
Question 11: Third Party Involvement
Yes Checkbox
Check this box if the transaction involves a third party.
No Checkbox
Check this box if the transaction does not involve a third party.
Possibly Checkbox
Check this box if it is possible that the transaction involves a third party.
Question 12: Non-Face-to-Face Verification
12. Did you verify the existence of the client in a non-face-to-face setting? – Yes Checkbox
Check this box if you verified the client’s existence in a non-face-to-face setting.
No Checkbox
Check this box if the client's existence was not verified in a non-face-to-face setting.
Question 13: Cash Deposit
Yes Checkbox
Check this box if the client provided some or all of the deposit in cash.
No Checkbox
Check this box if the client did not provide any of the deposit in cash.
Question 14: Past Transaction Unusualness
Yes Checkbox
Check this box if the transaction seems unusual in light of the client's past transactions with the brokerage.
No Checkbox
Check this box if the transaction does not seem unusual in light of the client's past transactions with the brokerage.
Question 15: Shell Company Appearance
Yes Checkbox
Check this box if the client appears to be a shell company.
No Checkbox
Check this box if the client does not appear to be a shell company.
Possibly Checkbox
Check this box if the client possibly appears to be a shell company.
Question 16: Cash-Intensive Business Operation
Yes Checkbox
Check this box if the client operates a cash-intensive business (e.g. a bar, club, laundromat, etc.) or offers online gambling.
No Checkbox
Check this box if the client does not operate a cash-intensive business (e.g. a bar, club, laundromat, etc.) or offer online gambling.
Possibly Checkbox
Check this box if it is possible the client operates a cash-intensive business (e.g. a bar, club, laundromat, etc.) or offers online gambling, but it is not certain.
Question 17: Other Unusual Circumstances
No Checkbox
Check this box if there is nothing else unusual about the client or the transaction.
Yes Checkbox
Check this box if there is something else unusual about the client or the transaction.
Question 2: Client Criminal History
Yes Checkbox
Check this box if, to your knowledge, the client has a criminal history in regards to illegal drug trafficking, bribery, fraud, forgery, murder, robbery, counterfeit money, stock manipulation, tax evasion and copyright infringement.
No Checkbox
Check this box if, to your knowledge, the client does not have a criminal history in regards to illegal drug trafficking, bribery, fraud, forgery, murder, robbery, counterfeit money, stock manipulation, tax evasion and copyright infringement.
Possibly Checkbox
Check this box if, to your knowledge, the client possibly has a criminal history in regards to illegal drug trafficking, bribery, fraud, forgery, murder, robbery, counterfeit money, stock manipulation, tax evasion and copyright infringement.
Question 3: Money Laundering Concern
Yes Checkbox
Check this box if there is a concern about money laundering or terrorist financing in the geographic location of the property, your brokerage location, or where the client is operating from.
No Checkbox
Check this box if there is no concern about money laundering or terrorist financing in the geographic location of the property, your brokerage location, or where the client is operating from.
Possibly Checkbox
Check this box if there is a possible concern about money laundering or terrorist financing in the geographic location of the property, your brokerage location, or where the client is operating from.
Question 4: Client Location Proximity
Yes Checkbox
Check this box if the client is situated within 10 km of an international border or 5 km of an international airport.
Client Risk Q5: Canadian corporation or entity – Yes Checkbox
Check this box if the client is a Canadian corporation or entity.
Question 5: Canadian Corporation Status
Yes Checkbox
Check this box if the client is a Canadian corporation or entity.
Unknown Checkbox
Check this box if it is unknown whether the client is a Canadian corporation or entity.
Question 6: Ministerial Directive Subject
Yes Checkbox
Check this box if the client is subject to a Ministerial Directive.
No Checkbox
Check this box if the client is not subject to a Ministerial Directive.
Question 7: High-Risk Country Connection
Yes Checkbox
Check this box if you are aware of any connection to the client and a high-risk country.
No Checkbox
Check this box if you are not aware of any connection to the client and a high-risk country.
Possibly Checkbox
Check this box if you are possibly aware of a connection to the client and a high-risk country.
Question 8: Identity Concealment Attempt
Yes Checkbox
Check this box if the client has attempted to conceal their identity in any way (e.g. use an intermediary like a lawyer, refuse to provide ID at any point, etc.).
No Checkbox
Check this box if the client has not attempted to conceal their identity in any way.
Question 9: Previous Suspicious Transaction Report
Yes Checkbox
Check this box if your brokerage has previously filed a suspicious transaction or terrorist property report on this client.
No Checkbox
Check this box if your brokerage has NOT previously filed a suspicious transaction or terrorist property report on this client.
