我用adobe reader打開了,可是裡面的內容該怎麼填是我最頭疼的事了。/ J' S( b/ h R7 T% _5 j
好麻煩,不知道cj是否真的有做頭,不然白忙了。, E" x2 e- p( n2 y/ }# F) `8 ~
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Form W-8BEN
& |* X; ?3 j( S0 _(Rev. February 2006)
) R$ B7 }3 c% L# ^9 s: B* f% c- B7 lDepartment of the Treasury$ x: {( O( P# h
Internal Revenue Service
" v t: m. ?2 S$ j$ u+ m, U2 G6 ECertificate of Foreign Status of Beneficial Owner
6 E( w$ d9 q; d* Kfor United States Tax Withholding
: b6 a) s4 t! Q9 t9 P See separate instructions./ ~( g3 T5 n+ n4 F
Give this form to the withholding agent or payer. Do not send to the IRS.
1 \3 y9 O9 b7 p+ rOMB No. 1545-1621' G. D8 r' g. ^, m% z8 q0 w0 R' [
Do not use this form for: Instead, use Form:
1 M3 H2 [6 B5 E. Q9 e● A foreign partnership, a foreign simple trust, or a foreign grantor trust (see instructions for exceptions) W-8ECI or W-8IMY
. G& t+ n0 ?) O) x! a4 b● A foreign government, international organization, foreign central bank of issue, foreign tax-exempt organization,
0 K$ Y' O% b9 B( [3 ~. H: qforeign private foundation, or government of a U.S. possession that received effectively connected income or that is' F k" K+ c' C$ c- Z
claiming the applicability of section(s) 115(2), 501(c), 892, 895, or 1443(b) (see instructions) W-8ECI or W-8EXP. E/ h+ [8 k u: u* G2 X* Y0 ^; F
● A person acting as an intermediary W-8IMY5 F2 [1 X7 L5 F1 k9 t9 K% _$ L
● A person claiming that income is effectively connected with the conduct
( u' [' c/ y" f+ D) Xof a trade or business in the United States W-8ECI' k4 Q; `) m9 |/ z* x9 e4 g
Part I+ G/ x6 E$ Z& M0 x0 D
Part II6 _0 U5 }( ` }
Identification of Beneficial Owner (See instructions.)" m0 Y3 S% Z; H
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4
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Name of individual or organization that is the beneficial owner
5 f% W/ S0 a0 IType of beneficial owner:
- o3 g3 K7 A4 {* P' zCountry of incorporation or organization
7 c% \6 F8 e7 X) ^' `3 V2 y+ O+ n* kPermanent residence address (street, apt. or suite no., or rural route). Do not use a P.O. box or in-care-of address.
& A/ m- k5 @: Z! v1 {1 `City or town, state or province. Include postal code where appropriate. Country (do not abbreviate)
' l: P; a/ A# e' z- h% u. cU.S. taxpayer identification number, if required (see instructions) Foreign tax identifying number, if any (optional)
; G$ Y8 _% u+ f) F+ j IIndividual Corporation Partnership Simple trust; ^' @0 _' \6 a* I& Q
Mailing address (if different from above)% q z, F k. T% Q
City or town, state or province. Include postal code where appropriate. Country (do not abbreviate) J8 E8 e5 F- g8 V
Claim of Tax Treaty Benefits (if applicable)3 x5 s2 e2 D( J/ E# s3 \
I certify that (check all that apply):; W) E* }" u' j3 C& r3 J
The beneficial owner is a resident of within the meaning of the income tax treaty between the United States and that country.& q: B) H+ `* n( x" h* M$ T4 W
If required, the U.S. taxpayer identification number is stated on line 6 (see instructions).* s$ U# F* v n1 g
The beneficial owner is not an individual, derives the item (or items) of income for which the treaty benefits are claimed, and, if- K* s @/ M1 B# ^$ h
applicable, meets the requirements of the treaty provision dealing with limitation on benefits (see instructions).
