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OTC TRANSACTION

ENTITY APPLICATION

Entity_Name *

Last Name

Email *

Entity Phone Number *

Registered Address *

Physical Address

Country / State of Incorporation *

Country / State of Domicile

Entity Type

Sole ProprietorshipPartnershipLLCCorporationOther

LabelProvide your EIN or equivalent

Nature of Business *

Attach your Articles of Incorporation, Interchangeable with other legal entity documents (Certificate of Incorporation, Certificate of Formation, or equivalent). *

Legal Names of All Directors *

Legal Names of All Officers *

Legal Names of All Shareholders with >= 20% Equity *

FinCEN Classification

(FinCEN Classification)

Entity is NOT a financial institutionEntity is a financial institution

Anticipated Monthly Volume of Transactions in Dollars *

Purpose of Transactions *

Bitcoin Address *

Individual Legal Name (Person1) *

Title

Phone Number *

Percent of Ownership *

Attach Gov't Issued ID *

Attach Selfie Photo *

Social Security Number

Confirm whether additional beneficial owners exist for the entity other than Person 1 *

No other beneficial owners exist for the entityAdditional beneficial ownership information is attached in an email

Security Question

Enter the numbers from the image above

Error

ALL TRANSACTIONS ARE IRREVERSIBILE; FUNDS SENT TO A WRONG ACCOUNT CANNOT BE RECOVERED BY METROFINO. For the best experience, use your own Bitcoin Wallet. Stay Vigilant and Buy Responsibly.

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Call: 347 NOW COIN (669-2646)

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