Required Documentation

Proof of Origin of Funds

Complete and sign this form prior to sending your wire transfer payment.

Legal Residency Costa Rica

L.R.C.R. Real Estate Costa Rica

Division of RPGSE of San Mateo SRL

Cedula Juridica 3-102-693041

P.O. Box 733-6150 Santa Ana, Costa Rica

legalresidencycostarica@outlook.com | www.legalresidencycostarica.com

IMPORTANT: We have been advised by our bank that in order for us to receive initial payment, an actual signed contract/agreement must be in place. By including the following information, the above quote/invoice will be treated as a signed contract by our bank.

Should you plan on wiring payments for commission earned or for our charges for obtaining your legal status, please complete and return this form which we will then forward to our bank as wiring instructions provided.

This form is used as part of the know your client requirement & is a requirement of Banking system here in Costa Rica.

Proof of Origin of Funds

US$

Wire Transfer Details

For full bank wire transfer instructions, visit our Bank Wire Transfers in USD page.