Selbstauskunft für Unternehmen und Organisationen U.S. Foreign Account Tax Compliance Act (FATCA) und Common Reporting Standard (CRS) der OECD Instructions

Please provide the current commercial register number of the organization.

Enter the first line of the registered name of the company, branch, or organization.

Enter the second line of the registered name of the company, branch, or organization.

Enter the third line of the registered name of the company, branch, or organization.

Please enter the country where the company or organization is registered (e.g., commercial register).

Check this box if your entity is a custodial institution, a depository institution, or an insurance company.

Check this box if your entity is an investment entity in a non-participating state that is managed by another financial institution.

Check this box if your entity is an investment entity other than those previously described.

Enter the first line of the current business address, including the street name and house number.

Enter any additional address information for the current business address, such as an apartment or suite number.

Enter the postal code for the current business address.

Enter the city or town for the current business address.

Enter the country of the current business address.

Please provide the full name of the signatory in block letters.

Please provide the date of signing.

Check this box to confirm that you are authorized to sign, for all accounts to which this form refers, on behalf of the legal entity named in Part 1 of this form.

Provide your account number with Deutsche Bank.

Please enter your Global Intermediary Identification Number (GIIN).

Check this box if your financial institution is a Participating FFI and is not based in the U.S.A.

Check this box if your financial institution is a Registered Deemed Compliant FFI, including Reporting Model I FFI, and is not based in the U.S.A.

Check this box if your financial institution is a Reporting Model II FFI.

Check this box if your financial institution is a Sponsored Entity.

Enter the country where the first controlling person is considered a tax resident for their first tax residency.

Enter the Tax Identification Number (TIN) for the first controlling person's first tax residency.

Enter the type of Tax Identification Number (TIN) for the first controlling person's first tax residency.

Provide a reason if a Tax Identification Number (TIN) is not available for the first controlling person's first tax residency. Fill only if 'First Tax Identification Number (TIN)' is not available.

Please enter the country of the fourth tax residency for the first controlling person.

Please enter the Tax Identification Number (TIN) for the fourth tax residency.

Please specify the type of Tax Identification Number (TIN) provided for the fourth tax residency.

Please provide a reason if a Tax Identification Number (TIN) is not available for the fourth tax residency. Fill only if 'Fourth Tax Residency TIN' is not available.

Enter the country of the second tax residency for the first controlling person.

Enter the Tax Identification Number (TIN) for the second tax residency of the first controlling person.

Enter the type of Tax Identification Number (TIN) for the second tax residency of the first controlling person.

Provide a reason if a Tax Identification Number (TIN) is not available for the second tax residency of the first controlling person. Fill only if 'Second Tax Residency TIN' is not available.

Provide the country of the first controlling person's third tax residency.

Provide the tax identification number (TIN) for the first controlling person's third tax residency.

Provide the type of tax identification number (TIN) for the first controlling person's third tax residency.

Please enter the last name of the first controlling person.

Please enter the first name of the first controlling person.

Please enter the date of birth of the first controlling person.

Please enter the place of birth of the first controlling person.

Please enter the country of tax residence for the first controlling person.

Please enter the Tax Identification Number (TIN) for the first controlling person.

Please enter the type of Tax Identification Number (TIN) for the first controlling person.

Please provide a reason if a Tax Identification Number (TIN) is not available for the first controlling person. Fill only if 'First Controlling Person TIN' is not provided.

Please enter the first controlling person's address for identification line 1.

Please enter the first controlling person's date and place of birth, including the city and country, for identification line 1.

Please enter the first name of the first controlling person for this identification line.

Please enter the last name or surname of the first controlling person for this identification line.

Please provide the country of the first tax residency for the first controlling person.

Please provide the Tax Identification Number (TIN) for the first controlling person's first tax residency.

Please provide the type of the Tax Identification Number (TIN) for the first controlling person's first tax residency.

Please explain the reason why a Tax Identification Number (TIN) is not available for the first controlling person's first tax residency. Fill only if 'First Tax Residency TIN' is not provided.

Please provide an additional reason or continuation of the reason why a Tax Identification Number (TIN) is not available for the first controlling person's first tax residency. Fill only if 'Second Tax Residency TIN' is not provided.

Provide the country for the first controlling person's second tax residency.

Provide the Tax Identification Number (TIN) for the first controlling person's second tax residency.

Provide the type of Tax Identification Number (TIN) for the first controlling person's second tax residency.

Provide the country where the account holder is tax resident.

Enter the Tax Identification Number (TIN) for the first tax residency country.

Specify the type of Tax Identification Number (TIN) provided.

Select the reason (A, B, or C) if a Tax Identification Number (TIN) is not available. Fill only if 'First Tax Residency TIN' is not filled.

Please provide the Global Intermediary Identification Number (GIIN) for the Direct Reporting NFFE entity. Fill only if 'Direct/ Sponsored Direct Reporting NFFE unter FATCA' is 'Yes'.

Check this box if the legal entity is a Direct/Sponsored Direct Reporting Non-Financial Foreign Entity (NFFE) under FATCA.

Enter the name of the recognized stock exchange where the company's shares are regularly traded. Fill only if 'Publicly Traded Company NFE' is 'Yes'.

Enter the name of the company whose shares are regularly traded, and of which the entity mentioned under (i) is a related entity. Fill only if 'Publicly Traded Company NFE' is 'Yes'.

Check this box if the legal entity is an active Non-Financial Entity (NFE) whose shares are regularly traded on an established securities market, or if it is a related entity of such a company.

Please provide the first line of the mailing address, including the street name and house number.

