TAX RESID E N C Y F O R M

P rivate in d iv id ua l s

Danish banks are required to identify, register and report to the Danish Tax Authority whether their customers are tax
residents in countries other than Denmark. Please therefore inform us of the country or countries in which you are a tax
resident. We also need your tax identification number (TIN).

Being a tax resident of a country means that your total global income is subject to taxation to that country. A person is
generally regarded as a tax resident of the country in which he or she resides or spend more than 183 days within a
12-month period. Please note that, for some countries, a person may be considered tax resident even though he or she
resides in another country. For example, US citizens living in Denmark are generally required to file an annual income tax
statement in the US.

If you are in doubt of your tax residency, please consult a tax advisor or your local tax authorities.

1 Name
First name(s) and surname(s)

CPR No./Date of birth (if no Danish CPR No.)

2 Tax residency in Denmark

Are you a tax resident of Denmark?
Yes No

3 US citizenship/tax residency
Do you hold a US citizenship or are you a tax resident of the US for other reasons (for example because you were born
in the US or hold a US work permit (Green Card))?
Yes, state your TIN:
No

4 Tax residency in other countries

A) Are you a tax resident of a country/countries other than the US or Denmark?

Yes (continue to 4B) No (sign in section 5)

B) State the country/countries and your TIN. If you do not have a TIN, please explain why in section 4C.
Country TIN
Country TIN

C) Answer this question only if you have not stated your TIN in section 4B.
The country/countries of which I am a tax resident does/do not issue TINs.
I cannot be assigned a TIN for other reasons.

State the reason(s):

State your country and city of birth:

5 Signature
I solemnly declare and certify that the information above is correct and that I will contact Danske Bank if my circumstances
change.
DB0266UK 2020.04

Place and date

Signature Cuch Klaudia

Danske Bank A/S
CVR-nr. 61 12 62 28 - København