美国地址的说明SExplanationofaUSAddress-HangSengBank.PDFVIP

S3 - 美國地址的說明 S3 - Explanation of a U.S. Address 致 : 恒生銀行有限公司 To : Hang Seng Bank Limited 請用正楷填寫，並在適當之方格內加上 “√” 號。 日期(日/月/年) Please complete in BLOCK LETTERS and “√” where appropriate. Date(DD/MM/YY) 戶口資料 Account Information 賬戶名稱 Account Name 身份證明文件號碼 ID Document No. 賬戶號碼 Account Number 閣下填妥IRS表格W-8 ，即確認閣下本身並非美國公民或居民或其他就美國稅法目的而言的美國人士。然而，閣下的賬戶記錄顯示閣下擁有美國的 郵寄地址/永久住址。由於擁有美國地址顯示閣下可能為一就美國稅法目的而言的美國居民，謹請閣下： By completing your IRS Form W-8 you are affirming that you are not a citizen or resident of the United States or other U.S. person for the purposes of U.S. tax law. Your account records, however, indicate that you have a mailing address/permanent residence address in the U.S. . Because a U.S. address is an indication that you may be a U.S. resident for U.S. tax law purposes, we would be grateful if you would please: 1. 在下文甲部就地址提供說明；及 Provide an explanation for the address in Part A below; and 2. 填妥下文乙部內的實質居住測試表(如適用)；及 Complete the Substantial Presence Test table in Part B below (if applicable); and 3. 如適用，請填妥下文丙部或丁部的聲明。 As appropriate, complete the declaration in Part C OR Part D below. 4. 郵寄已填妥的聲明及/或其他所需文件至下列的地址：地址為香港郵政總局郵政信箱11280號 Mail the completed declaration and/or other required documents to the address below: P.O. Box No. 11280 General Post Office Hong Kong 甲部 Part A ─ 美國地址的說明 U.S. Address Explanation (Select one) 1. 美國地址是次要的居住地址(如度假屋) The US address is a secondary residence address (e.g. a vacation home) 2. 美國地址屬於本人/吾等之財務或法律顧問 The US address is that of my/our financial or legal advisor 3. 其他(請說明): Other (please explain): __________________________________________________________________________________________ ______________________________________________________________________________________________________________ __________________________________________________