BACKUP WITHHOLDING FOR MISSING AND INCORRECT NAME/TIN(S) (Including instructions for reading tape cartridges and CD/DVD Formats) Publication 1281 (Rev. 12-2023) Catalog Number 63327A Department of the Treasury Internal Revenue Service www.irs.gov
| BACKUP WITHHOLDING FOR MISSING AND INCORRECT NAME/TIN(S) (Including instructions for reading tape cartridges and CD/DVD Formats) Publication 1281 (Rev. 12-2023) Catalog Number 63327A Department of the Treasury Internal Revenue Service www.irs.gov |
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Table of Contents
Part 1 Introduction................................................................................................ 1
Backup Withholding Rate .......................................................................................... 2
Part 2 Frequently Asked Questions ...................................................................... 3
Part 3 Where to Call for Help ................................................................................ 11
Part 4 Actions for Missing TINs and Incorrect Name/TIN Combinations .............. 13
CP2100 Notice ............................................................................................................ 14
Missing TIN(s) ............................................................................................................. 14
Incorrect Name/TIN Combinations ........................................................................... 14
First “B” Notice ........................................................................................................... 15
Second “B” Notice...................................................................................................... 15
Third and Subsequent Notices .................................................................................. 16
Part 5 The IRS Matching Process/ Name Controls ............................................... 17
Part 6 Flow Charts ................................................................................................ 25
Flowcharting for Incorrect Name/TINSs .................................................................. 26
Flowcharting for Missing TINSs ................................................................................ 27
Part 7 Name Compression Specifications for “B” Notice Tape Cartridges ........... 28
Part 8 Instructions for Reading Tape Cartridges .................................................. 30
Part 9 Instructions for Reading CD/DVD media .................................................... 35
Section 10 Other Forms ........................................................................................ 43
Instructions for the Requester of Form W-9
Form W-9
Form W-8 Series and Instructions
Backup Withholding For Missing and Incorrect Name/Tin(S) ii
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Part
1
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Part 1 Introduction
This publication contains information about the backup withholding (BWH-B) requirements that apply to
the information returns that you filed. The law provides that you may be required to withhold a specified
percentage (see BWH-B Rate) of certain reportable payments made to recipients (payees) for whom you filed
an information return that had a missing or an incorrect Taxpayer Identification Number (TIN). If you are a new
filer of information returns or want an answer to a specific question, you may find it helpful to begin by reading
Part 2, Frequently Asked Questions. More detailed information begins in Part 4. We have included copies of the
First and Second “B” Notices, Form W-9, Forms and W-8 series, and SSA (see Part 10) for your convenience.
E- Services provide various electronic and interactive applications. See the IRS web site at, https://la.www4.irs.
gov/e-services/Registration/index.htm to review the on-line tutorial. Payers of income reported on Forms 1099
B, DIV, INT, K, MISC, NEC, OID, G and/or PATR may be eligible to participate in the TIN Matching program. You
can download the TIN Matching Publication, 2108A, at www.IRS.gov.
Backup Withholding (BWH-B) Rate
Rate/Percentage is 24%, effective for all subject payments after December 31, 2017.
Backup Withholding For Missing and Incorrect Name/Tin(S) 2
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Part
2
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Part 2 FREQUENTLY ASKED QUESTIONS
1. Q… What is backup withholding?
A... Persons (payers) making certain payments to payees must withhold and pay to the IRS a specified
percentage (see “BWH Rate” on page 3) of those payments under certain conditions. Payments that may
be subject to backup withholding include interest, dividends, rents, royalties, commissions, non-employee
compensation, and other payments including broker proceeds and barter exchange transactions,
reportable gross proceeds paid to attorneys, and certain payments made by fishing boat operators.
Payments that are excluded from backup withholding are real estate transactions, foreclosures and
abandonments, cancelled debts, distributions from Archer Medical Savings Accounts (MSAs), long-term
care benefits, distributions from any retirement account, distributions from an employee stock ownership
plan (ESOP), fish purchases for cash, unemployment compensation, state or local income tax refunds,
and qualified tuition program earnings.
2. Q… What is a Taxpayer Identification Number (TIN)?
A... A TIN is a Social Security Number (SSN) issued by the Social Security Administration (SSA) or an
Employer Identification Number (EIN) issued by the IRS. A TIN can have only nine (9) numbers. It cannot
have more or less than nine numbers nor can it have letters. See Question #3 for information on ITINs and
ATINs.
3. Q… What is an Individual Taxpayer Identification Number (ITIN)/Adoption Taxpayer Identification
Number (ATIN)?
A... An ITIN is an individual Taxpayer Identification Number (ITIN) issued by the IRS and may be used as a TIN
to meet federal tax obligations only. Resident aliens and nonresident aliens, who are not eligible for SSNs,
use ITINs. An ITIN has nine numbers in the same format as an SSN and always begins with the number 9.
The fourth and fifth digits are always within the range of 70 through 88. An ATIN is an Adoption Taxpayer
Identification Number issued by the IRS and can be used as a TIN. An ATIN is only a temporary taxpayer
identification number issued for a child born, and adopted, in the United States. An ATIN contains nine
numbers in the same format as an SSN. An ATIN should be requested when an SSN cannot be obtained
in time to file your tax return. Once the adoptive parent obtains an SSN for the adopted child, the ATIN
becomes obsolete.
4. Q… What payments are subject to backup withholding?
a) Rents and commissions, non-employee compensation for services, royalties, reportable gross proceeds
paid to attorneys and other fixed or determinable gains, profits, or income payments reportable on Form
1099-MISC, Miscellaneous Income.
b) Commissions, fees, or other payments for work performed as an independent contractor on Form
1099-NEC, Nonemployee Compensation.
c) Interest reportable on Form 1099-INT, Interest Income.
d) Dividends reportable on Form 1099-DIV, Dividends and Distributions.
e) Patronage dividends paid in money or qualified check reportable on Form 1099-PATR, Taxable
Distributions Received From Cooperatives.
f) Original issue discount reportable on Form 1099-OID, Original Issue Discount, if the payment is in cash.
g) Gross proceeds reportable on Form 1099-B, Proceeds From Broker and Barter Exchange Transactions.
h) Gambling winnings reportable on Form W-2G, Certain Gambling Winnings, unless subject to regular
gambling withholding. If not subject to regular gambling withholding, backup withholding only applies if,
and only if, the payee does not furnish a taxpayer identification number to the payor.
Backup Withholding For Missing and Incorrect Name/Tin(S) 4
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FREQUENTLY ASKED QUESTIONS
i) Gross payments reportable on Form 1099-K, Payment Card and Third Party Network Transactions.
j) Form 1099-G payments that are subject to backup withholding under IRC 6041 and 3406(b)(3)(A)
which include taxable grants and agricultural payments (1099-G Box 6 or 7)
5. Q… Can a payee claim he or she is exempt from backup withholding?
A... Yes. Payees who may be exempt are listed in the “Instructions for the Requester of Form W-9”. They
include tax-exempt organizations, government agencies, corporations (For certain payments), and
other listed entities.
6. Q… Is a payee an exempt corporation if it uses the term “Company” or “Co.” in its name?
A... A payer cannot treat a payee as an exempt organization merely because the business name contains
the word “Company” or “Co.” A payer may treat a payee as exempt if:
■ the name contains the term insurance company, indemnity company, reinsurance company or
assurance company. Requirement one is also met if the entities name indicates that it is an entity
listed as a corporation under IRS Regulations, section 301.7701-2(b)(8)(i),
■ the payer has on file a corporate resolution or similar document clearly indicating corporate status,
■ the payer receives a Form W-9 which includes an EIN and a statement from the payee that it is a
domestic corporation or,
■ the payer receives a withholding certificate described in Section 1.1441-1(e) (2)(i), that includes a
certification that the person whose name is on the certificate is a foreign corporation.
7. Q… When is a TIN considered missing or incorrect?
A... Missing TIN - We consider a TIN to be missing if it is not provided, has more or less than nine
numbers, or it has an alpha character as one of the nine positions.
Example: Missing SSN: 123-45-678
Example: Missing SSN: 123-45-67899
Example: Missing EIN: 12- 345678P
Incorrect TIN - We consider a TIN incorrect if it is in the proper format but the Name/TIN combination
does not match or cannot be found on IRS or SSA files.
Examples of Proper Format:
Correct SSN:123-45-6789
Correct EIN: 12-3456789
8. Q… What files do the IRS use in the matching process?
A... The DM-1 File -- A file containing all SSNs ever issued by the SSA
The EIN-Name Control File -- A file containing all the IRS-assigned EINs
The ITIN File -- A file containing all the IRS-assigned ITINs (On DM-1)
The ATIN File -- A file containing all the IRS-assigned ATINs (On DM-1)
9. Q… What should I do if a payee refuses or neglects to provide a TIN?
A... Begin backup withholding immediately on any reportable payments. Do the required annual
solicitation (request) for the TIN. Question 19 has information about the solicitation requirements for
missing and incorrect TINs. Backup withhold until you receive a TIN.
Backup Withholding For Missing and Incorrect Name/Tin(S) 5
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FREQUENTLY ASKED QUESTIONS
10. Q… How do I know if a TIN on my account is incorrect?
A... After the submission of Form 1099 information returns, the IRS will send you a CP2100 or a
CP2100A Notice and a listing of incorrect Name/TIN(s) reported on those forms.
11. Q… What is a CP2100 or CP2100A Notice?
A... It is a notice that tells a payer that he or she may be responsible for backup withholding. It is
accompanied by a listing of missing, incorrect, and/or not currently issued payee TINs. Large volume
filers will receive a CD or DVD data file CP2100, mid-size filers receive a paper CP2100, and small
filers receive a paper CP2100A.
