CERTIFICATE OF BANK ACCOUNTS OPERATED



CERTIFICATE OF BANK ACCOUNTS OPERATED

TO: HM REVENUE & CUSTOMS

I certify that to the best of my knowledge and belief the following is a complete list of all bank accounts, savings accounts, loan accounts, deposit receipts, safe deposit boxes, Building Society and Co-operative Society accounts inside or outside the UK:

a) in my own name

b) [for the period from …………..to 5 April 1990 in the name of my wife]*

c) in the name of my minor children

d) in any other name or names in which I or my wife have been interested (whether solely or jointly with each other or with any other person or persons) or which I or my wife have had power to operate (whether solely or jointly with each other or with any other person or persons) and which existed at any time during the period from……………….to 5 April 1990]*

e) in any other name or names in which I have been interested or are am interested (whether solely or jointly with any other person or persons) or which I have had power to operate (whether solely or jointly with any other person or persons) and which are in existence now or which have existed at any time during the period from…………………………….. to ………………………….

|Bank/Building |Branch Address |Type of Account |Date |Date Closed |In whose Name |

|Society Account | |and Account Number |Opened |(if appropriate) |Account Held |

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Signed ………………………………..

Address ………………………………..

………………………………..

………………………………..

Date ………………………………..

False statements may result in a criminal investigation with a view to prosecution.

*Delete as appropriate or remove brackets

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