Tax Exemption Scheme

Instruction manual for Tax Exemption

When changing name or address

  • Who submits
    Nonresident individuals, etc., that have changed their name or address
  • Document to submit
    Application Form for Amendment
  • When to submit
    If there is a change in the name or address of the applicant after submitting the Application Form for Withholding Tax Exemption (including special case documents), at least one day preceding the date of the first interest payment after the change has been effected
  • Submission deadline
    By the day before the first interest payment after the amendment
  • Where to submit
    A qualified foreign intermediary or specified book-entry transfer institution, etc.
  • Verification documents
    The following documents must be presented on submission
    Documents published or issued by government offices, or other documents similar thereto

    • These documents are limited to those created no more than six months before the date of presentation, and those that state the name, etc., and address, etc., of the nonresident individual, etc.
    • If the applicant is the trustee of a qualified foreign securities investment trust without corporate status, the prospectus of the entrusted qualified foreign securities investment trust or any other document similar thereto must be attached, in addition to these documents.
  • Form Completion Guide

    • Sections to be completed by nonresident individuals, etc.

      ①Date

      ②Name of tax office with jurisdiction over specified book-entry transfer institution, etc.

      ③Address of nonresident individual, etc. (after amendment)

      ④The name of nonresident individual, etc. (after amendment)

      ⑤Address, etc., before amendment

      ⑤'Address, etc., after amendment

      ⑥Name before amendment

      ⑥'Name after amendment

      ⑦Name of specified book-entry transfer institution, etc., or qualified foreign intermediary

      ⑧Submission date of Application Form for Withholding Tax Exemption

    • Sections to be completed by qualified foreign intermediaries, etc.

      • Signature of qualified foreign intermediary and date of receipt
      • Name of ID document used by qualified foreign intermediary to identify applicant
      • Date of receipt by specified book-entry transfer institution, etc.

        • When prepared as special case documents, A, B and C may be left blank.
        • Headings may be supplemented, deleted, circled, checked or indicated in other ways as appropriate according to the purpose of use
Attachment 2

Click on the image to open an enlarged version

SAMPLE

* This form was created by the Japan Securities Dealers Association.
* These examples of completed forms are merely meant as illustrations. Please consult your financial institution for full details on how to complete the form.

SAMPLE