Large Filer …………. 250 or more error documents;
Mid Size Filer ……… Between 50 and 249 documents.
Small Filer …............ Less than 50 error documents.
12. Q… What should I do if I receive a CP2100 or CP2100A Notice?
A... Compare the listing(s) with your records. For missing TINs: If you have not started backup
withholding, begin to do so immediately and continue until you receive a TIN. You must make up to
three solicitations for the TIN (initial, first annual, second annual), as described in Question 19, to
avoid a penalty for failing to include a TIN on the information return. For incorrect TINs: Compare the
accounts on the listing with your business records. See Question 19 for the solicitation requirements
in order to avoid a penalty for failure to include the correct TIN on an Information Return. If they
agree, send the appropriate “B” Notice to the payee. If an account does not agree, this could be
the result of a recent update to SSA records, an error in the information you submitted, or an IRS
processing error. If this type of error occurred, the only thing you should do is correct or update your
records, if necessary. Remember: You do not have to call or write to the IRS to say that you made the
correction or update to your records.
13. Q… What should I do if I receive a CP2100, CP2100A, or 972CG and do not recognize a TCC
provided on the notice?
A... The TCC belongs to the business who transmitted the information returns listed on the notice. The
TCC may belong to the payer; however, the TCC may belong to a third-party hired to transmit the
information returns for the payer. Contact any third-parties you used to transmit your information
returns on your behalf. For example, an accountant, payroll provider, etc.
14. Q… What is a “B” Notice?
A... A “B” Notice is a backup withholding notice. There are two “B” Notices -- the First “B” Notice and
the Second “B” Notice. You must send the First “B” Notice and a Form W-9 to a payee after you
receive the first CP2100 or CP2100A Notice with respect to this account for soliciting a correct
Name/TIN combination. You must send the second “B” Notice to a payee after you receive a second
CP2100 or CP2100A Notice within a 3 calendar year period. The text of the Second “B” Notice is
different from that of the First “B” Notice. The Second “B” Notice tells the payee to contact IRS
or SSA to obtain the correct Name/TIN combination. The mailing of the second notice should not
include a Form W-9. The payor must receive validation of the payee’s Name/TIN combination from
SSA or IRS after sending the second “B” Notice. Payees should be instructed regarding how to
request validation of their name/TIN combinations in accordance with the procedures described in
Part 4. Generally, you do not have to send a “B” Notice more than two times within three calendar
years to the same account.
Backup Withholding For Missing and Incorrect Name/Tin(S) 6
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FREQUENTLY ASKED QUESTIONS
15. Q… When do I send a “B” Notice to a payee?
A... You have 15 business days from the date of the CP2100A or CP2100 Notice, or the date you
received it (whichever is later), to send a “B” Notice to a payee. For incorrect TINS you only have to
send a “B” Notice to a payee whose Name/TIN combination and account number on your records
agrees with the combination that IRS identified as incorrect.
16. Q… How do I know which “B” Notice to send?
A... If this is the first CP2100 or CP2100A Notice you have received with respect to this account, you
must provide the payee with (1) the First “B” Notice and (2) a copy of Form W-9 (or acceptable
substitute). You may also provide an optional reply envelope. Your outside mailing envelope must
be clearly marked “IMPORTANT TAX INFORMATION ENCLOSED” or “IMPORTANT TAX RETURN
DOCUMENT ENCLOSED.”
If this is the second CP2100 or CP2100A Notice you have received within three calendar years with
respect to this account, you must provide the payee with the Second “B” Notice. Do not include a
Form W-9. You may also provide an optional reply envelope. Your outside mailing envelope must
be clearly marked “IMPORTANT TAX INFORMATION ENCLOSED” or “IMPORTANT TAX RETURN
DOCUMENT ENCLOSED.”
17. Q… Do I have to mail a Second “B” Notice if I receive the second CP2100 or CP2100A Notice
in the same calendar year as the first notice?
A... No. You may disregard the second CP2100 or CP2100A notice, even if it relates to a different tax
year than the first notice. You also have no obligation to mail a second ‘B’ Notice if you receive the
second CP2100 or CP2100A Notice in a different calendar year than the first, but both of the CP
notices relate to the same payee’s account for the same calendar year.
18. Q… What should I do if a “B” Notice is returned as “undeliverable”?
A... You must begin backup withholding. However, try to get the correct address for the payee and remail
the notice. If you cannot find the correct address, keep the undelivered notice with your records for
a period of three years, in order to track the “two-in-three-year” rule (see Question 13) or, until you
have obtained a valid address.
19. Q… After I receive a CP2100 or CP2100A Notice, when do I start and stop backup
withholding?
A... You must begin backup withholding on all reportable payments to the payee no later than 30
business days after you have received the CP2100 or CP2100A Notice. You must stop backup
withholding on payments within 30 calendar days after you have received the required certification
(Form W-9) from the payee or TIN validation from the SSA or the IRS, if it was a second notification.
At your option, you may start and stop backup withholding at any time during these 30-day periods.
20. Q… What are the first and second annual solicitation requirements?
A... A solicitation is a request for a payee’s correct TIN. You must make the request to satisfy the backup
withholding requirements and to avoid a penalty for filing another information return with a missing or
an incorrect TIN. The payee must furnish a certified TIN (initial solicitation) on Form W-9 with respect
to payments of interest, dividends, and amounts subject to broker reporting. For other payments, the
payee may furnish/provide the TIN in any manner.
Backup Withholding For Missing and Incorrect Name/Tin(S) 7
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FREQUENTLY ASKED QUESTIONS
For missing TINs: For all payees you must make the initial solicitation when the payee opens the
account or when the transaction occurs. If the payee does not provide a TIN when you initially
ask for it, you must begin backup withholding. In addition, to avoid a penalty for filing an incorrect
information return, you must make a first annual solicitation by December 31 of the year in which
the account is opened (for accounts opened before December) or January 31 of the following year
(for accounts opened during the preceding December). If the payee does not provide a TIN after the
first annual solicitation, you must make the second annual solicitation by December 31 of the year
following the calendar year in which the account was opened.
For incorrect TINs: You must make up to two annual solicitations in response to the CP2100 or
CP2100A Notice. You must send a B Notice within 15 business days after you receive a CP2100 or
CP2100A Notice. If you receive a Proposed Penalty Notice (972CG) but not a CP2100 or CP2100A
Notice, your annual solicitation must be made by December 31st of the year you received the
Proposed Penalty Notice (972CG). However, if you already sent a B Notice in the calendar year in
response to a CP2100 or CP2100A
Notice, you do not have to send another solicitation in response to the proposed penalty notice. If
the IRS notifies you in the next calendar year that a TIN is still incorrect, you must make a second
annual solicitation within 15 business days after you receive the second CP2100 or CP2100A Notice.
21. Q… Does a CP2100 or CP2100A Notice indicate whether it is the first or second notification
of an incorrect TIN for a specific account?
A... No. The backup withholding regulations require that payers be responsible for tracking the status of
the notices they receive.
22. Q… What is the relationship between the requirements to make an annual solicitation for a
payee’s TIN and the requirements to send a “B” Notice?
A... Sending a “B” Notice to a payee in response to a CP2100A or CP2100 Notice satisfies the annual
solicitation requirement in order to avoid a penalty for filing an information return with an incorrect
TIN.
23. Q… Why are accounts I corrected still on the listing of missing or incorrect TIN(s)?
A... Due to processing cut-off points, a listing may or may not reflect your latest corrections. If you know
that an account was corrected, do not send a “B” Notice to the payee.
24. Q… What should I do if a TIN was actually on file but was omitted from the Form 1099 or
reported incorrectly?
A... Make any required change to your records and use the correct information on future filings. Do not
send a “B” Notice to the payee.
25. Q… What should I do if this is the first notification and the Form W-9 is returned with the
same incorrect information?
A... Keep the Form W-9 on file to show that the payee certified the Name/TIN combination. Do not
backup withhold.
Backup Withholding For Missing and Incorrect Name/Tin(S) 8
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FREQUENTLY ASKED QUESTIONS
26. Q… If I don’t do business anymore with a payee, or if it was only a one-time transaction, what
should I do with the “B” Notice?
A... Send it and try to get the correct TIN. Also, note your records to track the notice for the “two-in-three
year” rule. You will need this information if you should renew business with the payee. We require that
you track these accounts for three years after the date of the first CP2100A or CP2100 Notice.
Note: A “B” Notice is not required if no payments have been made to an account and no return is required
for the account for one year.
27. Q… Can a sole proprietor have an SSN or does he or she need an EIN?
A... A sole proprietor may have an SSN or an EIN. However, he or she must always furnish his or her
individual name (on Name Line 1), regardless of whether he or she uses a SSN or an EIN. A sole
proprietor may also provide a business name or Doing Business As (DBA) (on Name Line 2), but he
or she must list his or her individual name first on the account with you.
28. Q… Should I backup withhold on a payee who is a nonresident alien?
A... Yes. A nonresident alien is subject to backup withholding unless you have a signed Form W-8BEN,
Certificate of Foreign Status of Beneficial Owner for United States Tax Withholding, on file for him or
her.
29. Q… Can a Form W-9 for one account be used to correct all accounts?
A... Yes, if the payer required a payee to file only one Form W-9 for all accounts or instruments of the
payee.
30. Q… Can a payee be subject to backup withholding for more than one reason?
A... Yes. However, backup withhold for only one reason at a time.
