Tax Exemption Scheme

Instruction manual for Tax Exemption

When receiving interest payments

  • Who submits
    Nonresident individuals, etc., who receive interest payments
  • Document to submit
    Statement of the Holding Period
  • When to submit (Submission deadline)
    At least one day preceding the interest payment date
  • Where to submit
    A qualified foreign intermediary or specified book-entry transfer institution, etc.
  • Exceptions

    • When a specified book-entry transfer institution, etc., or qualified foreign intermediary has established a tax-exempt category account and has submitted particulars of the calculation of withholding income tax, the Statement of the Holding Period need not be submitted.
    • When a specified book-entry transfer institution, etc., or qualified foreign intermediary has submitted a document stating the holding period, etc., prepared on the basis of detailed calculations of books for each investor, the Statement of the Holding Period need not be submitted.
  • Form Completion Guide

    • Sections to be completed by nonresident individuals, etc.

      ①Date

      ②Name of tax office with jurisdiction over issuer

      ②'Name of issuer

      ③Name of specified book-entry transfer institution, etc., or qualified foreign intermediary

      ④Address of specified book-entry transfer institution, etc., or qualified foreign intermediary

      ⑤Address of nonresident individual, etc.

      ⑥Name of nonresident individual, etc.

      ⑦Name of qualified foreign securities investment trust

      ⑧Name of issue

      ⑨Interest payment date

      ⑩Interest amount

      • When the first day of the holding period of a book-entry transfer JLGB by a nonresident individual or a foreign corporation falls on a day prior to the first day of the calculation period for interest accrual on the book-entry transfer JLGB:
        → The amount of interest corresponding to the interest calculation period
      • When the first day of the holding period of a book-entry transfer JLGB by a nonresident individual or a foreign corporation falls either on the first day or on a day after the first day of the calculation period for interest accrual on the book-entry transfer JLGB:
        → The amount derived by multiplying the amount of interest corresponding to the interest calculation period by the number of days holding the book-entry transfer JLGB, divided by the number of days of the interest calculation period

      ⑪First day of the holding period

      • When the first day of the holding period of a book-entry transfer JLGB by a nonresident individual or a foreign corporation falls on a day prior to the first day of the calculation period for interest accrual on the book-entry transfer JLGB: The first day of the calculation period
      • When the first day of the holding period of a book-entry transfer JLGB by a nonresident individual or a foreign corporation falls either on the first day or on a day after the first day of the calculation period for interest accrual on the book-entry transfer JLGB: The first day of the holding period
      • If continuous calculation is applied to the holding period of the previous owner, etc.: The first day after continuous calculation

* Headings may be supplemented, deleted, circled, checked or indicated in other ways as appropriate according to the purpose of use

Attachment 3

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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