Customer tax information

Personal Customer Change of Circumstances Tax Information Form

Your Information

We collect and process various categories of personal and financial information throughout your relationship with us, to allow us to provide our products and services and to run our business. For more information about how we use your personal information, the types of information we collect and process and the purposes for which we process personal information, please read our Privacy Notice.

We may update this from time to time and we encourage you to visit our website regularly to stay informed of the purposes for which we process your information and your rights to control how we process it.

1. Identifying you

THIS SECTION MUST BE COMPLETED IN FULL

* Indicates a required field.

Customer Reference Number * You will find the Customer Reference Number (CRN) on the letter or email we sent you. Should your CRN be less than 7 digits, please add zero(s) in front of your CRN to total the number of digits to 7. E.g. a CRN of 12345 would become 0012345

First Name * Please enter name with no special characters, including hyphens/dashes.

Surname * Please enter surname with no special characters, including hyphens/dashes.

Date of Birth *

2. Your personal information

THIS SECTION MUST BE COMPLETED IN FULL

* Indicates a required field.

Country of birth *

Country of Nationality/Citizenship *

2a. Additional personal information

ONLY COMPLETE THIS SECTION IF YOU HOLD MORE THAN ONE NATIONALITY OR ARE A CITIZEN OF MORE THAN ONE COUNTRY.

If not, please proceed to Section 3.

Do you have a second Nationality/Citizenship? If no, please proceed to Section 3.

Yes

Additional Country of Nationality/Citizenship 2 *

3. Your Residential Address Details

THIS SECTION MUST BE COMPLETED IN FULL

* Indicates a required field.

Address Line 1 *

Address Line 2

Address Line 3 (City) *

Address Line 4 (Country) *

Postcode *

4. Your tax residency

THIS SECTION MUST BE COMPLETED IN FULL

* Indicates a required field.

Please provide your Country of Tax Residency and the corresponding Tax Identification Number (TIN).

Country of Tax Residency *

Do you have a Tax Identification Number? * This is also known as a TIN, SSN, UTR or NINO.

Tax Identification Number (Tax Residency Details 1) * This is also known as a TIN, SSN, UTR or NINO.

Please provide an explanation where no tax residence or tax number is held. (Tax Residency Details 1) * Tax number will be required once available.

Do you need to add details of a second tax residency? If no, please proceed with completing the remaining questions.

Yes

Tax Residency Details 2

Country of Tax Residency 2 *

Do you have a Tax Identification Number for this second tax residence? * This is also known as a TIN, SSN, UTR or NINO.

Tax Identification Number (Tax Residency Details 2) * This is also known as a TIN, SSN, UTR or NINO.

Please provide an explanation where no tax residence or tax number is held. (Tax Residency Details 2) * Tax number will be required once available.

Do you need to add details of a third tax residency?

Yes

Tax Residency Details 3

Country of Tax Residency 3 *

Do you have a Tax Identification Number for this third tax residence? * This is also known as a TIN, SSN, UTR or NINO.

Tax Identification Number (Tax Residency Details 3) * This is also known as a TIN, SSN, UTR or NINO.

Please provide an explanation where no tax residence or tax number is held. (Tax Residency Details 3) * Tax number will be required once available.

Do you need to add details of a fourth tax residency?

Yes

Tax Residency Details 4

Country of Tax Residency 4 *

Do you have a Tax Identification Number for this fourth tax residence? * This is also known as a TIN, SSN, UTR or NINO.

Tax Identification Number (Tax Residency Details 4) * This is also known as a TIN, SSN, UTR or NINO.

Please provide an explanation where no tax residence or tax number is held. (Tax Residency Details 4) * Tax number will be required once available.

5. US citizenship

ONLY COMPLETE THIS SECTION IF YOU HAVE REVOKED YOUR US CITIZENSHIP.

If not, please proceed to Section 6.

Have you revoked your US Citizenship? If no, please proceed to Section 6.

Yes

Do you have a letter from your tax advisor confirming that you have changed your tax residency?

Yes

6. Final declaration

I declare that I have examined the information on this form and to the best of my knowledge and belief, it is true, correct and complete. I undertake to inform the Bank promptly of any change in circumstances which causes the information contained herein to be incorrect and to provide the Bank with a suitable updated declaration within 30 days of such changes. I declare that I have and shall continue to comply with and meet all of my tax obligations in each jurisdiction in which I have and/or may have tax responsibilities.

If the 'Submit button' still does not appear, please scroll back up and ensure you have completed all of the mandatory fields in the form.

Next steps

Thank you providing this information.

We may need to contact you again if any of the details we have requested are missing or unclear or if any further questions arise from what you have provided.

If everything has been provided and we require no further information, we won't be back in touch.