Carrera Casting Corp.
64 West 48th Street | 2nd Floor
New York, NY 10036-1708
Phone: (800)360-2339 | (212)869-8762
Fax: (212)768-9124
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Form of Business: Corporation | | L.L.P | | Sole Proprietorship | | L.L.C | |
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Customer Certification
The undersigned company representative certifies that the information provided in response to the above is true and
accurate, and that if such information should change, the representative will promptly advise Carrera Casting Corp.
of said changes.
_______________________ _______________________
Signature Title
_______________________ _______________________
Print Name Date
Carrera Casting Corp.
64 West 48th Street | 2nd Floor
New York, NY 10036-1708
Phone: (800)360-2339 | (212)869-8762
Fax: (212)768-9124
AML/Patriot Act
I, ___________________________(company) hereby acknowledges that Carrera Casting Corp.
and it's related companies (hereinafter known as CCC) seek to comply with all applicable laws
concerning Money Laundering and related activities. In furtherance of those efforts Customer
hereby represents warrants and agrees that, to the best of Customer's knowledge based upon
appropriate diligence and investigations
I. None of the financial instructions or metals that customer will deliver, pay swap or contribute to
CCC shall be delivered from, or related to any activity that in deemed criminal under United
States or foreign law; and
II. No contribution or payment by customer to CCC to the extent that they are within customer's
control shall cause CCC to be in violation of the United States Secrecy Act, the United States
Money Laundering Control Act of 1986, or the United States International Money Laundering
Abatement; an Anti-Terrorist Financing Act of 2001, USA Patriot Act, or any other federal, state,
local, or foreign laws.
III. In order to comply with current legislation, the customer further understands that CCC may
release confidential information about the customer, and if applicable, any underlying beneficial
owners to the appropriate authorities if CCC, in its sole discretion, determines that it is the best
interest of CCC in pursuant to rules and regulations under the law set forth in subsection I.
Customer shall promptly notify CCC if any of these representations change or cease to be true
and accurate.
Customer agrees to provide to CCC any additional information that CCC deems necessary, to\
ensure compliance with all appliance Federal, State, local or foreign laws concerning money
laundering and similar activities.
Customer understands and agrees that if any time it is discovered that any of the foregoing
representations are incorrect, or if it is required by applicable law or regulation related to money
laundering, customs fraud, bank fraud and similar activities, CCC will undertake appropriate
actions to ensure compliance with applicable Federal, State, local or foreign laws or regulations.
_______________________ _______________________
Signature Title
_______________________ _______________________
Print Name Date