Reasons Measures Were Unsuccessful
Unrepresented entity did not provide information Checkbox
Check this box if the measures taken to confirm existence were unsuccessful because the unrepresented entity did not provide the necessary information. Fill only if 'Able to ascertain the existence of an unrepresented entity' is 'No'
Other, explain Checkbox
Check this box if the measures taken to confirm existence were unsuccessful for a reason other than the unrepresented entity not providing information, and provide an explanation. Fill only if 'Able to ascertain the existence of an unrepresented entity' is 'No'
Other Unsuccessful Measure Reasons Text
Please explain in detail why the measures taken to confirm the entity's existence were unsuccessful, if not due to the unrepresented entity's failure to provide information. Fill only if 'Other, explain' is 'Yes'.
Max length: 146 characters
Depends on: Other, explain
Risk Score Row 1
Score 1 for Yes (Q1) Checkbox
Check this box if you answered 'Yes' to Question 1: 'Prior to this transaction, did you previously work with this client or have a relationship with them?'. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Score 2 for No (Q1) Checkbox
Check this box if you answered 'No' to Question 1: 'Prior to this transaction, did you previously work with this client or have a relationship with them?'. Fill only if 'No' is 'No'.
Depends on: No
Score 0 for Unknown/Possibly (Q1) Checkbox
Check this box if you selected 'Unknown/Possibly' for Question 1, though only 'Yes' or 'No' are directly offered as responses for Q1 in Part 1.
Risk Score Row 10
Yes Checkbox
This box should be checked if the answer to Question 10 in Part 1 was 'Yes'. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
No Checkbox
This box should be checked if the answer to Question 10 in Part 1 was 'No'. Fill only if 'No' is 'No'.
Depends on: No
Unknown/Possibly Checkbox
This box is not applicable for Question 10 and should not be checked.
Risk Score Row 11
Q11 Risk Score Yes Checkbox
Check this box if the transaction involves a third party, corresponding to a 'Yes' answer for Question 11 in Part 1. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Q11 Risk Score No Checkbox
Check this box if the transaction does not involve a third party, corresponding to a 'No' answer for Question 11 in Part 1. Fill only if 'No' is 'No'.
Depends on: No
Q11 Risk Score Possibly Checkbox
Check this box if there is a possibility that the transaction involves a third party, corresponding to a 'Possibly' answer for Question 11 in Part 1. Fill only if 'Possibly' is 'Possibly'.
Depends on: Possibly
Risk Score Row 12
Q12 Yes Score Checkbox
Check this box if the response to Question 12 in Part 1 was 'Yes'. Fill only if '12. Did you verify the existence of the client in a non-face-to-face setting? – Yes' is 'Yes'.
Depends on: 12. Did you verify the existence of the client in a non-face-to-face setting? – Yes
Q12 No Score Checkbox
Check this box if the response to Question 12 in Part 1 was 'No'. Fill only if 'No' is 'No'.
Depends on: No
Q12 Unknown/Possibly Score Checkbox
Check this box if the response to Question 12 in Part 1 was 'Unknown' or 'Possibly'.
Risk Score Row 13
Q13 Yes Score Checkbox
Check this box if the client did provide some or all of the deposit in cash for Question 13 in Part 1. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Q13 No Score Checkbox
Check this box if the client did not provide some or all of the deposit in cash for Question 13 in Part 1. Fill only if 'No' is 'No'.
Depends on: No
Q13 N/A Score Checkbox
Check this box if the 'Unknown/Possibly' option is not applicable for Question 13 in Part 1.
Risk Score Row 14
Q14 Yes Checkbox
Check this box if the answer to Question 14 in Part 1 is 'Yes', indicating the transaction seems unusual in light of the client's past transactions with the brokerage, to apply a score of 4. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Q14 No Checkbox
Check this box if the answer to Question 14 in Part 1 is 'No', indicating the transaction does not seem unusual in light of the client's past transactions with the brokerage, to apply a score of 0. Fill only if 'No' is 'No'.
Depends on: No
Q14 Unknown/Possibly Checkbox
Check this box if the answer to Question 14 in Part 1 is 'Unknown' or 'Possibly', indicating the transaction might seem unusual in light of the client's past transactions with the brokerage, to apply no score (N/A).
Risk Score Row 15
Q15 Yes Checkbox
Check this box if the client appears to be a shell company and you want to assign 5 points to the risk score for this response. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Q15 No Checkbox
Check this box if the client does not appear to be a shell company and you want to assign 0 points to the risk score for this response. Fill only if 'No' is 'No'.
Depends on: No
Q15 Unknown/Possibly Checkbox
Check this box if it is unknown or possibly that the client is a shell company and you want to assign 1 point to the risk score for this response. Fill only if 'Possibly' is 'Possibly'.