31. Q… How do I get an EIN?
A... Complete Form SS-4, Application for Employer Identification Number. Follow “How to Apply” in the
instructions for Form SS-4 to obtain an EIN by mail, telephone, or facsimile (fax).
32. Q… What form do I use to report backup withholding?
A... Report backup withholding on Form 945, Annual Return of Withheld Federal Income Tax. For more
information, including the deposit requirements for Form 945, see the instructions for Form 945, or
Pub. 15, (Circular E), Employer’s Tax Guide.
33. Q… How is a Name/TIN mismatch identified?
A... A Name/TIN combination is incorrect if it does not match, or cannot be found, on IRS or SSA files.
For example, a Name/TIN mismatch occurs when an individual name is submitted with a TIN not
associated with the individual name provided. A TIN is not interchangeable with different names.
A business EIN must be used for a partnership, corporation, or non-disregarded Limited Liability
Company (LLC). An SSN must be used with an individual name (In first name line). A Sole Proprietor
must always provide his/her individual name. A Sole Proprietor may provide his/her Doing Business
As (DBA) name (in second name line) in addition to the required individual name together with the
matching SSN.
Backup Withholding For Missing and Incorrect Name/Tin(S) 9
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FREQUENTLY ASKED QUESTIONS
34. Q… What amount is subject to backup withholding with respect to security sales made
through margin accounts?
A... The amount subject to backup withholding in the case of a security sale made through a margin
account is limited to the amount of cash available for withdrawal by the customer immediately after
the settlement of the sale. The amount available for withdrawal by the customer does not include
amounts required to satisfy margin account maintenance. If a margin call forces a customer into a
sell - off, such proceeds are not subject to backup withholding.
35. Q… In what manner should a payer treat erroneously withheld tax?
A... If a payer withholds from a payee in error or withholds more than the correct amount of tax, the
payer may refund the amount improperly withheld. The refund must be made prior to the end of the
calendar year and prior to the time the payer issues a Form 1099. If the payer has not deposited
the amount of the tax prior to the time that the refund is made to the payee, the payer should not
deposit the improperly withheld tax. If the improperly withheld tax has been deposited prior to the
time the refund is made to the payee, the payer may adjust any subsequent deposit of tax collected,
which the payer is required to make, by the amount of the tax which has been refunded to the
payee. Payers may use refund alternatives only when backup withholding is the result of an error
by the payer. The timely submission of requested TIN information including any verifications and/or
certifications by the payee does not establish an error by the payer.
Backup Withholding For Missing and Incorrect Name/Tin(S) 10
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Part
3
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Part 3 WHERE TO CALL FOR HELP
If you have any questions about backup withholding, information reporting, Forms 1099, or the CP2100 or
CP2100A Notice(s) and listing(s), you may call:
Technical Services Operation Customer Service Section
Telephone (866) 455-7438 (TOLL FREE) / (304) 263-8700 (not toll free)
Hours 8:30 am to 4:30 pm Monday through Friday, ET
Access this publication on-line at www.irs.gov/pub/irs-pdf/p1281.pdf.
Backup Withholding For Missing and Incorrect Name/Tin(S) 12
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Part
4
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Part 4 ACTIONS FOR MISSING TIN(S) AND
INCORRECT NAME/TIN COMBINATIONS
The CP2100 or CP2100A Notice includes a listing(s) of the information returns you filed that had missing, incorrect,
and/or not currently issued TIN(s). You should compare the listing(s) to your records to determine which of the
following required actions you must take.
Missing TIN(s)
We consider a TIN to be missing if it is not provided or if it is obviously incorrect. Examples are a TIN with more or
less than nine digits, or with a mixture of digits and letters. For accounts with missing TIN(s), make sure backup
withholding has begun and continue backup withholding until you receive a TIN. If you have not begun backup
withholding, generally you must:
1. Begin backup withholding on any reportable payment you make and continue backup withholding until you
receive a TIN. Remember that in some cases, the TIN must be certified.
2. Do not send a first or second “B” Notice in response to the CP2100 or CP2100A Notice. However, in order
to avoid a penalty for filing an information return that omitted the payee’s TIN, you must make a first annual
solicitation for the TIN (generally by December 31 of the year in which the account is opened) and if a TIN is
still not received make a second annual solicitation by December 31 of the following year. No annual solici-
tations are required in the years in which no reported payments are made.
3. Report amounts withheld on Form 945, Annual Return of Withheld Federal Income Tax, and make the
required deposits.
Note: Generally, you must obtain a TIN from a payee even for a “one-time” transaction. If you do not, the law
allows us to charge a penalty. Publication 1586, Reasonable Cause Regulations and Requirements for Missing
and Incorrect Name/TIN(s), has information on removing or reducing penalties due to reasonable cause.
Note: If you inadvertently did not include the TIN on the information return, do not contact the payee. Include
the TIN on any future information returns filed.
Incorrect Name/TIN Combinations (including not currently issued TINs)
A Name/TIN combination is incorrect if it does not match or cannot be found on IRS or SSA files. You must follow
different procedures depending on whether information on the listing(s) agrees or disagrees with you business
records. Compare the listing(s) with your records and take the following actions:
For account information that does not agree, check to see if you put the incorrect information on the return, if the
information changed after you filed the return, or if the IRS misprinted the information when processing the return.
In these situations, do not write to the IRS. However:
1. If you reported the incorrect information on the return, correct your records and include that information
on any future information returns you file. Do not send a “B” Notice to the payee. Do not send the
correction to the IRS.
2. If the information changed after you filed the return, include that information on any future information
returns you file. Do not send a “B” Notice to the payee. Do not send the correction to the IRS.
3. If the IRS misprinted your information, make a note of it in your records and do not take any action. Do not
send the correction to the IRS.
Backup Withholding For Missing and Incorrect Name/Tin(S) 14
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ACTIONS FOR MISSING TIN(S) AND INCORRECT NAME/TIN COMBINATIONS
For account information that agrees with your records, determine whether this is the first or second time,
within three calendar years, that we have notified you about an incorrect Name/TIN combination. Your first
notification of an incorrect Name/TIN combination occurs when the payee TIN appears for the first time on the
listing we send you. The second notification of an incorrect Name/TIN combination is when the same payee
TIN appears for the second time within three calendar years on the listing.
Note: The 60-day exemption from backup withholding on presentation of an awaiting - TIN certificate
applies only to interest and dividend payments, and certain payments made with respect to readily tradable
instruments. Any other reportable payment, such as non-employee compensation, is subject to backup
withholding immediately, even if the payee has applied for and is awaiting a TIN. Upon presentation of
an awaiting TIN certificate, the payee must certify under penalties of perjury that he/she is not currently
subject to backup withholding.
First “B” Notice
1. Send the First “B” Notice, Form W-9, and an optional reply envelope to the payee within 15 business
days from the date of the CP2100/CP2100A Notice or the date you received it (whichever is later). Date
the “B” Notice no later than 30 business days after the date of the CP2100/CP2100A Notice or the date
you received it (whichever is later). The outer mailing envelope must be clearly marked “IMPORTANT
TAX INFORMATION ENCLOSED” or “IMPORTANT TAX RETURN DOCUMENT ENCLOSED.”
2. Make sure that necessary information such as the date, account number, and BWH rate are on the
“B” Notice before mailing it to the payee. If you do not include the optional reply envelope be sure to
provide return address information in your mailing.
3. Update your records with the corrected information you receive from the payee and include it on any
future information returns you file. Do not send the signed Form W-9 to the IRS.
4. Begin backup withholding on payments made to payees who do not return a signed Form W-9 in
response to the First “B” Notice, no later than 30 business days after the date of the CP2100/CP2100A
Notice or the date you received it (whichever is later). However, you may begin backup withholding the
day after the date you receive the CP2100 Notice. Stop backup withholding no later than 30 calendar
days after you receive the signed Form W-9 from the payee. You may stop backup withholding any time
within that 30 calendar day period.
Note: Do not file a corrected Information Return unless you are also making a change to the dollar amount
reported on a Form 1099.
Note: It is your responsibility to send the appropriate “B” Notice to the payee, when required, to obtain
the correct Name/TIN. This information may not be solicited by telephone. You need a TIN that the payee
certifies as correct on Form W-9 in order to stop current backup withholding or prevent backup withholding
from starting.
Second “B” Notice
1. Send the Second “B” Notice and an optional reply envelope to the payee within 15 business days
after the date of the CP2100/CP2100A Notice or the date you received it (whichever is later). Date
the “B” notice no later than 30 business days after the date of the CP2100/CP2100A Notice or the
date you received it (whichever is later). Do not send a Form W-9. The outer mailing envelope must
be clearly marked “IMPORTANT TAX INFORMATION ENCLOSED” or “IMPORTANT TAX RETURN
DOCUMENT ENCLOSED.”
Backup Withholding For Missing and Incorrect Name/Tin(S) 15
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ACTIONS FOR MISSING TIN(S) AND INCORRECT NAME/TIN COMBINATIONS
2. An individual payee must provide the payor with a copy of a Social Security card with his or her correct
name and SSN. Payors may rely upon a Social Security card as being correct only if the name and
SSN combination appearing on the card differ from the name and SSN combination appearing on the
second B notice, or if there is a date appearing on the Social Security card that is no earlier than six
months prior to the date of the second B notice. If the TIN is an EIN, the payee must contact the IRS
to get his or her employer identification number validated on the IRS Letter 147C. A “Letter 685C” is
requested from the IRS by the payee to validate an ITIN. The payee then sends a copy of the “Letter
685C” received from the IRS to the Payer. A “Letter 096C” is requested by the payee from the IRS to
validate an ATIN. The payee then sends a copy of the “Letter 096C” received from the IRS to the payer.
