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Tax Forms to use - U.S.A. - CBF

27.10.2023

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

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

External Links

IRS Forms and Instructions (PDF)

Attachments

One-Time Certificate – U.S. Financial Institution ( 74 kb, pdf )
One-Time Certificate – FATCA compliant FFI / Exempted beneficial owner own account ( 111 kb, pdf )
One-Time Certificate – FFI – QIA: Qualified Intermediary assuming primary Non-Resident Alien (NRA) withholding responsibility and 1099 reporting and backup withholding responsibility ( 94 kb, 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 ( 96 kb, 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 ( 125 kb, 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 ( 143 kb, pdf )
1042-s reconciliation file – For Clearstream Banking AG’s upstream agents ( 17 kb, vnd.openxmlformats-officedocument.spreadsheetml.sheet )
Customer Waiver Clause Letter ( 54 kb, pdf )
U.S. Taxable Securities - April 2024 ( 12,898 kb, zip )
Withholding Statement for events subject to IRC Section 302 ( 159 kb, pdf )