Paxnova Trust Bank

Email*

Mobile phone*

Street address*

Residential address only — no P.O. boxes.

Apt / Suite (optional)

City*

State*

ZIP*

Employment status*

Annual income (before tax)*

Primary source of funds*

Entity

Legal business name*

DBA / trade name

EIN (Tax ID)*

Entity type*

State of formation*

Date of formation*

Industry*

NAICS code (optional)

Annual revenue*

Number of employees*

Business address & contact

Street address*

City*

State*

ZIP*

Business phone*

Website (optional)

Control person (FinCEN CDD)

One individual with significant managerial authority — typically the CEO, CFO, COO, Managing Member, General Partner, President, or Treasurer.

Full legal name*

Title*

Date of birth*

SSN*

Beneficial owners (≥25% ownership)

Under FinCEN's CDD rule, list every individual who directly or indirectly owns 25% or more of the entity. Up to 4 owners.

Owner 1

Full name*

Title / role (optional)

Date of birth*

SSN*

Ownership %*

Residential address*

Items marked Required must be uploaded before submission. Items marked Recommendedspeed up review — you can also send them after submitting if you don't have them handy. JPG, PNG, and PDF up to 15 MB.

Tip: go back one step and pick your entity type so we can show the exact formation documents we need (Articles of Organization vs. Incorporation vs. Partnership Agreement, etc.).

IRS EIN confirmation (CP-575 or 147C)*

The letter the IRS sent when you applied for your EIN.

Control person — government-issued ID*

ID of the individual with significant managerial authority (CEO, Managing Member, etc.).

Business license / permit (if applicable)Recommended

City or state operating license, professional license, sales tax permit.

Proof of business addressRecommended

Lease agreement or recent utility bill at the business address.

Create your login

We'll create your Paxnova Trust account so you can sign in and track your application status. The account opens after our compliance team reviews your documents (usually one business day).

Password*

Required disclosures

I have read and accept the Terms of Service, Account Agreement, and Privacy Notice.

E-SIGN consent: I agree to receive disclosures and tax documents (1099-INT, 1098, etc.) electronically.

USA PATRIOT Act notice: I acknowledge that Paxnova Trust is required to obtain, verify, and record information that identifies each person opening an account.

Credit & verification authorization: I authorize Paxnova Trust Bank to verify the information I have provided and (for credit products) to obtain a consumer credit report. A soft inquiry won't affect my credit score; a hard inquiry, if required, will.

Application

About you