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$FFRXQW1XPEHUDECLARATION OF ELIGIBILITY FOR BENEFITS UNDER A TAX TREATY FOR A HYBRID ENTITY Use this form if you are a hybrid entity that is: Subject to Part XIII tax The payer may request a completed
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Read and understand the instructions provided on the declaration of eligibility form.
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Fill in your personal information accurately including your name, address, and contact information.
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Provide information about your eligibility criteria as required by the form.
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Who needs declaration of eligibility for?

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Individuals who are required to prove their eligibility for a certain benefit, program, or opportunity may need to fill out a declaration of eligibility form.
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The declaration of eligibility is used to certify that an individual meets the eligibility requirements for a specific program or benefit.
Individuals who wish to apply for a program or benefit that require them to meet certain eligibility criteria.
The declaration of eligibility form must be completed by providing accurate and truthful information about the individual's eligibility for the program or benefit.
The purpose of the declaration of eligibility is to verify that individuals meet the necessary criteria to receive a specific program or benefit.
The declaration of eligibility may require information such as income, residency, age, or other specific eligibility criteria.
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