Common use of Branch Number Clause in Contracts

Branch Number. We understand that you require confirmation from us of certain information for the purposes of your verifying the identity of the above-noted account holder as required by the Proceeds of Crime (Money Laundering) and Terrorist Financing Act (Canada) (“PCMLTFA”). To assist you in this regard, we confirm the following: • We are a financial entity1 as defined under the PCMLTFA; • We currently maintain the above account in Canada for the above-noted account holder; and • The account is not one that is exempt from identification requirements under the PCMLTFA (such as an RRSP or reverse mortgage). Yours truly [name of financial entity] [signature] [Name, title and contact information of authorized officer] 1 Under the PCMLTFA, a financial entity means a Schedule I or II bank or an authorized foreign bank under the Bank Act (Canada) a credit union, a caisse populaire, a financial services cooperative, a registered trust company or loan company, or an agent of the Crown that accepts deposit liabilities in the course of providing financial services to the public. INFORMATION REQUIRED FOR INTERNATIONAL INFORMATION TAX REPORTING (U.S. FATCA) [To be completed and signed by all Subscribers unless Schedule “B” has been completed and the Subscriber’s Agent has agreed to discharge FATCA obligations by checking the “Yes” box in Schedule “B”. For Joint Accounts, a separate Schedule “G” must be completed and signed by each individual account holder.] INDIVIDUAL SUBSCRIBERS Name of Subscriber: Print Name – (Full Legal Name) Are you a United States (U.S.) person for U.S. tax purposes? Note – A U.S. person for U.S. tax purposes includes a U.S. resident or a U.S. citizen (even if that individual resides outside of the U.S. and is also a resident of another jurisdiction for tax purposes). Yes No If yes, provide a completed Form W-9 and indicate the U.S. Tax Information Number (TIN): (social security number (SSN) or IRS individual taxpayer identification number (ITIN)) If no, provide a completed Form W-8BEN. I certify that the information I have provided on this Schedule “G” is, to the best of my knowledge and belief, correct and complete. Signature: Date: SUBSCRIBERS THAT ARE ENTITIES Defined terms referred to below are set out under the Income Tax Act (Canada) (the “ITA”) and the Intergovernmental Agreement between Canada and the United States for the Enhanced Exchange of Tax Information under the Canada-U.S. Tax Convention (the “IGA”), and certain definitions have been reproduced below. When completing this form, please refer to the ITA and the IGA for any additional definitions or guidance as necessary, or consult with your legal or tax advisers. Name of Subscriber that is an Entity: Print Name – (Full Legal Name of Entity) Specified U.S. Person: Is the Subscriber a “Specified U.S. Person” as defined below? (Note – A corporation or partnership incorporated or organized in Canada and governed by Canadian law is not a “Specified U.S. Person”. See the definitions of “U.S. Person” and “Specified U.S. Person” below.) Yes No If yes, provide the U.S. Tax Information Number (TIN): If no, complete the boxes below and submit a completed Form W-8BEN-E.