Please provide the second line of the mailing address for additional details, such as an apartment or unit number.

Please provide the postal code and the city for the mailing address.

Please provide the country for the mailing address.

Please provide any further address details for the mailing address.

Check this box if the entity is an Active NFE that is a governmental body, central bank, or international organization.

Check this box if the entity is an Active NFE and falls under other categories not specified elsewhere.

Check this box if the entity is a Passive NFE, in which case you must complete the table in Annex 1 'Controlling Persons'.

Check this box if your FFI has applied for a GIIN but has not yet received it. Fill only if 'GIIN' is empty.

Check this box if your entity is a FATCA exempt beneficial owner (e.g., an international organization). Fill only if 'GIIN' is empty.

Check this box if your entity is a certified deemed compliant FFI not resident in the U.S.A. (e.g., an FFI with low-value accounts). Fill only if 'GIIN' is empty.

Check this box if your entity is an owner-documented FFI not resident in the U.S.A. Fill only if 'GIIN' is empty.

Check this box if your entity is a non-reporting FFI not resident in the U.S.A. (e.g., a trustee-documented trust). Fill only if 'GIIN' is empty.

Check this box if your entity is a sponsored entity that falls under Annex II of Model I IGA and does not maintain U.S. reportable accounts. Fill only if 'GIIN' is empty.

Check this box if your entity is a non-participating FFI not resident in the U.S.A. Fill only if 'GIIN' is empty.

Please provide a detailed explanation of why a Tax Identification Number (TIN) cannot be obtained, specifically when Reason B has been selected. Fill only if 'First Reason for No TIN', '15. 4BWenn keine TIN verfügbar, Grund A, B oder C wählen_Row_2', 'Third Reason for No TIN' is 'Grund B', any.

Enter the country of the first tax residency for the second controlling person.

Enter the Tax Identification Number (TIN) for the first tax residency of the second controlling person.

Enter the type of Tax Identification Number (TIN) for the first tax residency of the second controlling person.

Explain why a Tax Identification Number (TIN) is not available for the first tax residency of the second controlling person. Fill only if 'Second Controlling Person - First Tax Residency TIN' is not available.

Enter the country of the second tax residency for the second controlling person.

Enter the Tax Identification Number (TIN) for the second tax residency of the second controlling person.

Enter the type of Tax Identification Number (TIN) for the second tax residency of the second controlling person.

If no Tax Identification Number (TIN) is available for the second tax residency, provide the reason. Fill only if 'Second Controlling Person's Second Tax Residency TIN' is not available.

Provide the country of the second controlling person's third tax residency.

Provide the tax identification number (TIN) for the second controlling person's third tax residency.

Provide the type of tax identification number (TIN) for the second controlling person's third tax residency.

Provide the first name of the second controlling person.

Provide the last name or surname of the second controlling person.

Provide the street address of the second controlling person.

Provide the date and place of birth (city, country) of the second controlling person.

Provide the city of residence of the second controlling person.

Provide the federal state or province of residence of the second controlling person.

Provide the postal code of the second controlling person.

Enter the second controlling person's street address, including street name and house number.

Enter the second controlling person's date of birth, and the place of birth including the city and country.

Please enter the second controlling person's first name.

Please enter the second controlling person's family name or last name.

Please provide the reason if a Tax Identification Number (TIN) is not available for the second controlling person's first tax residency. Fill only if 'Second Controlling Person State' is not provided.

Please enter the country of the second controlling person's first tax residency.

Please enter the Tax Identification Number (TIN) for the second controlling person's first tax residency.

Please enter the type of Tax Identification Number (TIN) for the second controlling person's first tax residency.

Please enter the country of the second controlling person's second tax residency.

Please enter the tax identification number (TIN) for the second controlling person's second tax residency.

Please enter the type of tax identification number (TIN) for the second controlling person's second tax residency.

Please provide the country of the second controlling person's third tax residency.

Please provide the Tax Identification Number (TIN) for the second controlling person's third tax residency.

Please provide the type of Tax Identification Number (TIN) for the second controlling person's third tax residency.

Enter the third country where the account holder is tax resident.

Enter the tax identification number (TIN) for the third country of tax residency.

Enter the type of tax identification number (TIN) for the third country of tax residency.

If a tax identification number (TIN) is not available for the third country of tax residency, select the corresponding reason (A, B, or C). Fill only if 'Third Tax Identification Number (TIN)' is not filled.

Check this box if the first controlling person, who is a legal person, exercises control through ownership.

Check this box if the first controlling person, who is a legal person, exercises control through other means not explicitly listed.

Check this box if the first controlling person, who is a legal person, is a member of the management board or equivalent.

Check this box if the first controlling person's role in the other legal agreement is equivalent to that of a settlor.

Check this box if the first controlling person's role in the other legal agreement is equivalent to that of a trustee.

Check this box if the first controlling person's role in the other legal agreement is equivalent to that of a protector.

Check this box if the first controlling person's role in the other legal agreement is equivalent to that of a beneficiary.

Check this box if the first controlling person's role in the other legal agreement is not covered by the other options provided.

Check this box if the first controlling person for the trust is a settlor or grantor (Treugeber).

Check this box if the first controlling person for the trust is a trustee (Treuhänder).

Check this box if the first controlling person for the trust is a protector (Protektor).

Check this box if the first controlling person for the trust is a beneficiary (Begünstigter).

Check this box if the first controlling person for the trust is of another type not listed (Sonstige).

Check this box if the second controlling person is a legal entity identified through ownership.

Check this box if the second controlling person is a legal entity identified through other means.

Check this box if the second controlling person is a legal entity identified as a member of the management board.