Declaration of Source of Wealth & Source of Funds Form

Summary

This document is a standard CIMA form used to collect a declaration of an applicant's source of wealth and source of funds as part of the Cayman Islands Monetary Authority's due diligence process. It is not a regulation or policy statement but a fillable form that applicants complete and submit to CIMA to satisfy the Authority's regulatory requirement to verify the legitimacy of funds and wealth associated with an application.

• Part A: The applicant(s) declare the source of their wealth.
• Part B: The applicant(s) declare the source of their funds.
• Confirmation: The applicant(s) must confirm that the declared funds are derived from legitimate sources.
• Evidence: The applicant(s) agree to provide documentary evidence if CIMA requests it.
• Signature: The applicant(s) must sign and date the declaration confirming the details are true.

Because this is a fill-in form rather than a rule or notice, it does not itself state to whom it applies beyond referring generically to 'an applicant.' It is presumably issued to individuals or entities applying for a CIMA licence, registration, or approval where source of wealth/funds verification is part of the application process.

Key obligations

• Complete the Declaration of Source of Wealth & Source of Funds form in its entirety and return it to CIMA
• Declare the source of wealth in Part A of the form
• Declare the source of funds in Part B of the form
• Confirm that the declared funds are derived from legitimate sources
• Agree to provide documentary evidence of source of wealth/funds if requested by CIMA
• Sign and date the declaration confirming the truthfulness of the details provided

Applies to

applicants (individuals or entities applying to CIMA for licensing/registration or similar approval)