BEPS13 - 2.0.27

* Mandatory field

Name * :

Company Number * :

Assessment year * :

Fiscal year from * :

Fiscal year to * :

Ultimate parent entity

Your company is the ultimate parent entity

When your company is not the ultimate parent entity, please fill in: :

Name of the ultimate parent entity :

Country of the ultimate parent entity :

Tax identification number of the ultimate parent entity :

Full adress of the ultimate parent entity: :

Street :

Number :

Postal code :

City :

Surrogate parent entity

Your company is the surrogate parent entity

Belgian group entity as described in Article 321/2, § 2 ITC 92

To tick when the ultimate parent company has refused to make available the necessary information as described in Article 321/2, § 2 ITC 92

Your company is a Belgian constituent entity as described in Article 321/2, § 2 ITC 92 for the following reason(s) (multiple answers possible):

The ultimate parent entity of the multinational group is not obligated to file a Country-by-Country report in the jurisdiction of its tax residence

No later than 12 months after the last day of the reporting fiscal year the jurisdiction in which the ultimate parent entity is a resident for tax purposes has not in force a qualifying competent authority agreement in which Belgium is a party

The Belgian administration competent for establishing income taxes has notified the Belgian constituent entity that there has been a systematic failure of the jurisdiction of the ultimate parent company

Concerns the constituent entity appointed by the multinational group when multiple constituent entities of the same multinational group are tax residents in the European Union and when one or more of the three possibilities here above are met

Your company is not the reporting entity

The reporting entity is the ultimate parent entity

When the reporting entity is not the ultimate parent entity, please fill in: :

Name of the reporting entity :

Country of the reporting entity :

Tax identification number of the reporting entity :

Full address of the reporting entity: :

Street :

Number :

Postal code :

City :

* Mandatory field

Notification (275 CBC NOT) XML Tool