Certificado de Residencia (Certificate of Residence) Las Autoridades Fiscales de a The Tax Authorities of a certifican que en cuanto les es posible conocer b certify that to the best of their knowledge b es residente en a is a resident of a con domicilio en c with address at c en el sentido del Convenio entre España / a within the meaning of the DTT between Spain and/ a tax convention Se expide el presente certificado a petición del interesado. This certificate is issued at the request of the applicant. En a Place Date de de Firma Signature Sello Stamp a. Pais de Residencia del Perceptor de las rentas / Country of residence of the final beneficial owner. b. Nombre y apellidos o razón Social del perceptor de las rentas / Full name or company name of the beneficial owner. c. Domicilio / Full address.