Customers Declaration Of His Her Being A Non Resident Page 2
ADVERTISEMENT
1
2
3_________________
:
" י
בוצע ע
________
:
תאריך
__________________
____
________________________________
:
העובד
שם
_________________
:
אסמכתא
_________
:
פעולה
__
With regard to a Legal Entity:
I declare that the Legal Entity is a non - resident because: (mark all the relevant boxes with an x.)
1
It is not registered / incorporated with the Registrar of Companies in Israel.
2
It is not registered with the Registrar of Amutot (non-profit societies) in Israel.
3
It is not registered with the Registrar of Partnerships in Israel.
4
None of the partners in the partnership are Israeli residents.
5
The control of the legal entity is not in Israel.
6
The management of the legal entity is not in Israel.
7
The legal entity does not have a permanent enterprise in Israel.
8
The legal entity ,residing in Israel does not hold, directly or indirectly, through holding shares or through a trust or in any
other manner, alone or with another who is an Israeli resident one or more of the means of the control specified below at a
rate exceeding 25%.
a)
the right to participate in profits;
b) the right to appoint a director;
c) the voting right;
d) the right to share in the assets of the entity at the time of its winding up;
e) the right to direct the manner of exercising one of the rights specified above.
With regard to a Trust:
I declare that the trust is a non-resident because: (mark all the relevant boxes with an x.)
1
The trust is not registered in Israel.
2
The settler of the trust is a non-resident.
The beneficiary is a non-resident.
3
4
The trustee is a non-resident.
B. The Entitlement to Exemption from Tax on a Non-Resident’s Deposit.
I declare that I am aware that I shall only be entitled to benefit from exemption from tax on income from interest on a non-resident’s
deposit if the deposit will comply with all the following terms and conditions:
1.
The deposit is not recorded and does not require to be recorded in the books of a permanent enterprise in Israel.
2.
The interest derived from the deposit is not income from a business or occupation.
3.
All the deposit owners are non-residents.
2
4.
The deposit was not used to grant a loan or as collateral for loans that the Bank has granted to my relatives
or to a legal entity of
3
which I am a controlling owner
, if they are Israeli residents.
2
"relative"–spouse, sibling, parent, grandparent, descendant, spouse's descendant, and spouse of each of the above.
3
"controlling owner" – whoever holds, directly or indirectly, alone or together with a relative, one of the following:
a)
at least 10% of the issued share capital or at least 10% of the voting rights;
b)
the right to hold at least 10% of the issued share capital or at least 10% of the voting rights, or the right to purchase these;
c)
the right to receive at least 10% of profits;
d)
the right to appoint a director.
Signature ___________________________ Signature ___________________________ Signature ___________________________
אוגדן
Page 2 of 3
1. for the branch 2. for the customer
26.09.06
684-42
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form 89-387-03-1-1-000 - Withholding On The Sale Of Real Property By A Non-resident - 2002
Financial
Form 89-387-03-1-1-000 - Withholding On The Sale Of Real Property By A Non-resident - Instructions
Financial
Form 89-387-96-1 Instructions - Withholding On The Sale Of Real Property By A Non-resident
Financial
Declaration Of Entitlement To Own A Ship Registered In Hong Kong By Joint Owner - Body Corporate - Qualified Owner - Hong Kong Marine Department
Legal
Nr301, 2013, Declaration Of Eligibility For Benefits (reduced Tax) Under A Tax Treaty For A Non-resident Person
Financial
Form Wi A - Non-resident Or Part-year Resident Individual Income Tax Return - State Of Mississippi
Financial
Related Categories
Parent category: Financial