I declare that I AM a U.S. Person and am subject to U.S. federal income taxes.
I, hereby represent that, and by checking the applicable box below, the information provided by me is true and accurate. I further, declare that ADSS HK has provided me with complete and exhaustive information on the reporting obligation related to the FATCA regulation, and I have electronically signed this representation on the basis of this information, with knowledge of the consequences and following due deliberation. I understand that ADSS HK reserves the right to request for additional information, documents and declarations from me and agree to immediately comply with all requests. I understand that if I do not make a declaration, ADSS HK cannot maintain an account for me.
I declare that I AM a U.S. Person and am not subject to U.S. federal income taxes.
I, hereby represent that, and by checking the applicable box below, the information provided by me is true and accurate. I further, declare that ADSS HK has provided me with complete and exhaustive information on the reporting obligation related to the FATCA regulation, and I have electronically signed this representation on the basis of this information, with knowledge of the consequences and following due deliberation. I understand that ADSS HK reserves the right to request for additional information, documents and declarations from me and agree to immediately comply with all requests. I understand that if I do not make a declaration, ADSS HK cannot maintain an account for me.
I declare that I AM NOT a U.S. person and am not acting for or on behalf of a U.S. person. And I am subject to U.S. federal income taxes and I am not acting for, or on behalf of a U.S. person. I understand that ADSS HK, believing this statement to be true, will rely on it and act on it. In the event this statement is false, ADSS HK reserves the sole right and shall be entitled to terminate any and all agreements between me and ADSS HK. Further, I agree to compensate ADSS HK for any losses or fees incurred by ADSS HK due to such termination. I agree to notify ADSS HK within 30 days of any change in my status as a U.S. person, including any changes to my citizenship, residency and/or tax status in writing. I further agree to indemnify ADSS HK in respect of any false or misleading information regarding my U.S. person status for U.S. federal income tax purposes.
I, hereby represent that, and by checking the applicable box below, the information provided by me is true and accurate. I further, declare that ADSS HK has provided me with complete and exhaustive information on the reporting obligation related to the FATCA regulation, and I have electronically signed this representation on the basis of this information, with knowledge of the consequences and following due deliberation. I understand that ADSS HK reserves the right to request for additional information, documents and declarations from me and agree to immediately comply with all requests. I understand that if I do not make a declaration, ADSS HK cannot maintain an account for me.
I declare that I AM NOT a U.S. person and am not subject to U.S. federal income taxes and I am not acting for, or on behalf of a U.S. person. I understand that ADSS HK, believing this statement to be true, will rely on it and act on it. In the event this statement is false, ADSS HK reserves the sole right and shall be entitled to terminate any and all agreements between me and ADSS HK. Further, I agree to compensate ADSS HK for any losses or fees incurred by ADSS HK due to such termination. I agree to notify ADSS HK within 30 days of any change in my status as a U.S. person, including any changes to my citizenship, residency and/or tax status in writing. I further agree to indemnify ADSS HK in respect of any false or misleading information regarding my U.S. person status for U.S. federal income tax purposes.
I, hereby represent that, and by checking the applicable box below, the information provided by me is true and accurate. I further, declare that ADSS HK has provided me with complete and exhaustive information on the reporting obligation related to the FATCA regulation, and I have electronically signed this representation on the basis of this information, with knowledge of the consequences and following due deliberation. I understand that ADSS HK reserves the right to request for additional information, documents and declarations from me and agree to immediately comply with all requests. I understand that if I do not make a declaration, ADSS HK cannot maintain an account for me.