Perfect Tax Survey
RequiredRequired Question(s)

1.  Are you a Citizen, Resident of the U.S. or Green card Hoder?

Yes
No

2.  Do you own a U.S. corporation, partnership, LLC or trust?

Yes
No

3.  Are you a foreign person residing in the U.S. on a H-1B, L-1TN or other Visa?

Yes
No

4.  Have you or your company filed U.S. tax returns in the past?

Yes
No

5.  Do you (including your US corporation, Partnership, LLC or Trust) have a financial interest (includes accounts where the U.S. person is the owner of record or has legal title whether the account is maintained for your benefit or the benefit of others) in any foreign “financial accounts” as follows:

Bank accounts (savings, checking, deposit)
Securities or brokerage accounts
Mutual funds
Certain types of annuities or pension accounts
Retirement plans
Debit and prepaid credit cards
Interest in partnerships, trusts or other pass-through entity having foreign financial accounts

6.  Is the highest aggregate (sum of all accounts) balance in these accounts at any time during the year greater than $10,000 U.S.?

Yes
No
Not Sure

7.  Do you own, directly or indirectly, a greater than 50% interest in a foreign partnership, corporation or trust?

Yes
No
Not Sure

8.  Do you have signature authority over any non-U.S. financial accounts (i.e.: can you control disposition of money or other property)?

Yes
No
Not Sure
Required

9.  Please enter the information indicated below.


First Name:
Middle Name:
Last Name:
Work Phone:
Home Phone:
Email Address:
emailaddress@xyz.com
City: