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W8BEN Sample Form ONLY All inputted data is fictitious. PLEASE NOTE: Parts I and III that are highlighted are the sections that MUST be completed by all members. Part I Identification of Beneficial
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Open the form 20171204sample-form-w8benindd using a PDF reader or editing software.
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Fill in your personal information such as your name, address, and country of residence in the appropriate fields.
03
Provide your taxpayer identification number (TIN) or social security number (SSN) if applicable.
04
Indicate whether you are claiming treaty benefits, and if so, provide details of the specific treaty article that applies.
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Who needs 20171204sample-form-w8benindd?

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Individuals or entities who are non-US residents but receive income from US sources may need to fill out the 20171204sample-form-w8benindd form. This form is typically used to establish your foreign status and claim a reduced withholding tax rate under an applicable tax treaty.
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It is a form used for certifying foreign status of beneficial owner for United States tax withholding purposes.
Non-US individuals or entities who are receiving income from U.S. sources.
The form must be completed with accurate information regarding the foreign beneficial owner's status and tax information.
The purpose of the form is to establish a beneficial owner's foreign status for tax withholding purposes.
Information such as the beneficial owner's name, address, country of citizenship, and tax identification number must be reported.
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