1. |
Senstar has appointed IBI Capital as its trustee/sub-paying agent ('IBI' or the 'Tax Trustee') in connection with the Cash Distribution. IBI's contact details are as follows:
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2. |
On the Cash Distribution payment date of September 22, 2021, Senstar will withhold 25% of the gross amount of the Cash Distribution (the 'Withheld Tax') and will transfer the Withheld Tax to the Tax Trustee. The net amount of the Cash Distribution (75%) will be paid to shareholders by American Stock Transfer & Trust Company, LLC ('AST').
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3. |
As previously announced, Senstar will file a request with the Israel Tax Authority ('ITA') for a ruling to enable shareholders entitled to an exemption and /or a lower withholding tax rate with respect to the Cash Distribution to benefit from such lower rates.
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4. |
Please note that due to transfer fees (the settlement will be made by wire transfer and not by checks), refunds of less than US$50 will not be made.
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5. |
In order to submit an Application, the applicant must submit the documents listed in Appendix A to the Application to the Tax Trustee.
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6. |
The Tax Trustee will review the documents submitted by applicants, as well as any other document which may be required in order to determine the applicant's eligibility for a reduced tax rate. If an applicant's documents are not complete or found to be insufficient, the Tax Trustee may revert to the applicant with questions or a request for additional documents.
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7. |
Upon an applicant's satisfactory submission of the required documents, the Tax Trustee will transfer to the applicant's designated bank account a tax refund in the amount by which the Withheld Tax Rate exceeds the applicable tax rate under the applicable tax regime.
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8. |
The indicated 'fast track' application process has been made available to Senstar's shareholders to permit them to avoid excessive tax payments. This process neither affects the substantive tax liability of any shareholder, nor does it derogate from a shareholder's right to file a tax return with the Israeli Tax Authority to seek a refund of over-withheld amounts.
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Full name of the recipient:
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For Individuals:
Identity Number, Social Security No., or Passport No./
For Legal Entities:
Registration No. /Corporation No.
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Type of Investor:
☐ Legal Entity
☐ Individual
☐ Trust Beneficiary
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With respect to an individual
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With respect to a legal entity
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Date of birth:
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The country in which it was incorporated:
The country in which control and management are conducted:
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Country of residence:
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Country of citizenship:
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Country issuing passport:
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Income Tax File number of recipients in place of residence: __________________________
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Address of local income tax assessing office in recipient's place of residence: _____________
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The recipient is a fiscal resident of (insert country) _____________ since (insert date)________.
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Permanent Address (country, city, street, house or apartment number):
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Mailing Address:
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Investor's Telephone number:
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Telephone number of authorized signatory:
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☐
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1.
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The State of Israel is not my permanent place of residence.
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☐ |
2.
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The State of Israel is neither my place of residence nor my family's place of residence.
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☐ |
3.
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My ordinary or permanent place of activity is not within the State of Israel, and I do not have a permanent establishment in the State of Israel.
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☐ |
4.
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I do not engage in any occupation within the State of Israel.
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☐ |
5.
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I do not own a business or part of a business within the State of Israel.
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☐ |
6.
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This year, I did not stay and I do not intend to stay in Israel for 183 days or more.
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☐ |
7.
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This year, I did not stay in Israel and I also do not intend to stay in Israel for 30 days or more and my total stay in Israel this year and in the two preceding years will not reach 425 days.
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☐ |
8.
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I am not insured with the National Insurance Institute in the State of Israel.
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☐ |
9.
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I am the sole beneficial owner of the dividend income.
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☐ |
10.
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I acquired the shares on or after the date of initial public offering (i.e. after 1993).
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☐ |
1.
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Over 75% of the shareholders are individuals with the same residency as the Legal Entity (attached declaration of shareholders).
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☐ |
2.
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It is not registered /incorporated with the Registrar of Companies in Israel.
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☐ |
3.
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It is not registered with the Registrar of non-profit organizations in Israel (Amutot).
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☐ |
4.
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The control of the legal entity is not in Israel.
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☐ |
5.
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The management of the legal entity is not in Israel.
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☐ |
6.
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The legal entity does not have a permanent enterprise in Israel and the entity does not have a permanent establishment in the State of Israel.
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☐ |
7.
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No Israeli resident holds, directly or indirectly via shares or through a trust or in any other manner, alone or with another who is an Israeli resident, one or more of the means of control of the legal entity, as specified below, at a rate exceeding 25%. The term 'means of control' refers to the following:
(a)the right to participate in profits.
(b)the right to appoint a director.
(c)the right to vote.
(d)the right to share in the assets of the entity at the time of its liquidation.
(e)the right to direct the manner of exercising one of the rights specified above.
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☐ |
8.
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The legal entity is the sole beneficial owner of the dividend income.
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☐ |
9.
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The entity does not hold the shares directly or indirectly for the benefit of another person.
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☐ |
10.
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The income is not attributable to a place of business or permanent establishment located in a country other than country of residence.
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☐ |
11.
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I acquired the shares on or after the date of initial public offering (i.e., after 1993)
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Country
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City
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Bank name and account number
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Amount
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Date of Signature
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Signature of Recipient
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Date of Signature
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Signature
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Official Stamp
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1. |
Full bank account details + IBAN No. (for US beneficiaries - SWIFT Code) + Bank Address.
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2. |
Bank Account Ownership proof (such approval can be a letter from the bank or a scanned copy of void check).
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3. |
Copy of passport issued by the country of tax residency of shareholder.
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4. |
Relevant W9 form (for US Citizens) OR W8BEN form (for Non-US Citizens) filled and signed (forms attached).
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5. |
Bank statement from the date of entitlement to the dividend including bank account details of the account holder, bank name and account number and the number of listed shares held by the shareholder.
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6. |
Bank statement from the date of payment of the dividend, including bank account details of the account holder, bank account number and the amount of the dividend received.
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1. |
Full bank account details + IBAN No. (for US beneficiaries - SWIFT Code) + Bank Address
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2. |
Bank Account Ownership proof (such approval can be a letter from the bank or a scanned copy of void check).
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3. |
Copy of Certificate of Incorporation issued by the country of tax residency of shareholder.
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4. |
List of shareholders of the Legal Entity and declarations regarding their state of residency for tax purposes. Relevant W9 form (for US Entities) OR W8BEN-E form (for Non-US Entities) filled and signed (forms attached).
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5. |
Bank statement from the date of entitlement to the dividend including bank account details of the account holder, bank name and account number and the number of listed shares held by the shareholder.
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6. |
Bank statement from the date of payment of the dividend, including bank account details of the account holder, bank account number and the amount of the dividend received.
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Disclaimer
Magal Security Systems Ltd. published this content on 17 September 2021 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 17 September 2021 15:51:05 UTC.