Individual Self-Certification Form

Document Overview

The standard sample form provided by the DITC for establishing the tax residency of individual Account Holders.

Key Takeaways

• Captures individual metadata: name, address, tax jurisdictions, TINs, and date of birth.
• Requires declaration of all jurisdictions where the individual is a tax resident.
• Provides definitions of residence and guidelines for completing the form.

Key Concepts Covered

• Common Reporting Standard (CRS)
• Self-Certification
• Reportable Jurisdiction

Deadlines & Timelines Mentioned

• Date of Issue: 20 April 2026 Version: 1.0 Individual Tax Residency Self-Certification Form INSTRUCTIONS Guidance for Individual Account Holder - Please read these instructions before completing the form.
• Effective 1 January 2026, all jurisdictions of residence are to be declared in a self-certification.
• Date of Issue: 20 April 2026 Version: 1.0 P age 4 of 4 EXHIBIT A CRS DEFINITIONS Note: These are selected definitions to assist you with the completion of this form.