Financial Institution Information

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Financial Institution Information

Financial Institution Name (as provided when registering with the IRS)*

Section A*

Under which Regulation(s) does this Financial Organization have a Reporting Requirement? (Check all that apply):

-US FATCA

-CRS

Financial Institution GIIN (issued by the IRS) *

Categorisation of Financial Institution (check all that apply) *

Investment Entity

Custodial Institution

Specified Insurance Company

Depository Institution

Section B*

CRS Reporting FI?

Categorisation (select all that apply) *

Investment Entity

Custodial Institution

Specified Insurance Company

Depository Institution

Check this box if the Investment Entity has no financial accounts by virtue of Schedule 1 to the CRS Regulations, Section VIII.C.1.a)

Section C*

CRS Non-Reporting FI?

Categorisation (Select One) *

TrusteeFiName

TrusteeFINumber

Institution Email Address *

Principal Point of Contact Information

First Name *

Surname *

Email Address *

Telephone Number *

International Exit Code

Area Code

Number

Nationality *

Office Address of the Principal Point of Contact

Number, Street, and Room/Suite no *

City or Town *

State/Parish/Province/Region *

Post Code

Country *

Please attach a PDF archive demonstrating that you are approved by the Financial Institution to be the Principal Point of Contact(PPOC) (It must be Stamped and signed).*

Please attach a scan copy of primary user valid passport / driver's licence. *

Captcha*

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Your notification will be submitted for approval by the Grenada Islands Tax Information Authority. You will receive confirmation by email once your notification has been processed.

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