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N . B . Forms 5000 and 5001 and their instructions are available on the French

tax administration ’ s website at www . impots . gouv . fr .

In order to benefit directly from the rate of 12 . 8 % or the rate of the tax treaty if it is more

favorable ( instead of the standard rate of 25 % as of 2022 ) you can fill out a certificate of tax

residency ( Form 5000 ) , have it stamped by your country ’ s tax authorities , then send it before

the dividend is paid to the institution paying your dividends ( usually your bank ) .

Or you can ask for the reimbursement of the overpaid withholding tax before December 31

of the second year following the date of payment of the dividend . You will need to fill out

a certificate of tax residency ( Form 5000 ) and Form 5001 , have them stamped by the paying

institution and the tax authorities of your country of residence , and send them signed

to the French Tax Service for Non - residents :

Service des impôts des particuliers non - résidents

10 rue du Centre - TSA 10010

93465 Noisy - le - Grand Cedex

France

© www drony fr TotalEnergies

GREEN BLUE RED

30 - 34 Rue du Chemin Vert 75011 Paris

+ 33 ( 0 ) 1 85 56 97 00 www . carrenoir . com

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Date : 26 / 05 / 2021

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