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DocuSign Envelope ID: C1382B51B4D948C9B8444A7762278C57FormW8BENE(Rev. October 2021)Certificate of Status of Beneficial Owner for United States Tax Withholding and Reporting (Entities)BOMB No. 15451621II
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Verify if you are eligible to fill out the W-8BEN-EM form based on the specific instructions provided by the payer.
02
Fill out your legal name, country of citizenship, permanent address, and date of birth in the appropriate sections.
03
Provide your tax identification number (TIN) issued by your country of residence. If you do not have a TIN, follow the instructions provided for the applicable exemption.
04
Discriminate whether you are claiming benefits under a tax treaty between your country and the United States, and provide the necessary information if applicable.
05
Sign and date the form, certifying under penalty of perjury that the information provided is accurate and complete.

Who needs w-8ben-emtwhiterockinsuranceneformrlands?

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Individuals or entities who are considered foreign persons for U.S. tax purposes and receive income from U.S. sources are typically required to fill out the W-8BEN-EM form.
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The W-8BEN-E form is used by foreign entities to claim tax treaty benefits with the United States.
Foreign entities that receive income from U.S. sources and want to claim tax treaty benefits.
The form must be completed with the entity's information, tax status, and certification of beneficial ownership.
The purpose is to establish the foreign entity's eligibility for reduced withholding tax rates under a tax treaty.
The form requires information such as the entity's name, country of residence, and U.S. taxpayer identification number (if applicable).
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