Important Note: Information is requested about tax residency of other countries to help us comply with taxation laws including the Common Reporting Standard (CRS) and Foreign Account Tax Compliance Act (FATCA), non-resident withholding tax and Anti-Money Laundering and Counter Terrorism Financing laws.

Queensland Country Bank applies a risk-based onboarding standard requiring foreign TIN(s) for customers who are tax resident outside Australia. If a foreign TIN cannot be provided, we are unable to open or maintain the account.

Required information

Section 1 – Account Holder Details

Section 1 – Account Holder Details

Title
Please note, this must be a street address.

Section 2 – Certification

Australian Tax Residency

Section 2 – Certification

Australian Tax Residency

Are you an Australian resident for Tax Purposes

United States Tax Residency Self-Certification

United States Tax Residency Self-Certification

Are you a United States resident or citizen for U.S tax purposes?
This may be your Social Security Number (SSN) or ITIN.

Other Foreign Tax Residency Self-Certification

Other Foreign Tax Residency Self-Certification

Are you a resident for tax purposes of another country?

If Yes, please complete the following information

A  TIN must be provided for each country in which you are tax resident.

Important: Do not enter your Australian Tax File Number (TFN) on this form.

Common TIN names have been listed at the bottom of this page.

If Yes, please complete the following information

A  TIN must be provided for each country in which you are tax resident.

Important: Do not enter your Australian Tax File Number (TFN) on this form.

Common TIN names have been listed at the bottom of this page.

Country 1

Country 1

Country 2

Country 2

Country 3

Country 3

Section 3 – Declaration

  • I declare that the information provided above is true, correct and complete.
  • I undertake to notify Queensland Country Bank within 30 days  of any change in circumstances that affects my tax residency status and causes the information provided in this application to become incomplete or inaccurate.
  • I acknowledge that the information contained in this form, and other information relating to accounts I hold, may be provided to the Australian Taxation Office and exchanged with the tax authorities of other jurisdiction(s) in which I am tax resident, in accordance with intergovernmental agreements for the exchange of financial account information.
  • If I am unsure of my tax residency status, I acknowledge that I should seek independent tax advice. Queensland Country Bank Limited cannot provide tax advice

Section 3 – Declaration

  • I declare that the information provided above is true, correct and complete.
  • I undertake to notify Queensland Country Bank within 30 days  of any change in circumstances that affects my tax residency status and causes the information provided in this application to become incomplete or inaccurate.
  • I acknowledge that the information contained in this form, and other information relating to accounts I hold, may be provided to the Australian Taxation Office and exchanged with the tax authorities of other jurisdiction(s) in which I am tax resident, in accordance with intergovernmental agreements for the exchange of financial account information.
  • If I am unsure of my tax residency status, I acknowledge that I should seek independent tax advice. Queensland Country Bank Limited cannot provide tax advice

Example TIN names used by other countries (grouped by region):

Australia & New Zealand 

  • Australia – TFN (Tax File Number)
  • New Zealand – IRD Number

Americas 

  • United States – SSN (individual), ITIN (non-resident), EIN (entity)
  • Canada – SIN (Social Insurance Number);
  • Mexico – RFC 
  • Brazil – CPF (individual), CNPJ (entity)

Asia–Pacific

  • Singapore – NRIC / FIN
  • India – PAN (Permanent Account Number)
  • Japan – My Number
  • China – Resident ID Number
  • Hong Kong – HKID

Europe

  • United Kingdom – NINO (National Insurance Number)
  • Ireland – PPS Number
  • France – Numéro Fiscal
  • Germany – Steuer-ID
  • Italy – Codice Fiscale
  • Spain – NIF / NIE
  • Portugal – NIF
  • Netherlands – BSN
  • Sweden / Norway / Denmark / Finland – Personal Identity Number

Africa & Middle East

  • South Africa – Income Tax Reference Number
  • Nigeria – TIN
  • Kenya – KRA PIN
  • Israel – Teudat Zehut
  • UAE – TRN (primarily VAT-related)
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