Appears in 3 contracts

Samples: Subscription Agreement, Subscription Agreement, Subscription Agreement

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Branch Number. We understand that you require confirmation from us of certain information for the purposes of your verifying the identity of the above-noted account holder as required by the Proceeds of Crime (Money Laundering) and Terrorist Financing Act (Canada) (“PCMLTFA”). To assist you in this regard, we confirm the following: We are a financial entity1 as defined under the PCMLTFA; We currently maintain the above account in Canada for the above-noted account holder; and The account is not one that is exempt from identification requirements under the PCMLTFA (such as an RRSP or reverse mortgage). Yours truly [name of financial entity] [signature] [Name, title and contact information of authorized officer] 1 Under the PCMLTFA, a financial entity means a Schedule I or II bank or an authorized foreign bank under the Bank Act (Canada) a credit union, a caisse populaire, a financial services cooperative, a registered trust company or loan company, or an agent of the Crown that accepts deposit liabilities in the course of providing financial services to the public. SCHEDULE “G” INFORMATION REQUIRED FOR INTERNATIONAL INFORMATION TAX REPORTING (U.S. FATCA) [To be completed and signed by all Subscribers unless Schedule “B” has been completed and the Subscriber’s Agent has agreed to discharge FATCA obligations by checking the “Yes” box in Schedule “B”obligations. For Joint Accounts, a separate Schedule “G” must be completed and signed by each individual account holder.] INDIVIDUAL SUBSCRIBERS Name of Subscriber: Print Name – (Full Legal Name) Are you a United States (U.S.) person for U.S. tax purposes? Yes No Note – A U.S. person for U.S. tax purposes includes a U.S. resident or a U.S. citizen (even if that individual resides outside of the U.S. and is also a resident of another jurisdiction for tax purposes). Yes No If yes, provide a completed Form W-9 and indicate the U.S. Tax Information Number (TIN): (social security number (SSN) or IRS individual taxpayer identification number (ITIN)) If no, provide a completed Form W-8BEN. I certify that the information I have provided on this Schedule “G” is, to the best of my knowledge and belief, correct and complete. Signature: Date: SUBSCRIBERS THAT ARE ENTITIES Defined terms referred to below are set out under the Income Tax Act (Canada) (the “ITA”) and the Intergovernmental Agreement between Canada and the United States for the Enhanced Exchange of Tax Information under the Canada-U.S. Tax Convention (the “IGA”), and certain definitions have been reproduced below. When completing this form, please refer to the ITA and the IGA for any additional definitions or guidance as necessary, or consult with your legal or tax advisers. Name of Subscriber that is an Entity: Print Name – (Full Legal Name of Entity) Specified U.S. Person: Is the Subscriber a “Specified U.S. Person” as defined below? (Note – A corporation or partnership incorporated or organized in Canada and governed by Canadian law is not a “Specified U.S. Person”. See the definitions of “U.S. Person” and “Specified U.S. Person” below.) Yes No If yes, provide the U.S. Tax Information Number (TIN): If no, complete the boxes below and submit a completed Form W-8BEN-E.

Appears in 1 contract

Samples: Subscription Agreement

Branch Number. We understand that you require confirmation from us of certain information for the purposes of your verifying the identity of the above-noted account holder as required by the Proceeds of Crime (Money Laundering) and Terrorist Financing Act (Canada) (“PCMLTFA”). To assist you in this regard, we confirm the following: We are a financial entity1 as defined under the PCMLTFA; We currently maintain the above account in Canada for the above-noted account holder; and The account is not one that is exempt from identification requirements under the PCMLTFA (such as an RRSP or reverse mortgage). Yours truly [name of financial entity] [signature] [Name, title and contact information of authorized officer] 1 Under the PCMLTFA, a financial entity means a Schedule I or II bank or an authorized foreign bank under the Bank Act (Canada) a credit union, a caisse populaire, a financial services cooperative, a registered trust company or loan company, or an agent of the Crown that accepts deposit liabilities in the course of providing financial services to the public. SCHEDULE “G” INFORMATION REQUIRED FOR INTERNATIONAL INFORMATION IN CONNECTION WITH FOREIGN TAX REPORTING (U.S. FATCA) [To be completed and signed by all Subscribers unless Schedule “B” has been completed and the Subscriber’s Agent has agreed to discharge FATCA obligations by checking the “Yes” box in Schedule “B”Subscribers. For Joint Accounts, a separate Schedule “G” must be completed and signed by for each individual account holder.] INDIVIDUAL SUBSCRIBERS Name of Subscriber: Print Name – (Full Legal Name) Are you a United States (U.S.) person for U.S. tax purposes? Yes No Note – A a U.S. person for U.S. tax purposes includes a U.S. resident or a U.S. citizen. A U.S. citizen (is a U.S. person for tax purposes even if that individual resides outside of the U.S. and is also a resident of another jurisdiction for tax purposes). Yes No If yes, provide a completed Form W-9 and indicate the following: U.S. Tax Information Number (TIN): (social security number (SSN) or IRS individual taxpayer identification number (ITIN)) If no, provide a completed Form W-8BEN. I certify that the information I have provided on this Schedule “G” is, to the best of my knowledge and belief, correct and complete. Signature: Date: SUBSCRIBERS THAT ARE ENTITIES Defined terms referred to below are set out under the Income Tax Act (Canada) (the “ITA”) and the Intergovernmental Agreement between Canada and the United States for the Enhanced Exchange of Tax Information under the Canada-U.S. Tax Convention (the “IGA”), and certain definitions have been reproduced below. When completing this form, please refer to the ITA and the IGA for any additional definitions or guidance as necessary, or consult with your legal or tax advisers. Name of Subscriber that is an Entity: Print Name – (Full Legal Name of Entity) Specified U.S. Person: Is the Subscriber a “Specified U.S. Person” as defined below? (Note – A corporation or partnership incorporated or organized in Canada and governed by Canadian law is not a “Specified U.S. Person”. See the definitions of “U.S. Person” and “Specified U.S. Person” below.) Yes No If yes, provide the U.S. Tax Information Number (TIN): If no, complete the boxes below and submit a completed Form W-8BEN-E.