Depends on: Possibly
Risk Score Row 16
Q16 Yes Score Checkbox
Check this box if the client operates a cash-intensive business or offers online gambling, contributing 5 points to the risk score. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Q16 No Score Checkbox
Check this box if the client does not operate a cash-intensive business or offer online gambling, contributing 0 points to the risk score. Fill only if 'No' is 'No'.
Depends on: No
Q16 Unknown/Possibly Score Checkbox
Check this box if it is unknown or possibly that the client operates a cash-intensive business or offers online gambling, contributing 1 point to the risk score. Fill only if 'Possibly' is 'Possibly'.
Depends on: Possibly
Risk Score Row 17
Q17 Yes Score Checkbox
Select this option if your response to Question 17 in Part 1 was 'Yes'. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Q17 No Score Checkbox
Select this option if your response to Question 17 in Part 1 was 'No'. Fill only if 'No' is 'No'.
Depends on: No
Q17 Unknown/Possibly Score Checkbox
Select this option if your response to Question 17 in Part 1 was 'Unknown' or 'Possibly'.
Risk Score Row 2
Q2 Yes Checkbox
Check this box if your response to Question 2 in Part 1 was 'Yes'. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Q2 No Checkbox
Check this box if your response to Question 2 in Part 1 was 'No'. Fill only if 'No' is 'No'.
Depends on: No
Q2 Unknown/Possibly Checkbox
Check this box if your response to Question 2 in Part 1 was 'Possibly'. Fill only if 'Possibly' is 'Possibly'.
Depends on: Possibly
Risk Score Row 3
Yes Checkbox
Check this box if the answer to Question 3 in Part 1 was 'Yes' to indicate a concern about money laundering or terrorist financing. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
No Checkbox
Check this box if the answer to Question 3 in Part 1 was 'No' to indicate no concern about money laundering or terrorist financing. Fill only if 'No' is 'No'.
Depends on: No
Unknown/Possibly Checkbox
Check this box if the answer to Question 3 in Part 1 was 'Possibly' to indicate a potential concern about money laundering or terrorist financing. Fill only if 'Possibly' is 'Possibly'.
Depends on: Possibly
Risk Score Row 4
Yes Checkbox
Check this box if the client is situated within 10 km of an international border or 5 km of an international airport, corresponding to a 'Yes' answer for Question 4 in Part 1. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
No Checkbox
Check this box if the client is not situated within 10 km of an international border or 5 km of an international airport, corresponding to a 'No' answer for Question 4 in Part 1.
N/A Checkbox
This option is not applicable for Question 4, as there is no 'Unknown' or 'Possibly' answer choice in Part 1 for this question.
Risk Score Row 5
Yes (0 points) Checkbox
Check this box if the client is a Canadian corporation or entity. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
No (2 points) Checkbox
Check this box if the client is not a Canadian corporation or entity. Fill only if 'Client Risk Q5: Canadian corporation or entity – Yes' is 'No'.
Depends on: Client Risk Q5: Canadian corporation or entity – Yes
Unknown (1 point) Checkbox
Check this box if it is unknown whether the client is a Canadian corporation or entity. Fill only if 'Unknown' is 'Unknown'.
Depends on: Unknown
Risk Score Row 6
Q6 Yes Score 10 Checkbox
Check this box if the client is subject to a Ministerial Directive and the 'Yes' option was selected for Question 6 in Part 1, corresponding to a risk score of 10. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Q6 No Score 0 Checkbox
Check this box if the client is not subject to a Ministerial Directive and the 'No' option was selected for Question 6 in Part 1, corresponding to a risk score of 0. Fill only if 'No' is 'No'.
Depends on: No
Q6 Unknown/Possibly Score N/A Checkbox
Check this box if the 'Unknown/Possibly' option was selected for Question 6 in Part 1, indicating this category is not applicable for a risk score.
Risk Score Row 7
Q7 Yes Score 5 Checkbox
Check this box if the answer to question 7 in Part 1 is 'Yes', indicating awareness of a connection to a high-risk country, and a score of 5 should be added to the total risk score. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Q7 No Score 0 Checkbox
Check this box if the answer to question 7 in Part 1 is 'No', indicating no awareness of a connection to a high-risk country, and a score of 0 should be added to the total risk score. Fill only if 'No' is 'No'.
Depends on: No
Q7 Possibly Score 1 Checkbox
Check this box if the answer to question 7 in Part 1 is 'Possibly', indicating a possible awareness of a connection to a high-risk country, and a score of 1 should be added to the total risk score. Fill only if 'Possibly' is 'Possibly'.
