Fillable Reporting Entity Registration Form (Irish Tax & Customs)

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Reporting Entity Registration Form (Irish Tax & Customs)

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Completion of this form is required to register with Revenue as a Reporting Entity. Such registration should
only be undertaken by entities who do not have an Irish Tax Reference Number or an Irish Revenue Customer
Number and have a Reporting Obligation in Ireland.
Please insert T to indicate the appropriate Reporting Obligation:
FATCA (Foreign Account Tax Compliance Act)
DAC2–CRS (Council Directive 2011/16/EU – Standard for Automatic Exchange of Financial
Account Information in Tax Matters (Common Reporting Standard))
DAC4–CbC (Country-by-Country Reporting)
DAC6 (EU Mandatory Disclosure of Reportable Cross-Border Arrangements)
Start Date of Reporting Obligation
Agents acting on behalf of Reporting Entities, who require registration for Reporting Obligations, must apply
through www.ros.ie
Entity Name:
Entity Address:
(include Eircode)
Global Intermediary Identication Number (GIIN):
(required for FATCA only)
Contact Person:
Phone Number: Email:
Declaration
I declare that the details provided above are correct.
Name (block capitals):
Signature: Date:
Please return completed form via MyEnquiries, selecting AEOI (Automatic Exhange of Information) or by post to:
Reporting Entity Registration,
Ofce of the Revenue Commissioners,
VIMA,
Millennium Centre,
Dundalk,
County Louth,
A91 PP5W.
Queries should be sent via MyEnquiries, selecting AEOI or
Telephone + 353 42 935 3337
Designed by the Revenue Printing Centre
Reporting Entity Registration Form
D D M M Y Y Y Y
RPC013920_EN_WB_L_1
D D M M Y Y Y Y
The Revenue Commissioners collect taxes and duties and implement customs controls. Revenue requires
customers to provide certain personal data for these purposes and certain other statutory functions as assigned by
the Oireachtas. Your personal data may be exchanged with other Government Departments and agencies in certain
circumstances where this is provided for by law. Full details of Revenue’s data protection policy setting out how
we will use your personal data as well as information regarding your rights as a data subject are available on our
Privacy page on www.revenue.ie. Details of this policy are also available in hard copy upon request.
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Reporting Entity Registration Form (Irish Tax & Customs)

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Completed 8 November 2020

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