3. Allow 30 business days after the date of the Second “B” Notice to receive a copy of a Social Security
card described in paragraph 2 or Letter 147C from the payee. Begin backup withholding on payments
made to the payee if you do not receive a copy of a Social Security card or Letter 147C by the 30th
business day. You may, at your option, begin backup withholding anytime during the 30 business day
period. You must continue to backup withhold until you receive the validation. Stop backup withholding
no later than 30 days after you receive the required validation. You may stop backup withholding
anytime within the 30 calendar day period after receiving validation.
Note: You are not required to file a corrected Information Return unless you are also making a change to
the dollar amount reported on Form 1099.
Note: It is your responsibility to send the appropriate “B” notice to the payee, when required, to solicit
the correct Name/TIN. This information may not be solicited by telephone. You need a TIN validation (IRS
Letter 147C or a copy of a Social Security cardas appropriate) in order to stop current backup withholding
or prevent backup withholding from starting.
Third and Subsequent Notices
Generally, you may ignore a third or subsequent notice of missing or incorrect TIN(s) if you completed the
actions for the First and Second “B” Notices and the incorrect payee name and TIN combination and account
number remain the same. However, if the CP2100/CP2100A Notice and listing(s) relate to the same payee, but
with a different Name/TIN combination than on the “first” and “second” notice, you must treat the notice as a
“first” notice.
Backup Withholding For Missing and Incorrect Name/Tin(S) 16
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Part
5
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Part 5 ACTIONS FOR MISSING TIN(S) AND
INCORRECT NAME/TIN COMBINATIONS
This section provides an overview of the IRS matching process and the development of name
controls.
The information returns you file must include a correct Name/TIN combination to allow us to match the
information reported against the income included on the payee’s income tax return. We check whether a Name/
TIN combination is correct by matching it against a file containing all social security numbers (SSNs) issued by
SSA or against a file containing all employer identification numbers (EINs) issued by IRS. Then we compare the
name control on the payee document (if provided) to the name control on file. If a name control is not provided, we
develop it from the name(s) provided on the first two name lines (up to 40 characters for each name line including
spaces) of the information return. If we can match a provided name or a developed name control to the name
control in our records, we consider it correct. If no match is found using this process, we consider the Name/TIN
combination to be incorrect. The chart on the back of Form W-9 has information for payees about “What Name
and Number to Give the Requester” of Form W-9.
Name Controls
A name control consists of up to four characters. To help ensure that the Name/TIN combination for an account
matches the Name/TIN combination on IRS and SSA files, use the following information when you open an account
for a payee.
Individuals
We develop a name control for an individual from the last name on the information return. For example:
Ralph Teak; Dorothy Willow; Joe McCedar
If an individual has a hyphenated last name, we develop the name control from the first of the two last names. For
example:
Joan Cedar-Hawthorn; Victoria Windsor-Maple
For joint accounts, regardless of whether the payees use the same or different last names, we develop the name
control from the primary payee’s last name. For example:
Joseph Ash & Linda Birch; Edward & Joan Maple
Reminder: If a payee has changed his or her last name, for instance, due to marriage, he or she needs to
inform the Social Security Administration (SSA) of the name change.
Hint: On name line one of the Form 1099, a payer should enter the payee’s first name and new last name (if the
change has been made with SSA), or the payee’s first name, former last name, and new last name (if the change
has not been made with SSA).
Sole Proprietors
We generally develop the name control (first name line) from the last name on the information return. For example:
Mark Hemlock; The Sunshine Cafe; Karen Birch; Ace Computer Co.
Backup Withholding For Missing and Incorrect Name/Tin(S) 18
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ACTIONS FOR MISSING TIN(S) AND INCORRECT NAME/TIN COMBINATIONS
Hint: Payers may enter a sole proprietor’s business, trade, or “doing business as” name on the second
name line of the information return. However, the individual name must be provided on the first name line.
When individual name is provided on the first name line as shown above, the Sole Proprietor can provide
either SSN or EIN (TIN) information.
Estates
We develop the name control for a decedent’s estate from the decedent’s name on the first name line on the
information return. The decedent’s name may be followed by the word “Estate.” (The TIN should be the one
that was assigned to the estate.) For example:
Frank White Estate
Alan Greene, Exec
Estate of Frank White
John Black, Exec
Trusts and Fiduciaries
We generally develop the name control for a trust or fiduciary account from the name of the person in whose
name the trust or fiduciary account was established. For example:
Jonathan Periwinkle Irrevocable Trust
FBO Patrick Redwood
Chestnut Bank, Trustee
Memory Church Endowment Trust
John Waxbean, Trustee
Partnerships
We develop the name control for a partnership from the trade or business name of the partnership; if there is
not any, we develop the name control from the last name of the first partner listed on the original Form SS-4
(which was used to apply for the EIN). For example:
(The) Oak Tree A.S. Greene, K.L. Black & O.H. Brown, Ptrs.
Bob Orange & Carol Black, et al Ptrs. d.b.a.
The Merry Go Round
E.F. Brown, M.S. White & T.J. Green, Ptrs.
The Brown & White Company
Other Organizations
We develop the name control for other organizations from the entity’s name on the original Form SS-4 (which
was used to apply for the EIN).
St Bernard’s Methodist Church Building
Fund for St. Bernard’s Church
ABC Company
Main Street Store
NOTE: Extraneous words, titles, and special characters (i.e., Mr., Mrs., Dr., and apostrophes, etc.),
may be dropped during the development of name controls. For example, we dropped the period in St.
Bernard’s Methodist Church.
Backup Withholding For Missing and Incorrect Name/Tin(S) 19
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ACTIONS FOR MISSING TIN(S) AND INCORRECT NAME/TIN COMBINATIONS
First B Notice
IMPORTANT TAX NOTICE ACTION IS REQUIRED
Backup Withholding Warning!
WE NEED A FORM W-9 FROM YOU BEFORE: _______________________. Otherwise; backup withholding
will begin on
Account Number
Current Name on Account
Current TIN on Account
The Internal Revenue Service (IRS) has notified us that the taxpayer identification number (TIN) on your
account with us does not match its records. The IRS considers a TIN as incorrect if either the name or number
shown on an account does not match a name and number combination in their files or the files of the Social
Security Administration (SSA). If you do not take appropriate action to help us correct this problem before the
date shown above, the law requires us to backup withhold on interest, dividends, and certain other payments
that we make to your account. The backup withholding rate is: __ [set forth rates/dates] In addition to backup
withholding, you may be subject to a $50 penalty by the IRS for failing to give us your correct Name/ TIN
combination. This notice tells you how to help us make your account records accurate and how to avoid
backup withholding and the penalty.
Why Your TIN May Be Considered As Incorrect.
An individual’s TIN is his or her social security number (SSN). Often a TIN does not match IRS records
because a name has changed through marriage, divorce, adoption, etc., and the change has not been
reported to SSA, so it has not been recorded in SSA’s files. Sometimes an account or transaction may not
contain the correct SSN of the actual owner. For example, an account in a child’s name may reflect a parent’s
SSN. (An account should be in the name and SSN of the actual owner.)
What You Need To Do for Individuals
If you have never been assigned a social security number (or if you lost your social security card and do not
know your SSN), call your local SSA office and find out how to obtain an original (or a replacement) social
security card. Then apply for it. If you already have a social security number: Compare the name and SSN on
your account with us (shown at the beginning of this notice) with the name and SSN shown on your social
security card. Then use the chart on the next page to decide what action to take.
IF THEN
1. The last name and SSN on your account 1. Contact your local SSA office to ascertain
agree with the last name and SSN on whether the information on SSA’s
your social security card records is different from that on your
social security card, and to resolve any
problem. Also, put your name and SSN
on the enclosed Form W-9 following the
instructions on the form. Sign the Form
W-9 and send it to us.
Backup Withholding For Missing and Incorrect Name/Tin(S) 20
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ACTIONS FOR MISSING TIN(S) AND INCORRECT NAME/TIN COMBINATIONS
IF THEN
2. The SSN on your account is different from 2. Put your name and SSN, as shown on
the SSN on your social security card, but your social security card, on the enclosed
the last name is the same Form W-9, following the instructions on
the form, sign it, and send it to us. You do
not need to contact SSA.
3. The last name on your account is different 3. Take one of the following steps (but not
from the last name on your social security both):
card, but the SSN is the same on both a) If the last name on your account is
correct, contact SSA to correct the
name on your social security card. Put
your SSN and name shown on your
account on the enclosed Form W-9
following the instructions on the form,
sign it, and send it to us. However, if
you are not able to contact SSA at this
time, you can provide us with both last
names. Put your SSN and the name
shown on your social security card plus
the last name shown on your account
(in that order) on the enclosed Form
W-9 following the instructions on the
form, sign it, and return it to us. For
example, if your social security card
lists your maiden name, give us your
SSN and your name in the following
order: First/ maiden/married name.
Please note, however, that you should
contact SSA as soon as possible so
they can correct their records.
b) If the last name on your social security
card is correct, put that name and
your SSN on the enclosed Form W-9
following the instructions on the form.
Sign it, and return it to us. You do not
need to contact SSA.
Backup Withholding For Missing and Incorrect Name/Tin(S) 21
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ACTIONS FOR MISSING TIN(S) AND INCORRECT NAME/TIN COMBINATIONS
IF THEN
4. Both the last name and SSN on your 4. Take one of the following steps (but not
account are different from the last name both):
and SSN on your social security card a) If the last name and SSN on your social
security card are correct, put that name
and SSN on the enclosed Form W-9
following the instructions on the form.
