Operational Information

Tax forms to use – U.S.A. – CBL

Tax | USA

Reference

Service level
CBL
Last Updated
30.01.2026

The attached forms are for use in relation to U.S. tax procedures via Clearstream Banking S.A.

NQI clients wishing to apply for an omnibus structure and holding securities on behalf of multiple underlying recipients: please contact your Relationship Officer.


PDF
One-Time Certificate – U.S. Financial Institution
30.01.2026
PDF
One-Time Certificate – FATCA compliant FFI / Exempted beneficial owner own account
30.01.2026
PDF
One-Time Certificate – FFI – QIA: Qualified Intermediary assuming primary Non-Resident Alien (NRA) withholding responsibility and 1099 reporting and backup withholding responsibility
01.10.2025
PDF
One-Time Certificate – FFI – QIB: Omnibus account for both FATCA non-compliant and compliant recipients being non-U.S. beneficial owners, U.S. exempt recipients and U.S. specified persons in a U.S. payee pool
01.10.2025
PDF
One-Time Certificate – FFI – QIB: Segregated account for FATCA compliant recipients being U.S. specified persons for which payee specific 1099 reporting is requested
01.10.2025
PDF
One-Time Certificate – FFI – QIC: Segregated account for FATCA compliant recipients being U.S. specified persons for which payee specific 1099 reporting is requested
01.10.2025
PDF
One-Time Certificate – FFI – QIC –Account for exclusively FATCA compliant recipients being non-U.S. beneficial owners, U.S. exempt recipients, or U.S. specified persons in a U.S. payee pool
01.10.2025
PDF
One-Time Certificate – FFI – QIC: Segregated Account for exclusively FATCA compliant recipients being non-U.S. beneficial owners, U.S. exempt recipients, or U.S. specified persons in a U.S. payee pool
01.10.2025
PDF
One-Time Certificate – FFI – QIC – NQI: Omnibus Account for exclusively FATCA non-compliant recipients and/or FATCA compliant recipients being non-U.S. beneficial owners, U.S. exempt recipients and U.S. specified persons in a U.S. payee pool
01.10.2025
PDF
One-Time Certificate – FFI – NQI: Segregated Account for FATCA non-compliant recipients or FATCA compliant recipients being non-U.S. beneficial owners, U.S. exempt recipients or U.S. specified persons in a U.S. Payee Pool
01.10.2025
PDF
One-Time Certificate – FFI – NQI: Segregated account for FATCA compliant recipients being U.S. specified persons for which payee specific 1099 reporting is requested
01.10.2025
PDF
Client Waiver Clause Letter
01.10.2025
ZIP
U.S. Taxable Securities
04.12.2025
PDF
Withholding Statement for events subject to IRC Section 302
26.09.2025