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Form W-8BEN UT: What You Should Know

Part I. Information to be provided. PART II. Qualified Foreign Beneficial Owner Qualified foreign beneficial owner(s) who hold or have held a valid “Certificate of Foreign Status and Permanent Residence of Certain United States Citizens and Aliens Residing Abroad,” may be able to use this form to waive the withholding of the United States Federal Corporate Income (federal income taxes) and self-employment income tax (for certain specified employees) imposed on the United States shareholder's foreign income to the extent this income is effectively connected with his or her permanent residence in the United States. PART III. Proof of Citizenship. Proof of citizenship is not required, but may be accepted by the IRS if it has been certified by the U.S. Department of State. PART IV. Documentation of Form W-8BEN. (a) Each Form 1099-DIV issued by an employer that has a significant presence in the United States should provide the following information: (1) Name (date of birth) (address, including zip code) (occupation) (country of residence). (b) Each Form 1099-INT issued by an employer that has a significant presence in the United States should provide the following information: (1) Name (date of birth) (address, including zip code) (occupation) (country of residence). Each Form 1099-SA issued by an employer that has a significant presence in the United States should provide the required information from Table A-20 of Part IV of the IRS Publication 502 (Foreign Earned Income) ․ If the applicable foreign tax is a foreign tax credit, the information listed in Table A-32 of Part IV of the IRS Publication 502 should be also obtained. (d) With respect to each Form 1099-DIV, Form 1099-INT, or Form W-2 of the year of issuance, the following information should be entered by the custodian: (1) Name and TIN of the person who issued the notice of payment. (2) Number of Form 1099-DIV, Form 1099-SA, or Form W-2 issued to the person. (e) With respect to each Form 1099-DIV, Form 1099-INT, or Form W-2 of the year of issuance, the following information should be entered by the payer: (1) The information described in (d) above.

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