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    Fatca/Crs Self Certification / Declaration For Individuals: Documents As Mentioned Below

    Uploaded by

    RaviJha
    This document provides instructions for FATCA/CRS self-certification for individuals. It states that providing a Tax ID Number is mandatory for tax residents of countries that issue them. It also lists potential foreign country indicia that require additional documentation for non-resident status, such as a U.S. place of birth. Acceptable documents include a certificate of residence or valid government ID from the country of residence. The form itself requires applicants to list all countries of tax residence and provide identification details.

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    Fatca/Crs Self Certification / Declaration For Individuals: Documents As Mentioned Below

    Uploaded by

    RaviJha
    45 views2 pages
    This document provides instructions for FATCA/CRS self-certification for individuals. It states that providing a Tax ID Number is mandatory for tax residents of countries that issue them. It also lists potential foreign country indicia that require additional documentation for non-resident status, such as a U.S. place of birth. Acceptable documents include a certificate of residence or valid government ID from the country of residence. The form itself requires applicants to list all countries of tax residence and provide identification details.

    Original Description:

    ftc

    Original Title

    cfat

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    This document provides instructions for FATCA/CRS self-certification for individuals. It states that providing a Tax ID Number is mandatory for tax residents of countries that issue them. It also lists potential foreign country indicia that require additional documentation for non-resident status, such as a U.S. place of birth. Acceptable documents include a certificate of residence or valid government ID from the country of residence. The form itself requires applicants to list all countries of tax residence and provide identification details.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    45 views2 pages

    Fatca/Crs Self Certification / Declaration For Individuals: Documents As Mentioned Below

    Uploaded by

    RaviJha
    This document provides instructions for FATCA/CRS self-certification for individuals. It states that providing a Tax ID Number is mandatory for tax residents of countries that issue them. It also lists potential foreign country indicia that require additional documentation for non-resident status, such as a U.S. place of birth. Acceptable documents include a certificate of residence or valid government ID from the country of residence. The form itself requires applicants to list all countries of tax residence and provide identification details.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    FATCA/CRS SELF CERTIFICATION / DECLARATION FOR INDIVIDUALS

    FATCA/CRS INSTRUCTIONS
    If you have any questions about your tax residency, please contact your tax advisor. If you
    are a US citizen or resident or green card holder, please include United States in the
    foreign country information field along with your US Tax Identification Number. $It is
    mandatory to supply a TIN or functional equivalent if the country in which you are tax resident
    issues such identifiers. If no TIN is yet available or has not yet been issued, please provide
    an explanation and attach this to the form.
    In case customer has the following Indicia pertaining to a foreign country and yet declares
    self to be non-tax resident in the respective country, customer to provide relevant Curing
    Documents as mentioned below:

    Documentation required for Cure of FATCA/ CRS


    FATCA/ CRS Indicia observed (ticked)
    indicia
    If customer does not agree to be Specified U.S. person/ reportable
    person status
    • U.S. place of 1. Self-certification (in attached format) that the account holder is neither
    birth a citizen of United States of America nor a resident for tax purposes;
    2. Non-US passport or any non-US government issued document
    evidencing nationality or citizenship (refer list below); AND
    3. Any one of the following documents:
    a. Certified Copy of “Certificate of Loss of Nationality or
    b. Reasonable explanation of why the customer does not have such
    a certificate despite renouncing US citizenship; or Reason the
    customer did not obtain U.S. citizenship at birth
    Residence/mailing address in a country other than India or 1. Self-certification that the
    Telephone number in a country other than India (and no account holder is not
    telephone number in India provided) or resident for tax purposes in
    that country; and
    Standing instructions to transfer funds to an account
    maintained in a country other than India 2. Documentary evidence
    (refer list below)

    List of acceptable documentary evidence needed to establish the residence(s) for tax purposes:

    1. Certificate of residence issued by an authorized government body*


    2. Valid identification issued by an authorized government body*(e.g. Passport, National
    Identity card, etc.)
    *Government or agency thereof or a municipality of the country or territory in which the
    applicant claims to be a resident.
    PNB - 1227B
    Page 1 of 2
    FATCA/CRS SELF CERTIFICATION / DECLARATION FOR INDIVIDUALS:
    (If you are a tax resident of any country other than India, then please fill the details below)
    (a) Please indicate all countries in which you are resident for tax purposes and associated details

    1.Country/ ISO 3166 Tax Identification Identification Residence Address Type:


    (ies) of Tax Country code of Number (TIN)% or Type (TIN or Address for
    residency # jurisdiction of Equivalent Other%, please Tax purpose 1- Residential or
    residence* specify) (including City, Business,
    State, Country 2- Residential,
    and Pin code) 3- Business,
    4- Registered Office
    1st Applicant

    2nd Applicant

    3rd Applicant

    Place/City of Birth* ISO 3166


    Country code
    of Birth
    1st Applicant

    2nd Applicant

    3rd Applicant

    #
    To also include USA, where the individual is a citizen/ green card holder of USA
    %
    In case Tax Identification Number is not available, kindly provide functional equivalent$
    (b) Certification
    Under penalty of perjury, I/we certify that: I understand that Punjab National Bank is relying on
    this information for the purpose of determining the status of the account holder named above
    in compliance with FATCA/CRS. Punjab National Bank is not able to offer any tax advice on
    FATCA or CRS or its impact on the account holder. I shall seek advice from professional tax
    advisor for any tax questions.
    I agree to submit a new form within 30 days if any information or certification on this form
    becomes incorrect.
    I agree that as may be required by domestic regulators/tax authorities, Punjab National Bank
    may also be required to report, reportable details to CBDT or other authorities/agencies or
    close or suspend my account, as appropriate.
    I have understood the information requirements of this Form (read along with the FATCA/
    CRS Instructions) and hereby confirm that the information provided by me on this Form
    including the taxpayer identification number is true, correct, and complete.  I also confirm that
    I have read and understood the FATCA/CRS Terms and Conditions and hereby accept the
    same.

    ........................., ........................., .........................,


    Signature(s) / Thumb Impression of Applicant

    Page 2 of 2

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