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。- M1 w. q% \3 I1 N2 h+ Z. I4 ~
好麻煩,不知道cj是否真的有做頭,不然白忙了。
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' }. _# z Y; WForm W-8BEN; y* g, e* P- y: [
(Rev. February 2006)
8 I" p0 Q) f& R5 _7 }5 R% g1 Q# LDepartment of the Treasury; C5 n0 a5 i! s* D. z6 e! ?
Internal Revenue Service& Y! N9 L2 S% Q# C0 x
Certificate of Foreign Status of Beneficial Owner5 d) v* w6 B2 a2 ?
for United States Tax Withholding
4 j8 U; l3 H1 H( T) f8 R2 ^ See separate instructions.- x) W' I4 M# C* s
Give this form to the withholding agent or payer. Do not send to the IRS.& _! b9 l6 g1 B5 h( |
OMB No. 1545-1621
% R5 \$ a; u8 VDo not use this form for: Instead, use Form:* V/ L* `- n8 V" `4 B
● A foreign partnership, a foreign simple trust, or a foreign grantor trust (see instructions for exceptions) W-8ECI or W-8IMY2 i% c4 p. J, R
● A foreign government, international organization, foreign central bank of issue, foreign tax-exempt organization,& {; r9 T; K/ i7 H. p, t3 C6 U
foreign private foundation, or government of a U.S. possession that received effectively connected income or that is! y( z0 H. F7 n& V6 a( f! l$ g8 h
claiming the applicability of section(s) 115(2), 501(c), 892, 895, or 1443(b) (see instructions) W-8ECI or W-8EXP4 k W- [: H$ o& k* x. q1 \
● A person acting as an intermediary W-8IMY# U3 m, c# j% I l/ d
● A person claiming that income is effectively connected with the conduct0 p) s* J( e4 B' v1 c1 }+ l
of a trade or business in the United States W-8ECI4 U5 N, _( n9 M
Part I
- g# J) q. U* ]# I5 |0 [+ }$ jPart II
4 h/ A2 i: h6 `6 dIdentification of Beneficial Owner (See instructions.)
* e: ^/ k7 M1 M% {# v. z, Y1
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9 c' k; ?9 e/ v O6 m* B; ^. h3 @8 A8 cName of individual or organization that is the beneficial owner4 l( Y" N2 P0 z% B
Type of beneficial owner:
/ ?8 d7 F' D3 l, h! i, _! H; Z4 uCountry of incorporation or organization
@; w# v0 Y1 m6 p( qPermanent residence address (street, apt. or suite no., or rural route). Do not use a P.O. box or in-care-of address.
+ q- @5 ]! |% p# LCity or town, state or province. Include postal code where appropriate. Country (do not abbreviate); n$ j% G* C2 o/ p2 f
U.S. taxpayer identification number, if required (see instructions) Foreign tax identifying number, if any (optional)
N' T: I5 I D% C }- m6 l! B+ QIndividual Corporation Partnership Simple trust
7 p! u' Y) t2 C3 IMailing address (if different from above)
+ G' E$ f6 R! G, Y$ }/ LCity or town, state or province. Include postal code where appropriate. Country (do not abbreviate)
3 m" w1 ^2 p' @* O- Y IClaim of Tax Treaty Benefits (if applicable)
4 t% S0 h; O( h7 D# Y9 {I certify that (check all that apply):7 U$ f& l4 _1 B5 n/ G9 E' b3 Z
The beneficial owner is a resident of within the meaning of the income tax treaty between the United States and that country.6 t1 A) w9 P/ Z6 ^
If required, the U.S. taxpayer identification number is stated on line 6 (see instructions).
; C2 D: s% H7 l @" y! YThe beneficial owner is not an individual, derives the item (or items) of income for which the treaty benefits are claimed, and, if4 M3 I2 s/ p) r# k, n
applicable, meets the requirements of the treaty provision dealing with limitation on benefits (see instructions).% L( d; X( H4 r! A6 P4 g
The beneficial owner is not an individual, is claiming treaty benefits for dividends received from a foreign corporation or interest from a
9 v' ?' B! u) g3 O5 w& QU.S. trade or business of a foreign corporation, and meets qualified resident status (see instructions).
