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DocuSign Envelope ID: 402129D1CE87441BBF0155306E68871DFormW8BENE(Rev. July 2017) Department of the Treasury Internal Revenue ServiceCertificate of Status of Beneficial Owner for United States Tax
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This is a form used for tax purposes by foreign entities doing business in the United States.
Foreign entities conducting business activities in the United States are required to file Form W-8BEN-E.
To fill out Form W-8BEN-E, the foreign entity must provide their name, address, country of residence, and certify their tax status.
The purpose of Form W-8BEN-E is to establish the foreign entity's status for income tax withholding purposes.
Information such as the foreign entity's name, address, country of residence, tax identification number, and tax classification must be reported on Form W-8BEN-E.
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