Sign it, and send it to us. You do not
need to contact SSA.
b) If the last name on your account and
the SSN on your social security card
are correct, follow the procedure in
section 3(a) above. Be sure to put the
name shown on your account and the
name on your social security card on
the Form W-9.
Once you have resolved what your correct name and TIN combination is, you must provide this information
to us (and all your other payors) for all of your accounts to avoid a problem in the future. If you are required
to visit an SSA office, take this notice, your social security card, and any other related documents with
you. Information regarding what documentation is needed to update information with the Social Security
Administration is available at ssa.gov.
Instructions for Non-individuals and Certain Sole Proprietors
For most non-individuals (such as trusts, estates, partnerships, and similar entities), the TIN is the employer
identification number (EIN). The EIN on your account may be incorrect because it does not contain the number
of the actual owner of the account. For example, an account of an investment club or bowling league should
reflect the organization’s own EIN and name, rather than the SSN of a member. Please put the name and EIN
on the enclosed Form W-9, sign it, and send it to us.
A sole proprietor must furnish his or her individual name and either his or her SSN or the EIN for his or her
sole proprietorship. In addition to his or her individual name, the sole proprietor may also furnish the business
name for the sole proprietorship, provided his or her individual name is listed before the business name. A
sole proprietor must not furnish only the business name. Please put the individual name and SSN or EIN on
the enclosed Form W-9, sign it, and send it to us.
Important Reminder!
You must send us a signed IRS Form W-9 before the due date of this notice even if the name and number
(SSN or EIN) on your account with us match the name and number (SSN or EIN) on your social security card
or the document issuing you an EIN. If we do not receive your Form W-9, and any other documents that we
need to change the name or TIN (or both) on your account before the date of this notice, we are required by
law to backup withhold on any reportable payment that we pay to your account until we receive the necessary
documents. A Form W-9 is enclosed for your convenience, as well as any additional documents allowing us to
change the Name/TIN combination on your account.
Backup Withholding For Missing and Incorrect Name/Tin(S) 22
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ACTIONS FOR MISSING TIN(S) AND INCORRECT NAME/TIN COMBINATIONS
Second B Notice
IMPORTANT TAX NOTICE ACTION IS REQUIRED
Second Backup Withholding Warning!
YOU MUST HAVE THE IRS OR SSA VALIDATE YOUR TAXPAYER IDENTIFICATION NUMBER AND
RETURN IT TO US BY: ________________________________. Otherwise, backup withholding will begin.
Account Number
Current Name on Account
Current TIN on Account
We have received notice from the Internal Revenue Service (IRS) twice within 3 years stating that the
combination of the name and taxpayer identification number (Name/TIN combination) on your account with us
is incorrect. (Your account number, current name on the account, and current taxpayer identification number
(TIN) on the account are shown above.) A Name/TIN combination is incorrect if it does not match a Name/TIN
combination shown on the records of the Social Security Administration (SSA) or the IRS.
You should follow the instructions below to correct this problem and send the corrected information to us
before the date shown above. If we do not have the correct information before that date, the law requires us
to backup withhold on interest, dividends, and certain other payments that we make to your account. The
backup withholding rate is: __ [set forth rates/dates]
Section 3406 of the Internal Revenue Code requires that we withhold a predetermined percent in tax, called
backup withholding, when you do not give us your correct Name/TIN combination. Because of the notices we
received from the IRS, we are now required to disregard any future Name/TIN combinations you furnish us for
your account (whether or not you certify your TIN under penalties of perjury) unless SSA (or, in the case of an
incorrect employer identification number, the IRS) validates your Name/TIN combination. Also, the IRS may
charge you a $50 penalty for failing to provide us with your correct Name/TIN combination.
What You Need To Do
Follow the instructions below to correct your account record to avoid backup withholding on your account (or
to stop it once it has begun) and to avoid the penalty.
Individuals
Instructions for Incorrect Social Security Numbers
If the incorrect TIN you furnished us is a social security number, you must:
1. Provide us with a copy of your Social Security card. The social security card must show your correct
name/SSN combination that differs from the name and SSN combination appearing on this notice or
it must show a date of issuance that is no earlier than six months prior to the date on this notice. Send
the copy directly to us with a copy of this notice attached.
2. If you do not have a card meeting the requirement in item 1, you must apply for a Social Security
card by submitting SSA Form SS-5 to the SSA in person or by mail. That form and further information
regarding application for a Social Security card is available at ssa.gov.
3. In addition to the required identifying information for obtaining a Social Security card, give a copy of this
notice to the SSA.
4. Allow 7-10 business days for receipt of your Social Security card.
5. Once you receive your Social Security card, make a copy of the card and send the copy directly to us
with a copy of this notice attached.
Backup Withholding For Missing and Incorrect Name/Tin(S) 23
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ACTIONS FOR MISSING TIN(S) AND INCORRECT NAME/TIN COMBINATIONS
Non- individuals or Certain Sole Proprietors
Instructions for Incorrect Employer Identification Numbers
If the incorrect TIN you furnished is an employer identification number, you must:
1. Write the Internal Revenue Service Center where you file your income tax return, and ask the IRS to
send you a Letter 147C;
2. Enclose a copy of this notice in your letter to the Internal Revenue Service Center; and
3. When the IRS sends you the Letter 147C, send it to us with a copy of this notice attached.
Note: Internal Revenue Service Center address information can be found at www.irs.gov.
Backup Withholding For Missing and Incorrect Name/Tin(S) 24
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Part
6
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Part 6 FLOW CHART
PART 6. FLOWFLOWCHARTINGCHARTPart 6. FLOWCHARTSFOR INCORRECT NAME/TINs
FLOWCHARTING FOR INCORRECT NAMES/TINs
FLOWCHARTING for INCORRECT NAME/TINs
Does the This is the
Name/TIN and the second
Incorrect account number on YES Is this the rst NO noti cation
Name/TIN the notice match noti cation? within a three
your records? year period.
NO
YES
Send the rst Send the
Is the mismatch due YES No action B-Notice with second
to IRS processing? required. Form W-9 to B-Notice to
the payee. the payee.
NO
Mismatch due
to record Did the
Did the payee payee return
Is the mismatch update. return a certi ed a copy of his or her
due to an error in NO W-9 within 30 Social Security card
OR a 147C within 30
your submission? No action business days? business
required. days?
YES NO YES NO
YES
Correct your
records if
necessary.
Update your Begin backup Begin backup
records with withholdiing Update your withholdiing
the certi ed within/by 30 records within/by 30
Name/TIN. business days. business days.
Stop backup
withholding if
already begun.
20
Backup Withholding For Missing and Incorrect Name/Tin(S) 26
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FLOW CHART
FLOWCHARTING FOR MISSING TINs
FLOWCHARTINGFLOWCHARTINGfor MISSINGFOR MISSINGTINsTINs
Continue to
Is the missing TIN Are you backup backup
Missing TIN due to an error in NO withholding on the YES withhold until
your submission? account? a TIN is
received.
YES NO
Correct your
records if Begin backup
necessary. withholding.
Annual
solicitation Remit backup
request for TIN, withholding on
remit backup Form 945.
withholding on NO Have you YES Did you receive a NO Continue to
Form 945. requested a TIN? response? backup
Continue to withhold until
backup withhold a TIN is
until a TIN is received.
received.
YES
Make annual
Update your solicitations
records and for TIN as
STOP backup required to
withholding. avoid penalty.
Note -The EIN of the filer of forms W-2G, 1099-B, 1099-DIV, 1099-G, 1099-INT, 1099-K, 1099-MISC,
1099-NEC, 1099-OID, or 1099-PATR must match the EIN of the filer of Form 945, Annual Return of
Withheld Federal Income Tax.
Note: The EIN of the filer of forms W-2G, 1099-B, 1099-DIV, 1099-G, 1099-INT, 1099-K, 1099-MISC,
1099-NEC, 1099-OID, or 1099-PATR must match the EIN of the filer of Form 945, Annual Return of
Withheld Federal Income Tax. 21
Backup Withholding For Missing and Incorrect Name/Tin(S) 27
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Part
7
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Part 7 NAME COMPRESSION SPECIFICATIONS
FOR “B” NOTICE TAPE CARTRIDGES
Use the following information to standardize the entity information on your computer program/system so that it is
the same as the entity information on the “B” Notice cartridges we send to you:
Payee Name Line 1
■ Blank out or eliminate all special characters on this line except ampersands (&), dashes (-) and commas (,).
■ For each position on this line, if a character is not an alpha, numeric, blank, ampersand, dash, or comma,
change it to a blank. Exception: apostrophes (‘) should be eliminated (instead of being changed to a blank)
i.e. O’Hanlon should be OHanlon
Payee Name Line 2
■ Blank out or eliminate all special characters on this line except ampersands, dashes, and percentage
symbols (%).
■ For each position on this line, if a character is not an alpha, numeric, blank, ampersand, dash, or
percentage symbol, change it to a blank. Exception: apostrophes should be eliminated (instead of being
changed to a blank).
Street Address
■ Blank out all special characters on this line except ampersands, dashes, and percentage symbols.
■ For each position on this line, if a character is not an alpha, numeric, blank, ampersand, dash, or
percentage symbol, change it to a blank.
City
■ Blank out all special characters on this line except ampersands and dashes.
■ For each position on this line, if a character is not an alpha, numeric, blank, ampersand or dash, change it
to a blank.
Squeeze-and-Left Justify
We use this command to search for groups of leading blanks and intervening blanks in each payee entity line
(payee name lines 1, 2, street address, and city) and remove them. It also left-justifies each line. Therefore,
For each entity line:
1. eliminate all leading blanks, 2) if two or more blanks in a row are followed by significant data, eliminate all
but one blank and 3) blank fill trailing positions left on the line.
