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Publication Date: August 2022

TAX RESIDENCY SELF-CERTIFICATION FORM FOR ENTITIES

Tax Regulations based on the OECD Common Reporting Standard (CRS) require the Fund to collect and report certain information about the account holder’s tax residency. If the account holder, or any applicable controlling persons or beneficiaries, are tax resident in a reportable jurisdiction, then the Fund may be required under the applicable tax regulations to share information about your account to the relevant tax authorities, who may exchange this information on an automatic basis with the tax authorities in the jurisdictions where the account holder, controlling persons or beneficiaries are resident. If you have any questions regarding completion of the form, please contact your tax advisor. All sections must be completed for the form to be valid.