Self Certification form - Individual Policyholder

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Its completion is not a substitute for the completion of any IRS Form W-9, Form W-8 or FATCA Self-certification that may otherwise be required for U.S. tax purposes. When opening a New Account, the Financial Institution will require you to fill in a self-certification. This self-certification will ask for details of your tax residence and Tax Identification Number (TIN), if you are a non-resident. A Pre-existing Account for: CRS an account opened on or before 31 December 2015; FATCA is an account opened on CRS AND FATCA SELF-CERTIFICATION: ENTITIES AND TRUSTS 1 Governments around the world have concluded agreements requiring financial institutions to gather and report information on their clients’ tax residencies and related financial account information. This new requirement is referred to as the “Common FATCA-CRS Page 1 of 6 CRS and FATCA Tax Residency Self-Certification for Entities . CONFIDENTIAL.

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Regulations based on the OECD Common Reporting Standard (“CRS”) and FATCA Intergovernmental Agreements (“IGA”) implementing the United States FATCA provisions require. Glossary to the FATCA/CRS Entity Self-Certification Form 5 • The applicable laws of the entity’s country of residence or the entity’s formation documents require that upon the entity’s liquidation or dissolution, all of its assets be distributed to a Governmental Entity or other Non-Profit Organisation. When opening a New Account, the Financial Institution will require you to fill in a self-certification. This self-certification will ask for details of your tax residence and Tax Identification Number (TIN), if you are a non-resident. A Pre-existing Account for: CRS an account opened on or before 31 December 2015; FATCA is an account opened on form for each Account Holder.

Send the form via normal or speed post and you are done with the process. Now sit and relax, NSDL will update your records on receipt of your form.

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No Form W-8BEN-E will be required from such entity. If the entity has a custodial account holding .

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FATCA: The Foreign Account Tax Compliance Act (FATCA) requires financial institutions to implement enhanced customer due diligence processes with the goal of identifying U.S. Persons. Certain jurisdictions have enacted intergovernmental agreements (IGAs) to simplify these requirements. FATCA/CRS Entity Self-Certification Form 4 4. If a TIN is unavailable, please provide the appropriate reason A, B or C in line with the definition under part 3. Controlling Person 4 First/Given and Middle Name(s) Family Name(s)/Surname(s) Date of Birth (DD-MM-YYYY) – – Current residence address City/Town of Birth FATCA/CRS Entity Self-Certication Form FATCA/CRS Entity Self-Certification Form FOR USE BY AN ACTIVE NFFE, A PUBLICLY TRADED NFFE OR NFFE AFFILIATE OF A PUBLICLY TRADED ENTITY HAVING ONLY A DEPOSITORY ACCOUNT OUTSIDE OF THE UNITED STATES For accounts opened in Model 1 and Model 2 and NON-IGA Jurisdictions CRS FATCA Financial Account Tax Residen-cy Taxpayer Identifica-tion Number (TIN) U.S. Tax Resid-ence Relevant for individual customers and sole traders for FATCA and CRS purposes Individual Self-Certification Information regarding the processing of personal data FATCA/CRS Entity Self-Certification Form 4 4.

If a TIN is unavailable, please provide the appropriate reason A, B or C in line with the definition under part 3. Controlling Person 4 First/Given and Middle Name(s) Family Name(s)/Surname(s) Date of Birth (DD-MM-YYYY) – – Current residence address City/Town of Birth FATCA/CRS Entity Self-Certication Form FATCA/CRS Entity Self-Certification Form FOR USE BY AN ACTIVE NFFE, A PUBLICLY TRADED NFFE OR NFFE AFFILIATE OF A PUBLICLY TRADED ENTITY HAVING ONLY A DEPOSITORY ACCOUNT OUTSIDE OF THE UNITED STATES For accounts opened in Model 1 and Model 2 and NON-IGA Jurisdictions FATCA/CRS Entity Self-Certification Form 4 4. If a TIN is unavailable, please provide the appropriate reason A, B or C in line with the definition under part 3. Controlling Person 4 First/Given and Middle Name(s) Family Name(s)/Surname(s) Date of Birth (DD-MM-YYYY) – – Current residence address City/Town of Birth form for each Account Holder. For the purpose of this self–certification, an Account Holder may refer to the following persons: Proposer (eventually the Policyowner), Controlling Person, Beneficial Owner, Assignee, Trustee, Beneficiary under a Trust or a Trust Nominee named under section 49L of the Singapore Insurance Act (Chapter 142). Self-Certification for Individual - FATCA/CRS Declaration Form Name of Subscriber: Permanent Retirement Account Number (PRAN): Date of Birth: FATCA/CRS Declaration Form Part I- Please fill in the country for each of the following: 1 Country of: a) Birth b) Citizenship c) Residence for Tax Purposes 2 US Person (Yes / No) The CRS & FATCA Self-certification form will ask you to confirm the following: Your full name Your date of birth Your country, town/city of birth Your citizenship Your current residence, and if applicable, mailing address Whether you are a US Person Your country/countries of residence for tax If yes, please provide certifications from your entity's Controlling Person Please sign and return the self-certification form by Email to info@australianmutual.bank or by Post at PO Box 881 Haymarket NSW 1240. I declare that: • All statements made in this declaration are, to the best of my knowledge and belief, correct and complete CRS / FATCA self-certification form (Entity) Name of the “Fiducie”: Fiducie Cybergun ( « Fiducie ») updated self-certification of such change in circumstances.
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Understanding how the Foreign Account Tax Compliance Act (FATCA) and A " Declaration of Tax Residence" (also known as a self-certification form) is a Combined FATCA and CRS Entity Self-Certification Form (for Active NFFE, not The Foreign Account Tax Compliance Act (FATCA) is a piece of US tax 4 Aug 2020 Despite removing the implementation date, the CRA continues to maintain its position that penalties for failing to obtain a valid self-certification Foreign Account Tax Compliance Act (“FATCA”) and Common Reporting Standard (“CRS”).

