ISD Type – Primary (Production)

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Verification code

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Who are you?

I am…(Required)

Are you a U.S. citizen, dual U.S. citizen, U.S. resident or U.S. person for tax purposes?(Required)

Yes

Do you have an active U.S. Green Card?(Required)

This does not include a Green Card that has been officially abandoned or revoked

Yes

Are you a U.S. entity for tax purposes?(Required)

Some entities can elect to be treated as a U.S. entity under certain conditions.

If you are not sure whether you should be treated as a U.S. entity, please seek tax advice.

Yes

Your Investor Self Declaration can be used as a substitute W-9 and as a self certification for CRS.

Demo Bank does not accept U.S. individuals as customers

Please contact Demo Bank to find out what to do next.

Demo Bank does not accept U.S. entities as customers

Please contact Demo Bank to find out what to do next.

Your Investor Self Declaration can be used as a substitute W-8IMY and as an entity self certification for CRS.

This Investor Self Declaration cannot be used to document an account that contains proprietary assets.

Demo Bank does not accept non-U.S. intermediaries as customers

Please contact Demo Bank to find out what to do next.

Demo Bank does not accept non-U.S. tax exempt organisations as customers

Please contact Demo Bank to find out what to do next.

Time spent in the United States

You are treated as present in the U.S. on any day you are physically present in the country, at any time during the day.

There are exceptions to this rule. Please check if these exceptions apply to you.

How many days have you spent in the U.S. this year?(Required)

Please enter a number from 0 to 365.

How many days did you spend in the U.S. last year?(Required)

Please enter a number from 0 to 365.

How many days did you spend in the U.S. in the year before that?(Required)

Please enter a number from 0 to 365.

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Substantial presence calculation(Required)

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Has the beneficial owner been substantially present in the U.S. in the last three years?

Yes

Substantial U.S. presence

You have been substantially present in the United States over the last three years, making you a U.S. tax resident.

Our Investor Self Declaration can be used as a substitute W-9 and as a self certification for CRS.

You have been substantially present in the United States over the last three years, making you a U.S. tax resident.

Demo Bank does not accept U.S. individuals as customers

Please contact Demo Bank to find out what to do next.

What type of entity are you?

Is your entity a foreign government, international organization, foreign central bank of issue, foreign tax-exempt organization, foreign private foundation, or government of a U.S. possession?(Required)

Yes

Are you claiming applicability under section 115(2), 501(c), 892, 895, or 1443(b)?(Required)

Yes

Do you intend to use your investor self declaration to claim a treaty benefit on U.S.-sourced FDAP income?(Required)

Yes

What are you doing?

Are you using this form to tell us about income that is effectively connected to a U.S. trade? or business?(Required)

Buying or selling securities and receiving passive income from them e.g., dividends or interest, is NOT effectively connected income.

Yes

Your Investor Self Declaration can be used as a substitute W-8BEN and as an individual self certification for CRS.

Demo Bank does not accept non-U.S. individuals as customers

Please contact Demo Bank to find out what to do next.

Your Investor Self Declaration can be used as a substitute W-8BEN-E and as an entity self certification for CRS.

Demo Bank does not accept non-U.S. entities as customers

Please contact Demo Bank to find out what to do next.

Your Investor Self Declaration can be used as a substitute W-8EXP and as an entity self certification for CRS.

Demo Bank does not accept non-U.S. tax exempt organisations as customers

Please contact Demo Bank to find out what to do next.

Your Investor Self Declaration can be used as a substitute W-8ECI and as a self certification for CRS.

Demo Bank does not accept customers who are in receipt of income that is effectively connected with a U.S. trade

Please contact Demo Bank to find out what to do next.

Your Investor Self Declaration can be used as a substitute W-9 and as a self certification for CRS.

Demo Bank does not accept U.S. individuals as customers

Please contact Demo Bank to find out what to do next.

Consent(Required)

Demo Bank has asked us to collect personal information from you and use it to create an investor self declaration.

We will pass this information to Demo Bank once you electronically sign your investor self declaration. We will send you a copy by email, for your records.

We will not store, process or share any information about you other than with Demo Bank and as authorised by them.

Demo Bank may be required to process and/or share information about you with third parties for regulatory, compliance or other authorised purposes. Please contact Demo Bank directly if you would like more information.

I agree

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