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DocuSign Envelope ID: 83BCEF30E4EA49F5AEDB4175709829A4FormW8BENE(Rev. October 2021)Certificate of Status of Beneficial Owner for United States Tax Withholding and Reporting (Entities)BOMB No. 15451621II
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How to fill out w-8ben-ebmwhiterockinsurancesac

01
Download the W-8BEN-EB form from the EBM White Rock Insurance website.
02
Fill out Part I with your personal information such as name, country of citizenship, and address.
03
Complete Part II with your foreign tax identification number (if applicable) and exempt beneficial owner code.
04
Sign and date the form.
05
Submit the form to EBM White Rock Insurance as instructed.

Who needs w-8ben-ebmwhiterockinsurancesac?

01
Non-U.S. individuals or entities who are receiving income from EBM White Rock Insurance and are claiming a reduced rate of withholding tax under an income tax treaty.
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The W-8BEN-EB form is used by non-U.S. individuals or entities to claim treaty benefits.
Non-U.S. individuals or entities receiving income from U.S. sources and seeking treaty benefits.
The form must be completed with personal information, country of residence, and treaty eligibility details.
The purpose is to establish eligibility for reduced withholding tax rates under an applicable tax treaty.
Information such as name, address, U.S. taxpayer identification number (if applicable), type of income, and claim for treaty benefits.
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