Declarations
PEP Declaration Form
A short declaration where a customer confirms whether they, a family member or a close associate hold a prominent public function, with the source of funds and wealth that follows.
12 questionsEU AMLR
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Tax Residency Self-Certification (CRS and FATCA)
Individual · Standard · FATF Recommendations
1. Personal details
Full legal name (all first names and surnames)*R.10
Date of birth*
DD / MM / YYYY
Place of birth (city and country)*
Residential address*R.10
Country of residence*
Select a country ▾
2. Tax residency
Countries of tax residence
Tax identification number
Are you a US person for tax purposes?
NoYes
3. Declaration and signature
I confirm the information in this form is true and complete, and I will tell you promptly if it changes.*
I agree
Name, position and signature*
Date*
DD / MM / YYYY
About this template
A self-certification where an account holder declares every country of tax residence, the tax identification number and whether they are a US person.
When to use it
Use it at account opening for reportable accounts under CRS and FATCA.
What it covers
This is a focused form. It collects only what this declaration needs. For full onboarding, pair it with a complete KYC or KYB form.
Edit it before you use it
Every question can be removed, reworded, reordered or made optional in the editor. You can add your own questions and fields too.
| Question | Field type | Section | Legal basis |
|---|---|---|---|
| Full legal name (all first names and surnames) * | Text | Personal details | R.10 |
| Date of birth * | Date | Personal details | Good practice |
| Place of birth (city and country) * | Text | Personal details | Good practice |
| Residential address * | Long text | Personal details | R.10 |
| Country of residence * | Country | Personal details | Good practice |
| Countries of tax residence | Text | Tax residency | Good practice |
| Tax identification number | Text | Tax residency | Good practice |
| Are you a US person for tax purposes? | Single choice | Tax residency | Good practice |
| I confirm the information in this form is true and complete, and I will tell you promptly if it changes. * | Checkbox | Declaration and signature | Good practice |
| Name, position and signature * | Text | Declaration and signature | Good practice |
| Date * | Date | Declaration and signature | Good practice |
What is CRS?
The OECD Common Reporting Standard for exchanging financial account information between tax authorities.
Who is a US person for FATCA?
US citizens, green card holders and US tax residents, wherever they live.
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