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Please complete in BLOCK CAPITALS with either blue or black ink and return to the address below. Dividend/interest currency election form1Name of the company in which the shares are heldInvestor code
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The dividend/interest currency election form is a document used by taxpayers to elect to receive dividends and interest in a specific currency, typically for tax reporting purposes.
Taxpayers who receive dividends or interest payments from U.S. sources and wish to elect a currency other than the U.S. dollar are required to file this form.
To fill out the form, taxpayers must provide their personal information, identify the specific dividends or interest payments being elected, and specify the desired currency for receiving these payments.
The purpose of the form is to enable taxpayers to declare their election to receive dividends and interest payments in a currency of their choice, which can affect foreign tax credits and reporting.
The form requires reporting of the taxpayer's name, address, tax identification number, details of the dividend or interest income, and the currency election.
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