Tax forms to use – U.S.A. – CBL
14.08.2025
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.
- IRS Forms and Instructions (PDF)
External Links
Attachments
- One-Time Certificate – U.S. Financial Institution ( 114 kb, pdf )
- One-Time Certificate – FATCA compliant FFI / Exempted beneficial owner own account ( 159 kb, pdf )
- One-Time Certificate – FFI – QIA: Qualified Intermediary assuming primary Non-Resident Alien (NRA) withholding responsibility and 1099 reporting and backup withholding responsibility ( 152 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 ( 175 kb, 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 ( 159 kb, 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 ( 178 kb, 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 ( 133 kb, 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 ( 163 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 ( 212 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 ( 152 kb, 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 ( 176 kb, pdf )
- Client Waiver Clause Letter ( 72 kb, pdf )
- U.S. Taxable Securities - August 2025 ( 36,121 kb, zip )
- Withholding Statement for events subject to IRC Section 302 ( 142 kb, pdf )