CRS Terms and Conditions

I understand that the information supplied by me is covered by the full provisions of the terms and conditions governing the Account Holder’s relationship with Liv. setting out how Liv. may use and share the information supplied by me. I acknowledge that the information contained in this form and information regarding the Account Holder and any Reportable Account(s) may be provided to the tax authorities of the country in which this account(s) is/are maintained and exchanged with tax authorities of another country or countries in which the Account Holder may be tax resident pursuant to intergovernmental agreements to exchange financial account information. I certify that I am the Account Holder (or am authorized to sign for the Account Holder) of all the account(s) to which this form relates. I declare that all statements made in this declaration are to the best of my knowledge and belief, correct and complete. I undertake to advise Liv. within 30 days of any change in circumstances which affects the tax residency status of the individual identified in this form or causes the information contained herein to become incorrect, and to provide Liv. with a suitably updated self-certification and declaration within 90 days of such change in circumstances.