Foreign Addresses Forms 1099 filed on tape cartridge, or electronically, undergo the following processing. If the
FOREIGN-COUNTRY-INDICATOR is equal to “1” THEN:
■ set the STATE CODE to “.” (Note: this code has two positions, the first is a period and the second is a
blank) and
■ set the ZIP code to “00000”.
Backup Withholding For Missing and Incorrect Name/Tin(S) 29
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Part
8
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Part 8 INSTRUCTIONS FOR READING TAPE
CARTRIDGES
General
A tape cartridge file will have the following characteristics:
a) 18 channel Standard Label/EBCDIC with: (a) odd parity and (b) a density of 1600 BPI.
b) Tape cartridges will be ½ -inch tape contained in plastic cartridges which are approximately 4-inches by 5
-inches by 1 -inch in dimension. Magnetic tape will be chromium dioxide particle based ½ -inch tape.
c) Tape cartridges are 3480 compatible (a) Contain 37,871 CPI
d) Tape thickness - 1.0 or 1.5 mils
Record Length
A tape will be blocked in groups of 20 records, subject to the following:
a) a record will be 208 tape positions,
b) all records except the Header and Trailer Labels will be blocked,
c) a block will be 4,160 tape positions, and
d) in the event of a short block (less than 20 records), all remaining positions will be filled in with 9s.
Tape Marking Conventions
Header Label:
a) Standard headers will be used. They will be marked VOL1, HDR1, HDR2. 2. The HDR1 record will contain
the Data Set Name “O4061211.” 3. This record will be 80 positions long.
Trailer Label:
a) Standard trailer labels will be used. They will begin with EOR1, EOR2, EOF1 or EOF2.
b) This label will be 80 positions long.
Tape Marks:
a) Tape marks are used to signify the physical end of the recording on the tape.
b) They follow the header label, and precede and follow the trailer label.
External Label:
A label marked with the Data Set Name “O4061211” will be put on the cartridge(s).
Backup Withholding For Missing and Incorrect Name/Tin(S) 31
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INSTRUCTIONS FOR READING TAPE CARTRIDGES
PAYER “A” RECORD
TAPE POSITION FIELD TITLE LENGTH DESCRIPTION AND REMARKS
1 RECORD TYPE 1 An “a” will be entered
Number used by the irs to group a payer’s
2-16 ACCESS KEY 15
information return transmittals.
Two digit service center codes:
Brookhaven 19
Cincinnati 17
17-18 SERVICE CENTER 2
Memphis 49
Ogden 29
Philadelphia 28
19-27 PAYER’S EIN 9 The nine digit number assigned by the irs.
28-67 PAYER’S NAME 40 Self-explanatory.
The number of information returns with
NUMBER OF
68-75 8 missing and incorrect tins associated with this
DOCUMENTS
payer. It will be right justified and zero filled.
The number of documents sent to the payer
with a bwh-tin-status-indequal to “1” (see
76-83 BWH TIN STATUS 1 CNT 8
payer “b” record). It will be right justified and
zero filled.
The number of documents sent to the payer
with a bwh-tin-status-ind equal to “2” (see
84-91 BWH TIN STATUS 2 CNT 8
payer “b” record). It will be right justified and
zero filled.
The number of documents sent to the payer
with a bwh-tin-status-ind equal to “3” (see
92-99 BWH TIN STATUS 3 CNT 8
payer “b” record). It will be right justified and
zero filled.
100 FILLER 1 Blank filled
101-104 TAX YEAR 4 Tax year documents were submitted
105-208 FILLER 104 Blank filled
Backup Withholding For Missing and Incorrect Name/Tin(S) 32
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INSTRUCTIONS FOR READING TAPE CARTRIDGES
PAYER “B” RECORD
TAPE POSITION FIELD TITLE LENGTH DESCRIPTION AND REMARKS
1 RECORD TYPE 1 A “b” will be entered
2-10 TIN 9 The payee’s tin
“1” Missing tin “2” not currently issued tin “3”
11 BWH TIN STATUS 1
incorrect name/tin
12-16 TCC 5 Transmitter control code
“10” = Form 1099-k “79” = form 1099-b “91”
= form 1099-g “86” = form 1099-div “92” =
17-18 DOC TYPE 2 form 1099-int “95” = form 1099-misc “96” =
form 1099-oid “97” = form 1099-patr “71” =
form 1099-nec
19-38 ACCOUNT NUMBER 20 Payee’s account number from payer
39-78 NAME LINE 1 40 Payee’s name line 1
79-118 NAME LINE 2 40 Payee’s name line 2
119-158 STREET ADDRESS 40 Payee’s street address
159-188 CITY 30 Payee’s city
189-190 STATE CODE 2 Payee’s state code
191-195 ZIP CODE 5 Payee’s zip code
“1” = Payer indicated ein
196 TIN INDICATOR 1 “2” = Payer indicated ssn
“0” = No tin indicated
197-200 PAYER OFFICE CODE 4 Alphanumeric
201-208 SEQUENCE NUMBER 8 Sequence number within payer
Backup Withholding For Missing and Incorrect Name/Tin(S) 33
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INSTRUCTIONS FOR READING TAPE CARTRIDGES
PAYER “C” RECORD
TAPE POSITION FIELD TITLE LENGTH DESCRIPTION AND REMARKS
1 RECORD TYPE 1 A “c” will be entered
Counts as described in positions 68-99 of the
2-33 RECORD COUNTS 32
payer “a” record
34-208 FILLER 175 Blank filled
Backup Withholding For Missing and Incorrect Name/Tin(S) 34
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Part
9
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Part 9 CD/DVD Information
CD/DVD Information
If you have 250 to 100,000 incorrect payee “B” records, your data will be on a CD. If you have over 100,000 payee
“B” records then your data will be delivered on a DVD. Please make sure you have the correct type of reader. Many
older readers only read CDs.
The enclosed CD/DVD is encrypted. You should be able to read it by putting it into a CD/DVD reader on your
computer. If you have the “Auto-Run” feature turned on, the system should bring up a pop-up window asking
you to: Please contact the IRS at 1-866-455-7438 to receive your encryption key. International callers may dial
304-263-8700. Have the following information available when calling: TIN, company name, primary or secondary
contact and self assigned PIN number. This encryption key will be needed to unlock your CD/DVD.
If you do not have “Auto-Run” turned on, you won’t see the pop-up window. Contact the IRS at 1-866-455- 7438
to receive your encryption key. International callers may dial 304-263-8700. Please have the following information
available when calling: TIN, company name, primary or secondary contact and self assigned PIN number. You
should have filled out Form 10301 and returned it to the IRS. This form tells the IRS the self selected PIN that you
would like to use.
When you view the CD/DVD there should be one file named “UDnnnn”**. This file will be an .exe file. When you
double-click on the file a box will open asking for your encryption key. Put in your encryption key, click “OK” the
next screen will ask you to browse the folder tree and select to where you want to extract the files. Click on “OK”
and the files are extracted. Please make sure to keep tax data secure.
On the CD/DVD please find the files described below:
I40642.UAnnnn ** is the Payer A-Record file. 114 Characters.
I40642.UBnnnn ** is all the Incorrect Payee B-Records. Each 222 Characters.
I40642.UCnnnn ** is the Payer C-Record file. 37 Characters.
A Copy of Publication 1281. ** nnnn is the CD/DVD transmittal number.
Each file record layout is described below.
These files are .txt files; So if you read them with Note Pad, word processing software, etc. you will see the Pipe
Codes “|” as separate characters between each field. If you open the file with Excel, you can read it as a delimited
file set the delimiters as pipes “|”. You then will see the file laid out without the Pipe Codes “|”, just like Cartridges
of past years. Be careful to set or convert fields to text so that leading zeros are not truncated or blanked out.
The IRS hopes this new delivery method meets most of your requests to move away from the tape cartridges.
Backup Withholding For Missing and Incorrect Name/Tin(S) 36
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CD/DVD INFORMATION
PAYER “A” RECORD
POSITION FIELD TITLE LENGTH DESCRIPTION AND REMARKS
1 RECORD TYPE 1 An “a” will be entered
2 PIPE CODE 1 “|”
Number used by the irs to group a payer’s
3-17 ACCESS KEY 15
information return transmittal
18 PIPE CODE 1 “|”
Two digit service campus code
Brookhaven=19
Cincinnati = 17
19-20 SERVICE CAMPUS 2
Memphis = 49
Ogden = 29
Philadelphia = 28
21 PIPE CODE 1 “|”
22-30 PAYER’S TIN 9 The nine digit number assigned by the irs
31 PIPE CODE 1 “|”
32-71 PAYER’S NAME 40 Self-explanatory
72 PIPE CODE 1 “|”
The number of information returns with
NUMBER OF
73-80 8 missing and incorrect tins associated with this
DOCUMENTS
payer. It will be right justified and zero filled
81 PIPE CODE 1 “|”
The number of documents sent to the payer
with a bwh-tin-status-ind equal to “1” (see
82-89 BWH TIN STATUS 1 CNT 8
payer “b” record). It will be right justified and
zero filled
90 PIPE CODE 1 “|”
The number of documents sent to the payer
with a bwh-tin-status-ind equal to “2” (see
91-98 BWH TIN STATUS 2 CNT 8
payer “b” record) it will be right justified and
zero filled.