CRS AND FATCA SELF-CERTIFICATION: ENTITIES AND TRUSTS 1 Governments around the world have concluded agreements requiring financial institutions to gather and report information on their clients’ tax residencies and related financial account information. This … CRS-FATCA SELF-CERTIFICATION FOR ENTITIES INCLUDING CLASSIFICATION GUIDE AND DOCUMENTATION REQUIREMENTS This form serves as a guide to establish the CRS-FATCA classification and residence(s) for tax purposes of an entity as defined as per the Canadian CRS and FATCA Self-Certification for Legal Entities . Switzerland has concluded various agreements on the Automatic Exchange of Information/”Common Reporting Standard” (CRS) 1. with several jurisdictions.
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Non-Personal Customers SECTION 2 – TAX RESIDENCY FOR FATCA AND CRS (MANDATORY). FATCA/CRS Self-Certification Declaration For a Legal Entity. Collective Investments (Unit Trust). What you need to know.

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CBT May 7. 3 SECTION 1: ACCOUNT HOLDER IDENTIFICATION Tax Residency Self-Certification. If a customer opens a new account, invests in a new product, or has a change in circumstances which may make them tax resident in a Participating Country, we may write to them asking them to complete a Tax residency Self –Certification form to confirm their place of residence for tax purposes. Controlling Person Self-Certification Form for FATCA and CRS Instructions for completion We are obliged under local laws and regulations to collect and report to the Luxembourg tax authorities certain information about financial accounts held by some of the Controlling Persons of Account Holders that are Passive Non-Financial Entities (NFEs). FATCA/CRS SELF-CERTIFICATION FORM FOR ENTITY Important Notes: • Please complete, where applicable, the relevant sections below. Kindly consult your tax, legal and/or other professional advisers if you have any question on or in relation to U.S. oreign Account Tax ompliance Act (“ ATA”) Also make sure to write "Self-Certification - FATCA/CRS Declaration Form" on the top of the envelope.

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CONFIDENTIAL. CIBC is required to request information from its clients and counterparties to comply with its legal obligations under certain tax regulations related to the implementation of FATCA, CRS and similar legislation in Australia, Canada, HongKong CRS and FATCA Self-Certification for Legal Entities .

3 SECTION 1: ACCOUNT HOLDER IDENTIFICATION Tax Residency Self-Certification. If a customer opens a new account, invests in a new product, or has a change in circumstances which may make them tax resident in a Participating Country, we may write to them asking them to complete a Tax residency Self –Certification form to confirm their place of residence for tax purposes. Controlling Person Self-Certification Form for FATCA and CRS Instructions for completion We are obliged under local laws and regulations to collect and report to the Luxembourg tax authorities certain information about financial accounts held by some of the Controlling Persons of Account Holders that are Passive Non-Financial Entities (NFEs). FATCA/CRS SELF-CERTIFICATION FORM FOR ENTITY Important Notes: • Please complete, where applicable, the relevant sections below. Kindly consult your tax, legal and/or other professional advisers if you have any question on or in relation to U.S. oreign Account Tax ompliance Act (“ ATA”) Also make sure to write "Self-Certification - FATCA/CRS Declaration Form" on the top of the envelope. Send the form via normal or speed post and you are done with the process.