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Get IRS W-8BEN 2021-2022

Entities must use Form W-8BEN-E. Go to www.irs.gov/FormW8BEN for instructions and the latest information. Give this form to the withholding agent or payer. W-8BEN-E You are a beneficial owner claiming that income is effectively connected with the conduct of trade or business within the U.S. other than personal services. Form W-8BEN Certificate of Foreign Status of Beneficial Owner for United States Tax Withholding and Reporting Individuals Rev. July 2017 OMB No. 1545-1621 For use by individuals. Do not send to the IRS* Department of the Treasury Internal Revenue Service Do NOT use this form if You are NOT an individual Instead use Form. W-8ECI You are a U*S* citizen or other U*S* person including a resident alien individual You are a person acting as an intermediary. W-9 8233 or W-4. W-8IMY Note If you are resident in a FATCA partner jurisdiction i*e* a Model 1 IGA jurisdiction with reciprocity certain tax account information may be provided to your jurisdiction of residence. Part I Identification of Beneficial Owner see instructions Name of individual who is the beneficial owner Permanent residence address street apt. or suite no. or rural route. Do not use a P. O. box or in-care-of address. Country of citizenship City or town state or province. Include postal code where appropriate. Country Mailing address if different from above U*S* taxpayer identification number SSN or ITIN if required see instructions Reference number s see instructions Foreign tax identifying number see instructions Date of birth MM-DD-YYYY see instructions Claim of Tax Treaty Benefits for chapter 3 purposes only see instructions I certify that the beneficial owner is a resident of within the meaning of the income tax treaty between the United States and that country. Special rates and conditions if applicable see instructions The beneficial owner is claiming the provisions of Article and paragraph of the treaty identified on line 9 above to claim a rate of withholding on specify type of income Explain the additional conditions in the Article and paragraph the beneficial owner meets to be eligible for the rate of withholding Certification Under penalties of perjury I declare that I have examined the information on this form and to the best of my knowledge and belief it is true correct and complete. I further certify under penalties of perjury that I am the individual that is the beneficial owner or am authorized to sign for the individual that is the beneficial owner of all the income to which this form relates or am using this form to document myself for chapter 4 purposes The person named on line 1 of this form is not a U*S* person The income to which this form relates is a not effectively connected with the conduct of a trade or business in the United States b effectively connected but is not subject to tax under an applicable income tax treaty or c the partner s share of a partnership s effectively connected income the United States and that country and For broker transactions or barter exchanges the beneficial owner is an exempt foreign person as defined in the instructions.

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