Please complete the below. This information is needed to complete your economic substance notification and annual return.
As a director or authorized signatory of the Entity, I hereby authorise Genesis to file the Entity’s Economic Substance Notification with the Tax Information Authority and Nature of Business with the Registrar of Companies, or any other authority as may be required by Act, based on the information provided in this submission. I understand that Genesis will use this information on an ongoing annual basis unless advised otherwise, and I undertake to advise Genesis promptly in the event of any changes to this information. I acknowledge and accept there are sanctions for providing inaccurate information and I confirm that the entity will indemnify Genesis for any liability that may result from the submission of inaccurate information. I also acknowledge Genesis makes the submission without undertaking any investigation or verification of the information provided.
By submitting this form, I further confirm that I, or another authorised signatory of the entity, will immediately advise Genesis should any of the information submitted, as required by Act and/or the regulations, cease to be true.