/ u5 o+ E/ A" D& o* S- {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
; u3 v1 w3 s. h, D9 d$ `Form 8833 if the amount subject to withholding received during a calendar year exceeds, in the aggregate, $500,000.! O5 q6 F1 f& d
Under penalties of perjury, I declare that I have examined the information on this form and to the best of my knowledge and belief it is true, correct, and complete. I* S: z/ @9 h5 f' {( V% c
further certify under penalties of perjury that:' m& R% P4 j/ q* r
1 I am the beneficial owner (or am authorized to sign for the beneficial owner) of all the income to which this form relates,9 G$ L* c' J0 k
2 The beneficial owner is not a U.S. person,
( d3 m/ l9 i+ N6 }# ]$ L! K. s3 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; O# q5 a: b' F0 ]! \3 v
not subject to tax under an income tax treaty, or (c) the partner』s share of a partnership』s effectively connected income, and& E7 M o' P, j" I! ~8 A3 x
4 For broker transactions or barter exchanges, the beneficial owner is an exempt foreign person as defined in the instructions.
0 m% N9 u7 j7 u. G: ?5 rSign Here Signature of beneficial owner (or individual authorized to sign for beneficial owner) Date (MM-DD-YYYY)
& O5 M' @% I7 D4 p# F% ]5 lFor Paperwork Reduction Act Notice, see separate instructions. Cat. No. 25047Z Form W-8BEN (Rev. 2-2006)
, G/ f2 t( z$ m u; O3 Q Section references are to the Internal Revenue Code.) l$ U( q( }0 _- Z0 z. R* E% @& H
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! e- B _9 M1 I7 h/ Q5 D7 RSSN or ITIN EIN
6 \1 w- [% s& @# T# _Capacity in which acting$ M) D) f' \8 C( P
Disregarded entity
. b8 d3 h% z# [3 |" V7 u7 g$ ZCertification$ ~8 d6 M& I$ K" U7 x6 J/ B
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7 Z. i& s# S2 m$ |+ ESpecial rates and conditions (if applicable—see instructions): The beneficial owner is claiming the provisions of Article of the
5 V# ?+ ?- R' l9 m U* ?# Vtreaty identified on line 9a above to claim a % rate of withholding on (specify type of income): .
) u' Y* _( h0 a4 M$ PExplain the reasons the beneficial owner meets the terms of the treaty article:
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Government International organization
1 o7 P+ m% ~9 o$ \' E- `2 n" CCentral bank of issue Tax-exempt organization
1 t8 S- T1 a, U' O5 D2 sPart IV
$ b: Y. T0 t1 [- B2 kPart III Notional Principal Contracts
# ]1 c* Z; d! b: Z: A$ U# l11 I have provided or will provide a statement that identifies those notional principal contracts from which the income is not effectively
# x3 Y1 H. p0 F D+ ]connected with the conduct of a trade or business in the United States. I agree to update this statement as required.
/ ]9 a* ]1 i. B! F, M' m( A● A U.S. citizen or other U.S. person, including a resident alien individual W-9
1 Q7 M! @( f) [5 f4 v5 l4 zPrivate foundation* e9 d% m0 J% C; {* q; X! g+ L8 u
Note: These entities should use Form W-8BEN if they are claiming treaty benefits or are providing the form only to
8 [2 h7 I$ O5 u o# f. k5 Oclaim they are a foreign person exempt from backup withholding.
+ s( s& V. j0 ANote: See instructions for additional exceptions.
- J2 I, L7 w oGrantor trust Complex trust Estate& W" e/ z7 x2 c" O# i
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
' d3 H; y9 x5 `) T6 wany withholding agent that can disburse or make payments of the income of which I am the beneficial owner.
" E2 b; G; ^2 W2 G8 Reference number(s) (see instructions)
/ n* E7 y G1 R$ }Printed on Recycled Paper |
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