When receiving interest payments
- Who submits
Nonresident individuals, etc., who receive interest payments - Document to submit
Statement of the Holding Period - When to submit (Submission deadline)
At least one day preceding the interest payment date - Where to submit
A qualified foreign intermediary or specified book-entry transfer institution, etc. -
Exceptions
- When a specified book-entry transfer institution, etc., or qualified foreign intermediary has established a tax-exempt category account and has submitted particulars of the calculation of withholding income tax, the Statement of the Holding Period need not be submitted.
- When a specified book-entry transfer institution, etc., or qualified foreign intermediary has submitted a document stating the holding period, etc., prepared on the basis of detailed calculations of books for each investor, the Statement of the Holding Period need not be submitted.
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Form Completion Guide
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Sections to be completed by nonresident individuals, etc.
①Date
②Name of tax office with jurisdiction over issuer
②'Name of issuer
③Name of specified book-entry transfer institution, etc., or qualified foreign intermediary
④Address of specified book-entry transfer institution, etc., or qualified foreign intermediary
⑤Address of nonresident individual, etc.
⑥Name of nonresident individual, etc.
⑦Name of qualified foreign securities investment trust
⑧Name of issue
⑨Interest payment date
⑩Interest amount
- When the first day of the holding period of a book-entry transfer JLGB by a nonresident individual or a foreign corporation falls on a day prior to the first day of the calculation period for interest accrual on the book-entry transfer JLGB:
→ The amount of interest corresponding to the interest calculation period - When the first day of the holding period of a book-entry transfer JLGB by a nonresident individual or a foreign corporation falls either on the first day or on a day after the first day of the calculation period for interest accrual on the book-entry transfer JLGB:
→ The amount derived by multiplying the amount of interest corresponding to the interest calculation period by the number of days holding the book-entry transfer JLGB, divided by the number of days of the interest calculation period
⑪First day of the holding period
- When the first day of the holding period of a book-entry transfer JLGB by a nonresident individual or a foreign corporation falls on a day prior to the first day of the calculation period for interest accrual on the book-entry transfer JLGB: The first day of the calculation period
- When the first day of the holding period of a book-entry transfer JLGB by a nonresident individual or a foreign corporation falls either on the first day or on a day after the first day of the calculation period for interest accrual on the book-entry transfer JLGB: The first day of the holding period
- If continuous calculation is applied to the holding period of the previous owner, etc.: The first day after continuous calculation
- When the first day of the holding period of a book-entry transfer JLGB by a nonresident individual or a foreign corporation falls on a day prior to the first day of the calculation period for interest accrual on the book-entry transfer JLGB:
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* Headings may be supplemented, deleted, circled, checked or indicated in other ways as appropriate according to the purpose of use
- Attachment 3
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ENLARGE
Click on the image to open an enlarged version

* This form was created by the Japan Securities Dealers Association.
* These examples of completed forms are merely meant as illustrations. Please consult your financial institution for full details on how to complete the form.
