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TRUST REGISTRATION & AMENDMENTS FORM (Inter-Vivos)

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J401

REPUBLIC OF SOUTH AFRICA

TRUST REGISTRATION & AMENDMENTS FORM (Inter-Vivos)

Application Form Selections: Trust Registration Complete All Sections Bond of Security Amendments Complete Sections 1.1, 1.3, 8, 9

Trustee Amendments Complete Sections 1.1, 1.3, 6, 9 General Trust Amendments Complete Sections 1.1, 1.2*, 1.3, 3*, 4*, 5*, 9

Auditor Amendments Complete Sections 1.1, 1.3, 7, 9 Trust Copies Complete Sections 1.1, 1.3, 9

Other

* If applicable * A separate application form must be submitted for each amendment type

SECTION 1: SUMMARY DETAILS 1.1 TRUST NAME & FILE NUMBER

Trust Name

Trust File Number *

1.2 TRUST GENERAL DETAILS

Asset Location Source of Funds Road Accident Fund (RAF) Other

Probable Trust Duration Is Annual Audit Required? Yes No

No. of Trustees (Persons) (to be captured for this application) No. of Beneficiaries (RAF) Class Unknown No.

No. of Trustees (Organization) (to be captured for this application) No. of Mentally Incapacitated/ Minor Beneficiaries (RAF)

Minimum No. of Trustees Allowed (on the trust)

Maximum No. of Trustees Allowed (on the trust)

Is this a Court Order Application? Yes No

Court Name Case No.

FOR OFFICE USE ONLY Received By:

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Page 2 of 7 1.3 APPLICANT/AGENT DETAILS

Organisation Details (If Applicant is an Organisation) Organisation Name

Registration Number

Details of Contact Person/Organisation Representative

Surname Title

First Names

Nationality

ID No /OR Passport No

Preferred Method of Communication Preferred Method of Collection

Masters Office Box E-mail Masters Office Box Post

Collect By Hand Post Collect By Hand

Contact Details

Masters Office Box No Tel No Cell No Fax No

E-mail

Postal Address Address Line 1 Address Line 2

Province City/Town Postal Code

Physical Address

Mark here with an "X" if address is the same as above or capture your Physical Address Address Line 1

Address Line 2

Province City/Town Postal Code

Applicant's other roles on the Trust

Is Applicant a Trustee? Yes No Is Applicant the Main Contact for future Trust communication? Yes No

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SECTION 2: SUPPORTING DOCUMENTS (APPLICABLE FOR TRUST REGISTRATION)

Documents Submitted Number of Submitted Documents

Application Form (Mandatory) Yes No

Original or Certified Trust Deed (Mandatory) Yes No

Proof of Payment (Mandatory) Yes No

Acceptance of Trusteeship (Mandatory) Yes No

Trustee(s) Identification - Certified Copies of ID/Passport/Organisation Proof Of Registration (CK1) (Mandatory) Yes No Trustee(s) Representative Identification - Certified Copies of ID/Passport (Mandatory for Organisation Trustee(s)) Yes No

Beneficiaries Declaration Form (Mandatory) Yes No

Beneficiaries Identification - Certified Copies of ID/Birth Certificate/Passport/Organisation (CK1) (Mandatory for RAF) Yes No Beneficiaries Guardian Identification - Certified Copies of ID/Passport (Mandatory for RAF) Yes No Bond of Security/Proof of Exemption (If Applicable/ Mandatory for RAF) Yes No Undertaking by an Auditor/Accountant (If Applicable/Mandatory for RAF) Yes No

Final Certified Court Order (If Applicable) Yes No

Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No

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Page 4 of 7 SECTION 3: MAIN CONTACT DETAILS

Organisation Details (If Applicant is an Organisation) Organisation Name

Registration Number

Details of Contact Person/Organisation Representative

Surname Title

First Names Nationality

ID No /OR Passport No

Preferred Method of Communication Preferred Method of Collection

Masters Office Box E-mail Masters Office Box Post

Collect By Hand Post Collect By Hand

Contact Details

Masters Office Box No Tel No Cell No Fax No

E-mail

Postal Address Address Line 1 Address Line 2

Province City/Town Postal Code

Physical Address

Mark here with an "X" if address same as above or capture your Physical Address Address Line 1

Address Line 2

Province City/Town Postal Code

Main Contact’s other capacities on the Trust

Is Main Contact a Trustee? Yes No Is Applicant the Founder? Yes No

Is Main Contact an Auditor of this Trust? Yes No

SECTION 4: BANK DETAILS

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Page 5 of 7 SECTION 5: FOUNDERS DETAILS

FOUNDER 1

Organisation Details (If Founder is an Organisation) Organisation Name

Registration Number

Details of Founder/Organisation Representative

Surname Title

First Names

ID No /OR Passport No

Nationality Is Founder a Trustee? Yes No

FOUNDER 2

Organisation Details (If Founder is an Organisation) Organisation Name

Registration Number

Details of Founder/Organisation Representative

Surname Title

First Names

ID No /OR Passport No

Nationality Is Founder a Trustee? Yes No

FOUNDER 3

Organisation Details (If Founder is an Organisation) Organisation Name

Registration Number

Details of Founder/Organisation Representative

Surname Title

First Names

ID No /OR Passport No

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Page 6 of 7 SECTION 6:TRUSTEES SUMMARY

No. Trustee Type(*) Indi / Org

Trustee Full Name /Organisation Name ID/ Passport/ Registration

No

Representative Full Name Representative ID/ Passport

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15.

Trustee Types: Organisation/Individual Names must be written as on the ID / Passport

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Page 7 of 7 SECTION 7: AUDITOR’S DETAILS

Organisation Details (If Auditor is an Organisation) Organisation Name

Registration Number

Details of Auditor/Organisation Representative

Surname Title

First Names

Nationality

ID No /OR Passport No

Auditor’s Accreditation Details

IRBA SAIPA CIMA Accreditation No.

SAICA ACCA Other If Other, Specify

SECTION 8: BOND OF SECURITY (MANDATORY FOR RAF/ IF APPLICABLE)

Is Bond Security Required? Yes No Security Amount: R

If Bond Of Security is not required, provide reason for exemption

Provide Reason, If Security Amount is Less than Initial Value of Asset:

Financial Institution Policy / Reference Number

Initial Value Of Assets R (Only applicable for Registration)

SECTION 9: DECLARATION

I, the undersigned, confirm that the information provided above is accurate and will inform the Master of any changes that take place pertaining to the information provided above.

Date: / / Signature:

(C C Y Y / M M / D D)

References

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