The Beneficial Owner Declaration Form is a mandatory document required under Belgian law, implementing the EU Anti-Money Laundering Directives and the Belgian Anti-Money Laundering Law of 18 September 2017. This form must be completed by all legal entities registered in Belgium to declare their ultimate beneficial owners to the UBO Register maintained by the Federal Public Service Finance. The document is used to record detailed information about individuals who own or control more than 25% of a legal entity, either directly or indirectly, or exercise control through other means. It forms part of Belgium's commitment to financial transparency and anti-money laundering efforts, requiring regular updates and verification of beneficial ownership information.
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1. Declaration Header: Form title, date, and reference number
2. Entity Information: Details of the legal entity for which beneficial ownership is being declared (company name, registration number, legal form, registered address)
3. Declarant Information: Details of the person making the declaration, including their role and authority to make the declaration
4. Beneficial Owner Details: Comprehensive information about each beneficial owner including full name, date of birth, nationality, address, identification documents
5. Nature of Beneficial Ownership: Description of how the beneficial ownership is held (direct ownership, indirect ownership, control rights, etc.) and percentage of ownership/control
6. Privacy Notice: GDPR-compliant statement about personal data collection, processing, and sharing
7. Declaration Statement: Formal statement confirming the accuracy of the information provided
8. Signature Block: Space for signature, date, and place of signing
1. Chain of Ownership: Detailed breakdown of ownership structure when beneficial ownership is indirect through multiple entities
2. Senior Managing Official Details: Required when no beneficial owner can be identified or if there is doubt about the identified beneficial owner
3. Trust Structure Information: Additional section for cases where beneficial ownership involves trust structures
4. Group Structure Chart: Visual representation of complex ownership structures
5. Historical Changes: Section for declaring changes in beneficial ownership over the past year
6. PEP Declaration: Additional declaration if any beneficial owner is a Politically Exposed Person
1. Appendix A - Identification Documents: Copies of identification documents for all beneficial owners listed
2. Appendix B - Ownership Structure Diagram: Visual representation of the ownership structure including percentages and control relationships
3. Appendix C - Supporting Documentation: Additional documents proving beneficial ownership (e.g., share certificates, trust deeds, company registry excerpts)
4. Appendix D - Authorization Documents: Documents proving the declarant's authority to make the declaration
5. Schedule 1 - Additional Beneficial Owners: Continuation sheet for declaring multiple beneficial owners if main form space is insufficient
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