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61d994001b81a880-Template Customer Death Form (MY)

This 3-page document is a deceased estate form used to process the instructions of an executor or administrator regarding the deceased's cryptocurrency and local currency balances held with Luno. The form collects details of the deceased customer and executor, current balances, and instructions to either sell cryptocurrencies for local currency or transfer to another wallet. It also provides for transfer of any local currency balance to a nominated bank account. By signing the form, the executor confirms their authority and acknowledges Luno's terms of use.

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SEVENSEA CLAN
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0% found this document useful (0 votes)
216 views5 pages

61d994001b81a880-Template Customer Death Form (MY)

This 3-page document is a deceased estate form used to process the instructions of an executor or administrator regarding the deceased's cryptocurrency and local currency balances held with Luno. The form collects details of the deceased customer and executor, current balances, and instructions to either sell cryptocurrencies for local currency or transfer to another wallet. It also provides for transfer of any local currency balance to a nominated bank account. By signing the form, the executor confirms their authority and acknowledges Luno's terms of use.

Uploaded by

SEVENSEA CLAN
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Deceased estate form

To be completed by the executor/administrator of the deceased’s estate.

● Luno will only process the instructions set out below once we have received this form,
correctly completed and signed by the executor/administrator.
● Should you have any queries regarding this form, please contact us at
https://www.luno.com/help/en/tickets/new

Processing this form


● Luno will send you an email confirming that we have received all the documents we
require from you, including this form, correctly completed. We will then carry out your
instructions and process the sell/transfer transactions contemplated in this form.
● Please note that processing these transactions may take up to 7 (seven)
business days from the date on which we send you the confirmation email.
● You accept that cryptocurrencies are volatile and that Luno will not be liable for any
loss or damage suffered by you or the deceased estate as a result of any transaction
contemplated in this form being processed within the above 7 (seven) business day
period.
Initial:

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Deceased customer details

Title

First name(s)

Surname

Identity number

Country of residence

Executor details
Full name / Company name

Identity number / registration


number

Postal address

Code

Telephone number

Cellphone/mobile number

Email address

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Deceased’s cryptocurrency balance(s) with Luno
The balance of the deceased’s Luno wallet(s) as at the date of this form are:

To be completed by Luno:

Bitcoin (BTC) Ethereum (ETH)

Instructions on the deceased’s cryptocurrencies


Luno can accept instructions to either:

● sell the applicable cryptocurrency for local currency and withdraw that local currency to a
local bank account nominated by the executor/administrator; or
● transfer the applicable cryptocurrency to another cryptocurrency wallet nominated by the
executor/administrator.

Please indicate your choice of option by marking with an “X” in the space provided and
providing the necessary details (if applicable).

Please note that Luno is not able to process split transactions. This means that the entire
balance of each cryptocurrency must either be sold for local currency or transferred to
another cryptocurrency wallet.

BITCOIN

Sell for local currency OR Transfer to cryptocurrency wallet

Please provide the wallet address for


transfer:

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ETHEREUM

Sell for local currency OR Transfer to cryptocurrency wallet

Please provide the wallet address for


transfer:

Instructions on Deceased’s local currency balance


Luno shall transfer the entire local currency balance standing to the credit of the deceased’s
Luno local currency wallet to the bank account set out in the section below. This transfer shall
include any proceeds realised from the sale of cryptocurrencies for local currency in accordance
with the above elections made by you.

Deceased Estate Bank Account Details


Please provide the bank account details of the local bank account to which you would like us to
transfer all local currency held to the name of the deceased (if applicable).

Please note that Luno is not able to process payments of local currency to a bank
account held in a country other than the country of residence of the deceased

Name of Account Holder

Bank

Account number

Bank Branch name

Terms of Use
Please read Luno’s Terms of Use (available here: https://www.luno.com/en/legal/terms) which
apply to this form and to any and all transactions processed as a direct result of the instructions
set out above.

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Confirmation and acknowledgement
By signing and returning this form to Luno, you acknowledge and confirm that:
● you are duly authorised to administer the estate of the deceased;
● by completing, signing and returning this form to Luno, you are authorising Luno to carry
out the sell/transfer transactions set out above;
● the information provided by you in this form is true and accurate in all respects. Luno will
not be liable under any circumstances for any cost, loss, liability or damage suffered as a
result of incorrect information provided by you;
● you have read and understood, and are fully acquainted with, the terms of this form and
Luno’s Terms of Use;
● Luno may use the information provided in, or in conjunction with, this form for either of
the following purposes:
○ to effectively process the transactions set out above;
○ to detect and prevent fraud;
○ to comply with auditing and record-keeping requirements; and
○ to comply with legal and regulatory requirements.

SIGNED AT ________________ ON THIS _______ DAY OF ______________ YEAR ______.

SIGNATURE OF EXECUTOR/ADMINISTRATOR

____________________________________

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