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    Automatic Information Exchange Agreements
    Self-Certification: Entities

    This CRS self-certification form is for clients who are not individual account holders (for example companies, trusts or other entities). FinClear Services must collect tax residency information so it can report and exchange details with tax authorities where required under FATCA and the Common Reporting Standard (CRS).

    Please note:

    • Use this form to self-certify on behalf of an Entity Account Holder.

    • For joint accounts, each Account Holder should complete a separate form.

    • Do not use this form for individual account holders – use the Individual Tax Residency Self-Certification form instead.

    • If you are signing on behalf of the Account Holder, state your capacity in Part 6.

    • If the Account Holder is a “Specified US Person” under IRS rules, an IRS Form W-9 may also be required.

    • If any circumstances change so that details or certifications on this form become incorrect or unreliable, you must provide FinClear Services with an updated form within 30 days.

    Part 1 – Account Holder Identification

    A. Legal Name of Entity / Branch

    B. Country of Incorporation or Organisation

    C. Registered or Permanent Address

    D. Current Mailing Address (if different from registered address)

    Part 2 – FATCA and CRS Excluded Accounts

    Certain account types are excluded from FATCA and CRS reporting. Tick the relevant category if the Account Holder qualifies, and provide the requested details.

    Excluded account type

    If the entity is an excluded account and this section is completed, you may proceed directly to Part 6 and sign, then return the form with supporting documentation.

    Part 3 – FATCA and CRS – Entity Status

    A. Account Holder Status

    Tick the box that best describes the Account Holder.

    If you selected “Financial Institution – Investment Entity in a non-participating jurisdiction managed by another Financial Institution” or “Passive NFE”, you must also complete the Controlling Person Tax Residency Self-Certification in Part 5.

    Part 4 – Country of Residence for Tax Purposes

    If the entity has more than one country of tax residence, complete an additional copy of Part 4 for each country.

    If no TIN is provided, select the applicable reason:

    Part 5 – Controlling Person Tax Residency Self-Certification

    If in Part 3 the entity was classified as a Financial Institution – Investment Entity in a non-participating jurisdiction managed by another Financial Institution or as a Passive NFE, provide details for each Controlling Person below (natural persons only). If there are more than three Controlling Persons, list the additional persons on a separate schedule.

    Reason codes where TIN is unavailable:

    • A – The country / jurisdiction does not issue TINs to its residents.

    • B – The person is otherwise unable to obtain a TIN or equivalent number.

    • C – No TIN is required under the domestic law of that jurisdiction.

    Controlling Person 1

    Controlling Person 2

    Controlling Person 3

    If there are more than three Controlling Persons, please attach additional details on a separate schedule.

    Part 6 – Certifications and Signature

    By submitting this form, the person named below (as Account Holder or authorised representative):

    • Understands that the information on this form is covered by the terms and conditions governing the Account Holder’s relationship with FinClear Services and how information may be used and shared.

    • Acknowledges that information in this form and information relating to the account(s) may be reported to the relevant tax authority where the account is held and exchanged with tax authorities in other countries where the Account Holder may be tax resident.

    • Agrees to notify FinClear Services of any change in circumstances that makes any certification on this form incorrect, and to provide a new, updated self-certification within 30 days of such change.

    • Declares that, after reviewing this form, the information provided is true, correct and complete to the best of their knowledge and belief.

    Authorised Signatory 1

    Authorised Signatory 2 (if applicable)

    If you are not the Account Holder, indicate the capacity in which you are signing (for example: Director, Trustee, Power of Attorney). If signing under a power of attorney, attach a certified copy of the power of attorney.