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DocuSign Envelope ID: 704726A5305D44AE95F82588A0FF1096FormW8BENE(Rev. October 2021)Certificate of Status of Beneficial Owner for United States Tax Withholding and Reporting (Entities)BOMB No. 15451621II
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01
Download the W-8BEN-E form from the official IRS website.
02
Fill out the form with your personal information, including name, address, and tax identification number.
03
Provide information about the type of income you receive and the country of residence for tax purposes.
04
Sign and date the form to certify that the information provided is true and accurate.

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Individuals or entities who are non-US residents and receive income from US sources may need to fill out a W-8BEN-E form.
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It is a form required by the IRS for non-U.S. persons to claim tax treaty benefits.
Non-U.S. persons who receive income in the U.S. and want to claim tax treaty benefits.
The form must be completed with personal information, country of residence, and tax identification number.
The purpose is to establish eligibility for reduced withholding tax rates under applicable tax treaties.
Personal information, country of residence, tax identification number, and claim for treaty benefits.
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