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BIR Beneficial Ownership Declaration Form

The Beneficial Ownership Declaration Form certifies that the income recipient is the beneficial owner of interest income payments from the Republic of the Philippines. It requires the beneficial owner's residency information and asserts that the information provided is true and accurate under penalty of perjury. The signatory acknowledges responsibility for any consequences arising from false information.

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484 views1 page

BIR Beneficial Ownership Declaration Form

The Beneficial Ownership Declaration Form certifies that the income recipient is the beneficial owner of interest income payments from the Republic of the Philippines. It requires the beneficial owner's residency information and asserts that the information provided is true and accurate under penalty of perjury. The signatory acknowledges responsibility for any consequences arising from false information.

Uploaded by

elishamamedicallab
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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BENEFICIAL OWNERSHIP DECLARATION FORM

Through this Beneficial Ownership Declaration Form, I/We certify that:

i. _________________________________________, the income recipient, is


the beneficial owner of the interest income payments made by the Republic of
the Philippines, through the Bureau of Treasury. For this purpose, the term
“beneficial owner” refers to the person, individual or juridical, who has right to
use and enjoy the interest unconstrained by a contractual or legal obligation to
pass on the payment received to another person.; and

ii. the beneficial owner is a resident of the


________________________________________ within the meaning of
Article ___ of the
______________________________________________________________
_____________.

I/We further certify, under the penalties of perjury, that this Form has been made in
good faith, and that I/we have verified the representations made herein, including the
accompanying document(s), and that, to the best of my/our knowledge, belief and
information, are correct, complete and true account of the transaction subject of this
application.

Finally, I/We understand that I/We am/are fully responsible for any consequence in the
event that the information provided herein is found to be false.

____________________________________
Signature over Printed Name of the
Beneficial Owner(s) / Authorized
Representative

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