Form no.
04.054 EN
About this form

This form should be used by individuals and accountants to report dividends on non-Danish shares held in a custody account in a Danish bank if there are changes to the information held by the Danish Tax Agency.

Complete one form for each custody account if you have anything to add or change and include all non-Danish shares, even if information on these is otherwise correct.

Send the form(s) and any supporting documentation to the Danish Tax Agency.

Download the form, complete it and save it on your computer. Then you send it to us by email as an attached file.

You can submit the completed form by logging on to E-tax (Tastselv) at and selecting:

’Kontakt’ (Contact) → ’Skriv til os’ (Write to us) → Indsend oplysningsskema for 2022 (Submit tax return for 2022) → Oplysningsskema for udlandsforhold (Tax return for non-Danish tax matters).

You can also send it by regular post.


Postboks 9
DK-4930 Maribo

PDF version

Download form 04.054 EN

Note: Please save the form on your computer before completing it. Otherwise, the data you enter may not be saved.

For users of Apple products:
We often receive forms with empty fields from users who completed their forms in the Safari browser or Mac Image Viewer. The fields are empty due to a technical error in the PDF. We therefore recommend Mac users to complete their forms in another browser or use other software and then submit them to us.

Danish Tax Agency