Individual Form - Tax Information by BVCA
Updated 8 October 2025
The BVCA Individual Tax Information Form is used by individual account holders to declare their tax residency status and provide Taxpayer Identification Numbers (TINs) to financial institutions, ensuring compliance with international tax reporting standards under the OECD Common Reporting Standard (CRS). It is part of BVCA’s widely trusted library of open, lawyer-vetted compliance forms.
PLEASE READ BEFORE COMPLETING THIS FORM:
Tax authorities require us to collect and report certain information about an Account Holder's tax residency status in order to comply with legal requirements based on the OECD Common Reporting Standard for Automatic Exchange of Financial Account Information "CRS". If you have any questions regarding the Account Holder's tax residence or how to complete this form, please consult your tax adviser.
To enable us to comply with our obligation to report to the relevant tax authorities, you are required to state the residency for tax purposes of the person or persons identified as the holder(s) of a Financial Account. On this form these persons are cumulatively referred to as the "Account Holder(s)".
When completing this form, please refer to the separate Key Definitions section.
Individual Tax Information Form
Part 1 - Account Holder Information
Account Holder - The person listed or identified as the holder of a Financial Account. The name of the Account Holder should be provided. If the person opening the account is acting as an intermediary, agent, custodian, nominee, signatory, investment advisor or legal guardian on behalf of another individual who is the account holder, this form must be completed by or on behalf of that other person who is referred to as the Account Holder.
Name: [account holder name]
Address: [street address]
City/Town: [city]
State/Province/County: [state province county]
Postal Code/Zip Code: [postal code]
Country (do not abbreviate): [country]
Date of birth (DD/MM/YY): [date of birth]
Place of birth (Town/City/Country): [place of birth]
Part 2 - Tax Residence
Please provide details for all jurisdictions in which the Account Holder is resident for tax purposes*.
Taxpayer Identification Number (TIN) - A TIN or functional equivalent should be provided for each country of residence for tax purposes identified. A TIN is a unique combination of letters and/or numbers assigned to the individual by a government, or its tax authorities, which is used to identify the account holder for the purposes of administering taxes. In some countries this may be a number that is specifically referred to as a TIN, while other countries may use other numbers (such as a social insurance number) to identify their residents for tax purposes. In the UK, a person's TIN is generally their National Insurance Number.
Country of Tax Residence 1: [country of tax residence 1]
Taxpayer Identification Number 1: [tin 1]
TIN Unavailable - [ ]
Country of Tax Residence 2: [country of tax residence 2]
Taxpayer Identification Number 2: [tin 2]
TIN Unavailable - [ ]
Country of Tax Residence 3: [country of tax residence 3]
Taxpayer Identification Number 3: [tin 3]
TIN Unavailable - [ ]
[ ] I certify the countries listed above (and in any attached statement) represent any and all countries in which the Account Holder is considered a tax resident.
If Account Holder is tax resident in additional countries please attach a statement to this form containing the Country and TIN for each.
Part 3 - Declarations and Signature
I understand that the information supplied by me in this certification (including any attachments hereto) is covered by the full provisions of the terms and conditions governing my/the Account Holder's relationship with [fi name] setting out how [fi name] may use and share the information supplied by me to [fi name].
I acknowledge and agree that information contained in this certification (including any attachments hereto) may be reported to the tax authorities of the country in which the account is maintained or otherwise as required by CRS or FATCA, and that those tax authorities may provide the information to the country or countries in which I/or the Account Holder am/is resident for tax purposes.
I undertake to advise [fi name] promptly of any change in circumstances which causes the information contained herein to become incorrect and to provide [fi name] with a suitably updated certification and/or attachment within 30 days of such change in circumstances.
I am authorised to sign for the Account Holder to which this form relates.
I declare that all statements made in this certification (including any attachments hereto) are, to the best of my knowledge and belief, true, correct and complete.
Name [signer name]
Capacity in which signing [signing capacity]
Date [signing date]
Signature
____________________________________________________________
About this template
What is this template?
Individual Form - Tax Information by BVCA is a free, ready-to-use Tax template you can open, customize, and download on GitLaw. It gives you a professionally structured starting point, so you never have to draft from a blank page. The wording is plain and modern, organized into clear sections that are easy to read, edit, and adapt to your own situation before you share or sign it.
When should you use it?
Reach for this Tax template whenever you need a reliable agreement quickly and want to be sure the essentials are covered. It suits individuals, freelancers, startups, and established businesses alike. Instead of paying for a document drafted from scratch, you can start here, tailor the details to your arrangement, and have a polished draft ready in minutes. This version is drafted with England & Wales in mind, though you should always review the final wording against the laws that apply to you.
What's typically included?
A well-drafted Tax usually sets out the parties involved, the scope of the agreement, and each side's rights and responsibilities. Expect sections covering key terms and definitions, how long the agreement lasts, how it can be ended, and what happens if something goes wrong. This template brings those building blocks together in a sensible order, so you can focus on the specifics rather than worrying about what to include. Open it to read the full document, then sign up to edit, negotiate, and e-sign it directly in GitLaw.