For more information:
This Application Form is given solely to the recipient of the Information Memorandum for the Monochrome Bitcoin Fund. To lodge an Application Form, and for general questions relating to this form, please contact Monochrome Bitcoin Fund.
The form uses Google CAPTCHA to avoid spam. One shortcoming of this technology is that the CAPTCHA times-out. If you spend longer than 20 minutes on the form, you will likely get an error. If you want to take your time with the form, simply ensure that when you take a pause, you save the form using the "Save and Continue" link below. A link will be sent to your email to allow you to return to the form later. Repeat this process as often as you need, a new link will be sent to you each time.
If on returning or during processing you arrive back at Step 1, you should re-tick the ‘I am not a robot’ CAPTCHA box then click Begin Application. You should be able to click through the application, edit and submit without re-entering any correct information more than once.
For assistance or questions relating to this Application Form, please contact the Fund Administrator at firstname.lastname@example.org
Please note that applications must be completed and funds received before the last business day of the month to be issued units at end of month price. It is suggested that you allow at least 4 business days prior to end of month to ensure all administrative tasks are completed on time.
A4 Funds Pty Ltd is the administrator for the Fund. We are keen to make this application process smooth as possible. To invest in this fund you need to be a Wholesale Investor as defined by the Corporations Act 2001 - s761G.
If you are investing less than $500,000, please verify your status with an Accountant’s Certificate ready to upload.
Please confirm that you have carefully considered the content of the Information Memorandum for this fund.
We are required to verify information about you (and your investment entity) to comply with Anti-Money Laundering and Counter Terrorism Financing (AML/CTF) and Know Your Customer (KYC) legislation. A4 Funds has engaged a specialist company, First AML to undertake this verification process. Following submission of this short form, you will receive an email from First AML who will request the necessary information.
Monochrome Bitcoin Fund accepts payments via electronic transfer to:
Acc No: 44-348-8826
Account Name: MIT Application
Bank Name: National Australia Bank
The Fund accepts payment via electronic transfer to:
Reference/Narration: Please include the applicant name in narration/reference section when making an electronic transfer.
For alternative payment options contact A4 FundsEmail: email@example.com
FACTA Terms Glossary »
PURPOSE OF THIS FORM
The Foreign Account Tax Compliance Act (FATCA), a United States regulatory requirement that aims to deter tax evasion by U.S. taxpayers, was introduced in 2010. From 1 July 2014 financial institutions (being managed investment funds) are required to identify investors that hold certain “financial accounts” and are U.S. persons or that are entities with substantial U.S. owners. Information on accounts and investments held by these U.S. investors must then be reported to the U.S. Internal Revenue Service (IRS) via the Australian Taxation Office (ATO).
Please press "Submit" only once. Lodging the form can take up to 30 seconds. Do not navigate away from this page before you receive the "Success" response.