Backup Withholding For Missing and Incorrect Name/Tin(S) 37
|
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CD/DVD INFORMATION
POSITION FIELD TITLE LENGTH DESCRIPTION AND REMARKS
99 PIPE CODE 1 “|”
The number of documents sent to the payer
with a bwh-tin-status-ind equal to “3” (see
100-107 BWH TIN STATUS 3 CNT 8
payer “b” record) it will be right justified and
zero filled.
108 PIPE CODE 1 “|”
109 FILLER 1 BLANK FILLED
110 PIPE CODE 1 “|”
111-114 TAX YEAR 4 TAX YEAR DOCUMENTS WERE SUBMITTED
Backup Withholding For Missing and Incorrect Name/Tin(S) 38
|
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CD/DVD INFORMATION
PAYER “B” RECORD
TAPE POSITION FIELD TITLE LENGTH DESCRIPTION AND REMARKS
1 RECORD TYPE 1 A “b” will be entered
2 PIPE CODE 1 “|”
3-11 TIN 9 The payee’s tin
12 PIPE CODE 1 “|”
“1” Missing tin “2” not currently issued “3”
13 BWH TIN STATUS 1
incorrect name/tin
14 PIPE CODE 1 “|”
15-19 TCC 5 Transmitter control code
20 PIPE CODE 1 “|”
Backup Withholding For Missing and Incorrect Name/Tin(S) 39
|
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CD/DVD INFORMATION
TAPE POSITION FIELD TITLE LENGTH DESCRIPTION AND REMARKS
“02” = Form 1042-s
“10” = Form 1099-k
“21” = Form w-2
“27” = Form 5498s
“28” = Form 5498s
“31” = Form 1099-q
“32” = Form w2-g
“71” = Form 1099-h (through tax year 2019)
“71” = Form 1099-nec (tax year 2020 and
later)
“72” = Form 5498-esa
“73” = Form 1099-cap
“75” = Form 1099-s
“79” = Form 1099-b
21-22 DOC TYPE 2
“80” = Form 1099-a
“81” = Form 1098
“83” = Form 1098-t
“84” = Form 1098-e
“85” = Form 1099-c
“86” = Form 1099-g
“91” = Form 1099-div
“92” = Form 1099-int
“93” = Form 1099-ltc
“94” = Form 1099-sa
“95” = Form 1099-misc
“96” = Form 1099-oid
“97” = Form 1099-patr
“98” = Form 1099-r
23 PIPE CODE 1 “|”
24-43 ACCOUNT NUMBER 20 Payee’s account number from payer
44 PIPE CODE 1 “|”
45-84 NAME LINE 40 Payee’s name line 1
85 PIPE CODE 1 “|”
86-125 NAME LINE 40 Payee’s name line 2
Backup Withholding For Missing and Incorrect Name/Tin(S) 40
|
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CD/DVD INFORMATION
TAPE POSITION FIELD TITLE LENGTH DESCRIPTION AND REMARKS
126 PIPE CODE 1 “|”
127-166 STR. ADDRESS 40 Payee’s street address
167 PIPE CODE 1 “|”
168-197 CITY 30 Payee’s city
198 PIPE CODE 1 “|”
199-200 STATE CODE 2 Payee’s state code
201 PIPE CODE 1 “|”
202-206 ZIP CODE 5 Payee’s zip code
207 PIPE CODE 1 “|”
“1” = Payer indicated ein “2” = payer
208 TIN INDICATOR 1
indicated ssn “0” = no tin indicated
209 PIPE CODE 1 “|”
210-213 PAYER OFFICE CODE 4 Blank filled
214 PIPE CODE 1 “|”
Number of the record as it appeared in your
215-222 SEQUENCE 8
file
Backup Withholding For Missing and Incorrect Name/Tin(S) 41
|
|
CD/DVD INFORMATION
PAYER “C” RECORD
POSITION FIELD TITLE LENGTH DESCRIPTION AND REMARKS
1 RECORD TYPE 1 A “c” will be entered
2 PIPE CODE 1 “|”
The number of information returns with
NUMBER OF
3-10 8 missing and incorrect tins associated with this
DOCUMENTS
payer. It will be right justified and zero filled
11 PIPE CODE 1 “|”
The number of documents sent to the payer
with a bwh-tin-status-ind equal to “1” (see
12-19 BWH TIN STATUS 1 CNT 8
payer “b” record). It will be right justified and
zero filled
20 PIPE CODE 1 “|”
The number of documents sent to the payer
with a bwh-tin-status-ind equal to “2” (see
21-28 BWH TIN STATUS 2 CNT 8
payer “b” record) it will be right justified and
zero filled
29 PIPE CODE 1 “|”
The number of documents sent to the payer
with a bwh-tin-status-ind equal to “3” (see
30-37 BWH TIN STATUS 3 CNT 8
payer “b” record) it will be right justified and
zero filled.
Backup Withholding For Missing and Incorrect Name/Tin(S) 42
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| Part 10 |
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Part 10 OTHER FORMS
Instructions for the Requester of Form W-9
■ Form W-9, Request for Taxpayer Identification Number and Certification
Instructions for the Requester of Forms W-8BEN,W-8BEN-E,W-8ECI W-8EXP, and W-8IMY
■ Form W-8BEN, Certificate of Foreign Status of Beneficial Owner for United States Tax Withholding
■ Form W-8BEN-E, Certificate of Entities Status of Beneficial Owner for United States Tax Withholding
(Entities)
■ Form W-8ECI, Certificate of Foreign Person’s Claim for Exemption From Withholding on Income
Effectively Connected With the Conduct of a Trade or Business in the United States
■ Form W-8EXP, Certificate of Foreign Government or Other Foreign Organization for United States Tax
Withholding
■ Form W-8IMY, Certificate of Foreign Intermediary, Foreign Flow-Through Entity, or Certain U.S. Branches
for United States Tax Withholding
Backup Withholding For Missing and Incorrect Name/Tin(S) 44
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Userid: CPM Schema: instrx Leadpct: 100% Pt. size: 9 Draft Ok to Print
AH XSL/XML Fileid: … ons/IW-9/201810/A/XML/Cycle04/source (Init. & Date) _______
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Department of the Treasury
Internal Revenue Service
Instructions for the
Requester of Form W-9
(Rev. October 2018)
Request for Taxpayer Identification Number
and Certification
Section references are to the Internal Revenue Code unless partnership's effectively connected income. For more
otherwise noted. information, see Regulations section 1.1446-1.
A participating foreign financial institution (PFFI) should
Future Developments request Form W-9 from an account holder that is a U.S. person.
If an account is jointly held, the PFFI should request a Form W-9
For the latest developments related to Form W-9 and its
from each holder that is a U.S. person.
instructions, such as legislation enacted after they were
published, go to IRS.gov/FormW9. Advise foreign persons to use the appropriate Form W-8 or
Form 8233, Exemption From Withholding on Compensation for
What’s New Independent (and Certain Dependent) Personal Services of a
Nonresident Alien Individual. See Pub. 515, Withholding of Tax
Backup withholding rate. The backup withholding rate is 24% on Nonresident Aliens and Foreign Entities, for more information
for reportable payments. and a list of the W-8 forms.
Reminders Electronic Submission of Forms W-9
Requesters may establish a system for payees and payees'
FATCA and backup withholding exemptions. FATCA agents to submit Forms W-9 electronically, including by fax. A
requires a participating foreign financial institution to report all requester is anyone required to file an information return. A
U.S. account holders that are specified U.S. persons. Form W-9 payee is anyone required to provide a taxpayer identification
has an Exemptions box on the front of the form that includes number (TIN) to the requester.
entry for the Exempt payee code (if any) and Exemption from
FATCA Reporting Code (if any). The references for the Payee's agent. A payee's agent can be an investment advisor
appropriate codes are in the Exemptions section of Form W-9, (corporation, partnership, or individual) or an introducing broker.
and in the Payees Exempt From Backup Withholding and An investment advisor must be registered with the Securities
Payees and Account Holders Exempt From FATCA Reporting and Exchange Commission (SEC) under the Investment
sections of these instructions. Advisers Act of 1940. The introducing broker is a broker-dealer
that is regulated by the SEC and the National Association of
The Certification section in Part II of Form W-9 includes Securities Dealers, Inc., and that is not a payer. Except for a
certification relating to FATCA reporting. broker who acts as a payee's agent for “readily tradable
Backup withholding liability. If you do not collect backup instruments,” the advisor or broker must show in writing to the
withholding from affected payees as required, you may become payer that the payee authorized the advisor or broker to transmit
liable for any uncollected amount. the Form W-9 to the payer.
TIN matching e-services. The IRS website offers TIN Electronic system. Generally, the electronic system must:
Matching e-services for certain payers to validate name and TIN • Ensure the information received is the information sent, and
combinations. See Taxpayer Identification Number (TIN) document all occasions of user access that result in the
Matching, later. submission;
• Make reasonably certain that the person accessing the
How Do I Know When To Use system and submitting the form is the person identified on Form
W-9, the investment advisor, or the introducing broker;
Form W-9? • Provide the same information as the paper Form W-9;
Use Form W-9 to request the taxpayer identification number • Be able to supply a hard copy of the electronic Form W-9 if
(TIN) of a U.S. person (including a resident alien) and to request the Internal Revenue Service requests it; and
certain certifications and claims for exemption. (See Purpose of • Require as the final entry in the submission an electronic
Form on Form W-9.) Withholding agents may require signed signature by the payee whose name is on Form W-9 that
Forms W-9 from U.S. exempt recipients to overcome a authenticates and verifies the submission. The electronic
presumption of foreign status. For federal tax purposes, a U.S. signature must be under penalties of perjury and the perjury
person includes but is not limited to: statement must contain the language of the paper Form W-9.
