You are on page 1of 5

TITAN ELITE SERVICES, LLC

18941 KILFINAN STREET


PORTER RANCH CALIFORNIA 91326 -1019 UNITED STATES OF AMERICA
Phone: (323)596-5346
Email address: operations@titanelitellc.com

CLIENT INFORMATION SHEET

In accordance with Articles 2 through 5 of the Due Diligence Convention and the Federal
Banking Commission Circular of December 1998, and under the US Patriot Act of 2002, as
amended in February 2003 concerning the prevention of money laundering and 305 of the Swiss
Criminal Code, the following information may be supplied to banks and/or other financial
institutions for purposes of verification of identity and activities of the Client described below, and
the nature and origin of the funds which are to be utilized. The foregoing is subject to agreement by
all parties to whom this information is provided that they are obligated to respect the privacy rights
of the Client and all individuals described herein, as well as the generally accepted professional
standards relating to the maintenance of confidential information, and to take all appropriate
precautions to protect the confidentiality of the information contained herein, This legal obligation
shall remain in full force indefinitely without restriction.

DETAILS OF SIGNATORY (SUB-FEE BENEFICIARY) –INDIVIDUAL

First Name : BELTANE


Middle Name : N/A
Last Name : WOLFE
Gender : MALE
Date of Birth : 21.09.1972
Social Security Number : NA
Country of Citizenship :
Languages : ENGLISH
Tel 3235965346
E-mail operations@titanelitellc.com

PASSPORT INFORMATION
Passport Number 561749072
Date of Issue : 26.MAR.2018
Date of Expiry : 25.MAR.2028
Issuing Authority : UNITED STATES DEPARTMENT OF STATE
Do you speak English? : YES

I,BELTANE WOLFE hereby declare with full personal and corporate responsibility under
penalty of perjury that the information given above is accurate and true, as of this date
26.August 2022
TITAN ELITE SERVICES, LLC
18941 KILFINAN STREET
PORTER RANCH CALIFORNIA 91326 -1019 UNITED STATES OF AMERICA
Phone: (323)596-5346
Email address: operations@titanelitellc.com

Signature:

Name / Title BELTANE WOLFE/CEO


Passport Number 561749072
Date of Issue 26.MAR.2018
Date of Expiry. 25.MAR.2028
Issuing Authority : UNITED STATES DEPARTMENT OF STATE
Country of Issuance. USA

PRIVATE AND CONFIDENTIAL INFORMATION


This communication may contain information that is legally privileged, confidential or exempt from disclosure. The
information transmitted is intended only for the person(s) or entity to which it is addressed. Any review,
retransmission, dissemination or other use of, or taking of any action in reliance upon, this
information by persons or entities other than the intended recipient(s) is strictly prohibited. If you
received this message in error, please contact the sender and delete the materials from any
computer. This electronic communication is covered by the Electronic Communications Privacy Act
of 1986, Codified at 18 U.S.C. §§ 1367, 2510-2521, 2701-2710, 3121-3126. Also, see:
http://www.ftc.gov/privacy/glbact/glbsub1.htm - Gramm-Leach-Bliley Act 15 USC, Subchapter I,
Sec. 6801-6809.

COLOR COPY OF PASSPORT


This document (and any enclosures or attachments) is intended only for the parties named on this agreement,
or their Bank´s and contains confidential and legally privileged info
BANKING INFORMATION:

ACCOUNT NAME: TITAN ELITE SERVICES, LLC

ACCOUNT NUMBER: 400110720069

ROUTING NUMBER (ACH): 124303243

ROUTING NUMBER (WIRE): 124303243

BANK ADDRESS: AMERICAN EXPRESS NATIONAL BANK


P.O. BOX 30381
SALT LAKE CITY UT 84130

You might also like