Appears in 1 contract

Samples: Subscription Agreement and Power

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Branch Number. We understand that you require confirmation from us of certain information for the purposes of your verifying the identity of the above-noted account holder as required by the Proceeds of Crime (Money Laundering) and Terrorist Financing Act (Canada) (“PCMLTFA”). To assist you in this regard, we confirm the following: We are a financial entity1 as defined under the PCMLTFA; We currently maintain the above account in Canada for the above-noted account holder; and The account is not one that is exempt from identification requirements under the PCMLTFA (such as an RRSP or reverse mortgage). Yours truly [name of financial entity] [signature] [Name, title and contact information of authorized officer] 1 Under the PCMLTFA, a financial entity means a Schedule I or II bank or an authorized foreign bank under the Bank Act (Canada) a credit union, a caisse populaire, a financial services cooperative, a registered trust company or loan company, or an agent of the Crown that accepts deposit liabilities in the course of providing financial services to the public. SCHEDULE “G” INFORMATION REQUIRED FOR INTERNATIONAL INFORMATION TAX REPORTING (U.S. FATCA) [To be completed and signed by all Subscribers unless Schedule “B” has been completed and the Subscriber’s Agent has agreed to discharge FATCA obligations by checking the "Yes" box in Schedule "B". For Joint Accounts, a separate Schedule “G” must be completed and signed by each individual account holder.] INDIVIDUAL SUBSCRIBERS Name of Subscriber: Print Name – (Full Legal Name) Are you a United States (U.S.) person for U.S. tax purposes? Yes No Note – A U.S. person for U.S. tax purposes includes a U.S. resident or a U.S. citizen (even if that individual resides outside of the U.S. and is also a resident of another jurisdiction for tax purposes). Yes No If yes, provide a completed Form W-9 and indicate the U.S. Tax Information Number (TIN): (social security number (SSN) or IRS individual taxpayer identification number (ITIN)) If no, provide a completed Form W-8BEN. I certify that the information I have provided on this Schedule “G” is, to the best of my knowledge and belief, correct and complete. Signature: Date: SUBSCRIBERS THAT ARE ENTITIES Defined terms referred to below are set out under the Income Tax Act (Canada) (the “ITA”) and the Intergovernmental Agreement between Canada and the United States for the Enhanced Exchange of Tax Information under the Canada-U.S. Tax Convention (the “IGA”), and certain definitions have been reproduced below. When completing this form, please refer to the ITA and the IGA for any additional definitions or guidance as necessary, or consult with your legal or tax advisers. Name of Subscriber that is an Entity: Print Name – (Full Legal Name of Entity) Specified U.S. Person: Is the Subscriber a “Specified U.S. Person” as defined below? (Note – A corporation or partnership incorporated or organized in Canada and governed by Canadian law is not a “Specified U.S. Person”. See the definitions of “U.S. Person” and “Specified U.S. Person” below.) Yes No If yes, provide the U.S. Tax Information Number (TIN): If no, complete the boxes below and submit a completed Form W-8BEN-E.

Appears in 1 contract

Samples: Subscription Agreement

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