Depends on: Possibly
Risk Score Row 8
Yes Checkbox
Check this box if the client has attempted to conceal their identity as per Question 8 in Part 1. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
No Checkbox
Check this box if the client has NOT attempted to conceal their identity as per Question 8 in Part 1. Fill only if 'No' is 'No'.
Depends on: No
Unknown/Possibly Checkbox
Check this box if it is unknown or possible that the client has attempted to conceal their identity as per Question 8 in Part 1.
Risk Score Row 9
Q9 Yes Checkbox
Check this box if the answer to Question 9 in Part 1 was 'Yes'. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Q9 No Checkbox
Check this box if the answer to Question 9 in Part 1 was 'No'. Fill only if 'No' is 'No'.
Depends on: No
Q9 Unknown/Possibly Checkbox
Check this box if the answer to Question 9 in Part 1 was 'Unknown' or 'Possibly'.
Risk Score Total
Total Yes Score Number
Enter the sum of all scores obtained from 'Yes' responses.
Max length: 9 characters
Total No Score Number
Enter the sum of all scores obtained from 'No' responses.
Max length: 9 characters
Total Unknown/Possibly Score Number
Enter the sum of all scores obtained from 'Unknown/Possibly' responses.
Max length: 15 characters
Third Party Record
Name of Third Party Text
Please enter the full name of the third party. Fill only if 'Is the transaction being conducted on behalf of a third party according to the client?' is 'Yes'.
Max length: 146 characters
Depends on: Yes
Third Party Address Text
Please provide the complete address of the third party. Fill only if 'Is the transaction being conducted on behalf of a third party according to the client?' is 'Yes'.
Max length: 161 characters
Depends on: Yes
Third Party Telephone Number Text
Please enter the telephone number of the third party. Fill only if 'Is the transaction being conducted on behalf of a third party according to the client?' is 'Yes'.
Max length: 147 characters
Depends on: Yes
Third Party Date of Birth Date
Please enter the date of birth of the third party, if applicable. Fill only if 'Is the transaction being conducted on behalf of a third party according to the client?' is 'Yes'.
Max length: 137 characters
Depends on: Yes
Third Party Principal Business or Occupation Text
Please describe the principal business or occupation of the third party. Fill only if 'Is the transaction being conducted on behalf of a third party according to the client?' is 'Yes'.
Max length: 56 characters
Depends on: Yes
Relationship to Client Text
Please describe the relationship between the third party and the client. Fill only if 'Is the transaction being conducted on behalf of a third party according to the client?' is 'Yes'.
Max length: 56 characters
Depends on: Yes
Registration or Incorporation Number and Jurisdiction Text
Please provide the registration or incorporation number, and the jurisdiction and country that issued it, if applicable. Fill only if 'Is the transaction being conducted on behalf of a third party according to the client?' is 'Yes'.
Max length: 177 characters
Depends on: Yes
Verification of Other Entity
Name of Other Entity Text
Enter the full legal name of the other entity being verified. Fill only if 'Name of Corporation' is not filled.
Max length: 143 characters
Depends on: Name of Corporation
Registration Number Text
Enter the official registration number of the other entity. Fill only if 'Source of Record' is an electronic version in a public database.
Max length: 143 characters
Depends on: Source of Record
Source of Record Text
State the specific source from which the verification record for the other entity was obtained, including whether it's paper or electronic. Fill only if 'Name of Corporation' is not filled.
Max length: 72 characters
Depends on: Name of Corporation
Address Text
Provide the complete physical address of the other entity. Fill only if 'Name of Corporation' is not filled.
Max length: 49 characters
Depends on: Name of Corporation
Nature of Principal Business Text
Describe the primary business activities or operations of the other entity. Fill only if 'Name of Corporation' is not filled.
Max length: 132 characters
Depends on: Name of Corporation
Type of Verification Record Text
Specify the type of record used to verify the other entity's information. Fill only if 'Name of Corporation' is not filled.
Max length: 132 characters
Depends on: Name of Corporation
Verification Record Details
Verification Record Type Text
Enter the specific type of document or record used for verification. Fill only if 'Transaction Property Address' is filled
Max length: 41 characters
Depends on: Transaction Property Address
Corporation Registration Number Text
Enter the official registration number for the corporation. Fill only if 'Verification Record Type' is an electronic version in a public database.
Max length: 123 characters
Depends on: Verification Record Type
Verification Record Source Details Text
Provide comprehensive details about the source of the verification record, including its format (paper/electronic), accessibility, and if electronic, its registration number, type, and URL (e.g., Corporation Canada's website). Fill only if 'Transaction Property Address' is filled
Max length: 178 characters
Depends on: Transaction Property Address