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Get IRS W-8BEN-E 2021-2023

See instructions. Form W-8BEN-E Rev. 7-2017 Branch treated as nonparticipating FFI. U.S. Branch. Address of disregarded entity or branch street apt. Form W-8BEN-E Rev. July 2017 Department of the Treasury Internal Revenue Service Certificate of Status of Beneficial Owner for United States Tax Withholding and Reporting Entities OMB No. 1545-1621 use by entities. Individuals must use Form W-8BEN* Section references are to the Internal Revenue Code. Go to www*irs*gov/FormW8BENE for instructions and the latest information* Give this form to the withholding agent or payer. Do not send to the IRS* Do NOT use this form for U*S* entity or U*S* citizen or resident. A foreign individual. Instead use Form. W-9 W-8BEN Individual or Form 8233 unless claiming treaty benefits. W-8ECI A foreign partnership a foreign simple trust or a foreign grantor trust unless claiming treaty benefits see instructions for exceptions. W-8IMY A foreign government international organization foreign central bank of issue foreign tax-exempt organization foreign private foundation or government of a U*S* possession claiming that income is effectively connected U*S* income or that is claiming the applicability of section s 115 2 501 c 892 895 or 1443 b unless claiming treaty benefits see instructions for other exceptions. W-8ECI or W-8EXP Any person acting as an intermediary including a qualified intermediary acting as a qualified derivatives dealer. Part I. W-8IMY Identification of Beneficial Owner Name of organization that is the beneficial owner 2 Country of incorporation or organization Name of disregarded entity receiving the payment if applicable see instructions Chapter 3 Status entity type Must check one box only Simple trust Grantor trust Central Bank of Issue Tax-exempt organization Corporation Complex trust Private foundation Disregarded entity Estate International organization Partnership Government If you entered disregarded entity partnership simple trust or grantor trust above is the entity a hybrid making a treaty claim If Yes complete Part III. Yes No Nonparticipating FFI including an FFI related to a Reporting IGA Nonreporting IGA FFI. Complete Part XII. FFI other than a deemed-compliant FFI participating FFI or exempt beneficial owner. central bank of issue. Complete Part XIII. Participating FFI. Reporting Model 1 FFI. Exempt retirement plans. Complete Part XV. Registered deemed-compliant FFI other than a reporting Model 1 FFI sponsored FFI or nonreporting IGA FFI covered in Part XII. See instructions. Entity wholly owned by exempt beneficial owners. Complete Part XVI. Territory financial institution* Complete Part XVII. Sponsored FFI. Complete Part IV. Excepted nonfinancial entity in liquidation or bankruptcy. Complete Part XX. Certified deemed-compliant nonregistering local bank. Complete Part V. vehicle. Complete Part VII. Complete Part VIII. Certain investment entities that do not maintain financial accounts. Owner-documented FFI. Complete Part X. 501 c organization* Complete Part XXI. Nonprofit organization* Complete Part XXII. Publicly traded NFFE or NFFE affiliate of a publicly traded corporation* Complete Part XXIII.

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