This form is for established CoinMover customers who have already conducted a transaction on one of our machines, and want to increase their daily maximum from the current $9,000 up to over $50,000 per day.
Daily purchases of up to $2,995 or $9,000 may be done by visiting any one of our CoinMover kiosks and simply entering your phone number to start the process directly on the machine. No account set up is required.
Click NEXT to acknowledge and continue:
Legal Name & Current Address
Please enter your legal name as it appears on your primary identification document along with your current mailing address.
Being up-front with our customers is a top priority. We ask these questions because government regulations require us to perform due diligence on each of our customers. The purpose is to better understand your financial position and how you obtain the funds you will use with our machines. Please answer the following truthfully and to the best of your knowledge.
If you do now know what this question means, you may keep no as the default answer. Politically Exposed Persons (PEPs), also known as "foreign agents" are generally foreign heads of state, ministers, members of parliament, members of the highest court, members of the highest policymaking body auditing international state finances, members of a central bank board, an ambassador or chargé d’affaires, general officer, or executives of a wholly owned state company.
Please select one piece of documentation from each of the three groups below and attach proof. We accept a wide range of formats including camera images from your mobile phone if you do not have a scanner. Any statement, letter, or bill must be dated within the past 90 days. Any insurance policy, mortgage, or tax document must be for the current year.
Due to regulatory requirements, we ask you to provide at least one document dated within the prior year that will support your transaction volume.
For example, uploading a Social Security Statement or a Bank Statement showing monthly deposits of less than $2,000 does not allow us to let someone transact over $500,000 per year. While we recognize that people have multiple sources of income and assets, we require some evidence of the source of funds that are being used at our machines. We reserve the right to set purchase limits that correspond to the documents we are provided.
PENALTY FOR FALSE OR FRAUDULENT STATEMENT: U.S.C. Title 18, Sec. 1001, provides: “Whoever, in any matter within the jurisdiction of any department or agency of the United States knowingly and willfully falsifies, or makes any false, fictitious or fraudulent statements or representation, or makes or uses any false writing or document knowing the same to contain any false, fictitious or fraudulent statement or entry, shall be fined not more than $10,000 or imprisoned not more than five years, or both.”
Choose today's date above.