Permitted Financial Services

Permitted financial services and dealing with property in terms of section 26C of the FIC Act

How to complete the Application Form for Permitted Financial Services

Applicant Full Names *

E-mail address *

Contact number *

Person/Entity on Consolidated List of
Targeted Financial Sanctions pursuant to section 26A of the Financial Intelligence Centre Act, 2001 *

Relations to person/entity *

Institution(s) holding assets *

	Please enter required amount in ZAR
Foodstuffs
Rent or Mortgage
Medicines or medical treatment
Taxes
Insurance premiums
Public utility charges
Maintenance order
Reasonable professional fees
Reimbursement of expenses associated with provision of legal services
Satisfy Judgment or arbitral award
Payment to a third party due under contract
Accrue interest or other earnings due on accounts
Payment due to a person or entity affected by a prohibition
Other Expense
Other Expense Total Amount
Total Amount Required *

Obligatory Supporting Documentation to accompany this application

1. A copy of the Applicants Identity Document or Passport
2. A declaration by an affidavit declaring:
   a) the applicant's interest in the property;
   b) all the applicant's assest and liabilities; and
   c) that the applicant cannot meet the expenses out of property not subject to section 26B.

If the applicant is a third party, the following document must accompany this application -
1. Copy of judgment, award, contract or agreement, as may be applicable

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(File size must be less than 5MB)

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