! z) T7 L2 S0 Y. _6 pThe beneficial owner is not an individual, is claiming treaty benefits for dividends received from a foreign corporation or interest from a4 \2 h9 ~9 i& I0 w, S7 m6 ^3 j* G
U.S. trade or business of a foreign corporation, and meets qualified resident status (see instructions).% E; G2 u ^# ?9 G
The beneficial owner is related to the person obligated to pay the income within the meaning of section 267(b) or 707(b), and will file
/ Z0 f; c3 q, N! M& j) VForm 8833 if the amount subject to withholding received during a calendar year exceeds, in the aggregate, $500,000.
6 X3 i; c) ~, ^4 m) P5 jUnder penalties of perjury, I declare that I have examined the information on this form and to the best of my knowledge and belief it is true, correct, and complete. I3 x8 Q. u0 t; d$ t8 k3 }' {
further certify under penalties of perjury that:
' Y6 K Z$ _& k/ D1 I am the beneficial owner (or am authorized to sign for the beneficial owner) of all the income to which this form relates,) j4 {% J3 D( b& \0 x
2 The beneficial owner is not a U.S. person,
: _$ p G7 e7 I% U1 a2 h' r3 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# _' ?: u$ ~- g. s# ~1 g
not subject to tax under an income tax treaty, or (c) the partner』s share of a partnership』s effectively connected income, and( s7 a( c0 d6 r. _( P
4 For broker transactions or barter exchanges, the beneficial owner is an exempt foreign person as defined in the instructions.
. Q I/ K3 z! V% ?( JSign Here Signature of beneficial owner (or individual authorized to sign for beneficial owner) Date (MM-DD-YYYY)+ N: A# r% h* @
For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 25047Z Form W-8BEN (Rev. 2-2006)) m6 n; G" w( Z* E; a/ ^, n% ~
Section references are to the Internal Revenue Code.2 K& j3 A _0 l' [. |
a
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c
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SSN or ITIN EIN% A' P* }) ]% B+ D0 \
Capacity in which acting
- g# Q: h6 c0 y3 @& G' vDisregarded entity
" n( K- b; v) y2 q- MCertification0 ]/ Z" O; q, b" G( h7 D
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Special rates and conditions (if applicable—see instructions): The beneficial owner is claiming the provisions of Article of the4 C; h3 c6 W6 I, W7 R6 l
treaty identified on line 9a above to claim a % rate of withholding on (specify type of income): .- B7 o9 \+ V% |! n$ z
Explain the reasons the beneficial owner meets the terms of the treaty article:
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- y3 u; ~: @& {4 L( n3 @. [% JGovernment International organization
9 K" q/ N2 e! w6 N% W5 P9 k, fCentral bank of issue Tax-exempt organization
S4 Y* Z* Z$ d1 K" }6 {! K. jPart IV1 z+ V4 i/ d) a
Part III Notional Principal Contracts! R( ~6 s+ |, }; }
11 I have provided or will provide a statement that identifies those notional principal contracts from which the income is not effectively# {! {* g# Y1 T$ g \; m) v
connected with the conduct of a trade or business in the United States. I agree to update this statement as required.7 b) W$ u$ c$ G4 b
● A U.S. citizen or other U.S. person, including a resident alien individual W-9
! B6 W2 q M+ gPrivate foundation
1 e7 D- I/ B9 _1 `8 Z+ {/ QNote: These entities should use Form W-8BEN if they are claiming treaty benefits or are providing the form only to; b7 w( X" q2 k% \# I2 A
claim they are a foreign person exempt from backup withholding.
2 U$ F- k' ~) I8 s( J q6 JNote: See instructions for additional exceptions.8 h n* z1 H7 q1 s
Grantor trust Complex trust Estate9 c/ k; W* `- Q- b( E
Furthermore, I authorize this form to be provided to any withholding agent that has control, receipt, or custody of the income of which I am the beneficial owner or
5 C8 a, P) L8 X7 Gany withholding agent that can disburse or make payments of the income of which I am the beneficial owner.4 K9 y6 Z$ B. q9 ^3 B+ ~
8 Reference number(s) (see instructions)
- r# z+ z7 n7 t) P) pPrinted on Recycled Paper |
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