• An individual who is a U.S. citizen or U.S. resident alien;
• A partnership, corporation, company, or association created For Forms W-9 that are not required to be signed, the
or organized in the United States or under the laws of the United TIP electronic system need not provide for an electronic
States; signature or a perjury statement.
• Any estate (other than a foreign estate); or
• A domestic trust (as defined in Regulations section For more details, see the following.
301.7701-7). • Announcement 98-27, which is on page 30 of Internal
Revenue Bulletin 1998-15 at IRS.gov/pub/irs-irbs/irb98-15.pdf.
A partnership may require a signed Form W-9 from its U.S. • Announcement 2001-91, which is on page 221 of Internal
partners to overcome a presumption of foreign status and to Revenue Bulletin 2001-36 at IRS.gov/pub/irs-irbs/irb01-36.pdf.
avoid withholding on the partner's allocable share of the
Sep 25, 2018 Cat. No. 20479P
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“The Internal Revenue Service does not require your consent
Individual Taxpayer Identification to any provision of this document other than the certifications
Number (ITIN) required to avoid backup withholding.”
Form W-9 (or an acceptable substitute) is used by persons If you use a substitute form, you are required to provide the
required to file information returns with the IRS to get the payee's Form W-9 instructions to the payee only if he or she requests
(or other person's) correct name and TIN. For individuals, the them. However, if the IRS has notified the payee that backup
TIN is generally a social security number (SSN). withholding applies, then you must instruct the payee to strike
However, in some cases, individuals who become U.S. out the language in the certification that relates to
resident aliens for federal tax purposes are not eligible to obtain underreporting. This instruction can be given orally or in writing.
an SSN. This includes certain resident aliens who must receive See item 2 of the Certification on Form W-9. You can replace
information returns but who cannot obtain an SSN. “defined below” with “defined in the instructions” in item 3 of the
Certification on Form W-9 when the instructions will not be
These individuals must apply for an ITIN on Form W-7, provided to the payee except upon request. For more
Application for IRS Individual Taxpayer Identification Number, information, see Rev. Proc. 83-89,1983-2 C.B. 613; amplified by
unless they have an application pending for an SSN. Individuals Rev. Proc. 96-26, which is on page 22 of Internal Revenue
who have an ITIN must provide it on Form W-9. Bulletin 1996-8 at IRS.gov/pub/irs-irbs/irb96-08.pdf.
Note. ITINs that haven’t been included on a U.S. federal tax TIN Applied For
return at least once in the last 3 consecutive tax years will expire. For interest and dividend payments and certain payments with
Expired ITINs must be renewed in order to avoid delays in respect to readily tradable instruments, the payee may return a
processing the ITIN holder’s tax return. If the IRS deactivates the properly completed, signed Form W-9 to you with “Applied For”
ITIN because it has expired, the ITIN may still be used on Form written in Part I. This is an “awaiting-TIN” certificate. The payee
W-9. However, the ITIN holder will have to apply to renew the has 60 calendar days, from the date you receive this certificate,
deactivated ITIN if there is a need to file a tax return. For more to provide a TIN. If you do not receive the payee's TIN at that
information, see the Instructions for Form W-7. time, you must begin backup withholding on payments.
Substitute Form W-9 Reserve rule. You must backup withhold on any reportable
You may develop and use your own Form W-9 (a substitute payments made during the 60-day period if a payee withdraws
Form W-9) if its content is substantially similar to the official IRS more than $500 at one time, unless the payee reserves an
Form W-9 and it satisfies certain certification requirements. amount equal to the current year's backup withholding rate on all
reportable payments made to the account.
You may incorporate a substitute Form W-9 into other
business forms you customarily use, such as account signature Alternative rule. You also may elect to backup withhold during
cards. However, the certifications on the substitute Form W-9 this 60-day period, after a 7-day grace period, under one of the
must clearly state (as shown on the official Form W-9) that under two alternative rules discussed below.
penalties of perjury: Option 1. Backup withhold on any reportable payments if the
1. The payee's TIN is correct, payee makes a withdrawal from the account after the close of 7
business days after you receive the awaiting-TIN certificate.
2. The payee is not subject to backup withholding due to Treat as reportable payments all cash withdrawals in an amount
failure to report interest and dividend income, up to the reportable payments made from the day after you
3. The payee is a U.S. person, and receive the awaiting-TIN certificate to the day of withdrawal.
4. The FATCA code entered on this form (if any) indicating Option 2. Backup withhold on any reportable payments
that the payee is exempt from FATCA reporting is correct. made to the payee's account, regardless of whether the payee
makes any withdrawals, beginning no later than 7 business days
You may provide certification instructions on a substitute after you receive the awaiting-TIN certificate.
Form W-9 in a manner similar to the official form. If you are not
collecting a FATCA exemption code by omitting that field from The 60-day exemption from backup withholding does
the substitute Form W-9 (see Payees and Account Holders ! not apply to any payment other than interest, dividends,
Exempt From FATCA Reporting, later), you may notify the payee CAUTION and certain payments relating to readily tradable
that item 4 does not apply. instruments. Any other reportable payment, such as
nonemployee compensation, is subject to backup withholding
You may not: immediately, even if the payee has applied for and is awaiting a
1. Use a substitute Form W-9 that requires the payee, by TIN.
signing, to agree to provisions unrelated to the required
certifications, or Even if the payee gives you an awaiting-TIN certificate, you must
2. Imply that a payee may be subject to backup withholding backup withhold on reportable interest and dividend payments if
unless the payee agrees to provisions on the substitute form that the payee does not certify, under penalties of perjury, that the
are unrelated to the required certifications. payee is not subject to backup withholding.
A substitute Form W-9 that contains a separate signature line If you do not collect backup withholding from affected payees as
just for the certifications satisfies the requirement that the required, you may become liable for any uncollected amount.
certifications be clearly stated.
Payees Exempt From Backup
If a single signature line is used for the required certifications
and other provisions, the certifications must be highlighted, Withholding
boxed, printed in bold-face type, or presented in some other The following payees are exempt from backup withholding with
manner that causes the language to stand out from all other respect to the payments below, and should enter the
information contained on the substitute form. Additionally, the corresponding exempt payee code on Form W-9. You may rely
following statement must be presented to stand out in the same on the payee’s claim of exemption unless you have actual
manner as described above and must appear immediately knowledge that the exempt payee code and/or classification
above the single signature line: selected are not valid, or if they are inconsistent with each other.
-2- Instr. for Req. of Form W-9 (Rev. 10-2018)
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In that case, you may rely on the Form W-9 for purposes of
obtaining the payee’s TIN, but you must treat the payee as Payments Exempt From Backup
non-exempt. If the payee failed to enter an exempt payee code, Withholding
but the classification selected indicates that the payee is Payments that are not subject to information reporting also are
exempt, you may accept the classification and treat the payee as not subject to backup withholding. For details, see sections
exempt unless you have actual knowledge that the classification 6041, 6041A, 6042, 6044, 6045, 6049, 6050A, 6050N, and
is not valid. 6050W and their regulations. The following payments generally
If the payee is not exempt, you are required to backup are exempt from backup withholding.
withhold on reportable payments if the payee does not provide a Dividends and patronage dividends.
TIN in the manner required or does not sign the certification, if • Payments to nonresident aliens subject to withholding under
required. section 1441.
1. An organization exempt from tax under • Payments to partnerships not engaged in a trade or business
section 501(a), any IRA, or a custodial account under section in the United States and that have at least one nonresident alien
403(b)(7) if the account satisfies the requirements of section partner.
401(f)(2); • Payments of patronage dividends not paid in money.
2. The United States or any of its agencies or • Payments made by certain foreign organizations.
instrumentalities; • Section 404(k) distributions made by an ESOP.
3. A state, the District of Columbia, a U.S. commonwealth or Interest payments.
possession, or any of their political subdivisions, agencies, or • Payments of interest on obligations issued by individuals.
instrumentalities; However, if you pay $600 or more of interest in the course of
4. A foreign government or any of its political subdivisions, your trade or business to a payee, you must report the payment.
agencies, or instrumentalities; Backup withholding applies to the reportable payment if the
payee has not provided a TIN or has provided an incorrect TIN.
5. A corporation; • Payments described in section 6049(b)(5) to nonresident
6. A dealer in securities or commodities required to register aliens.
in the United States, the District of Columbia, or a U.S. • Payments on tax-free covenant bonds under
commonwealth or possession; section 1451.
7. A futures commission merchant registered with the • Payments made by certain foreign organizations.
Commodity Futures Trading Commission; • Mortgage or student loan interest paid to you.
8. A real estate investment trust; Other types of payment.
9. An entity registered at all times during the tax year under • Wages.
the Investment Company Act of 1940; • Distributions from a pension, annuity, profit-sharing or stock
bonus plan, any IRA, an owner-employee plan, or other deferred
10. A common trust fund operated by a bank under compensation plan.
section 584(a); • Distributions from a medical or health savings account and
11. A financial institution; long-term care benefits.
12. A middleman known in the investment community as a • Certain surrenders of life insurance contracts.
nominee or custodian; or • Distribution from qualified tuition programs or
Coverdell ESAs.
13. A trust exempt from tax under section 664 or described in Gambling winnings if regular gambling winnings withholding is
section 4947. •
required under section 3402(q). However, if regular gambling
The following types of payments are exempt from backup winnings withholding is not required under section 3402(q),
withholding as indicated for payees listed in 1 through 13 above. backup withholding applies if the payee fails to furnish a TIN.
• Real estate transactions reportable under
Interest and dividend payments. All listed payees are exempt section 6045(e).
except the payee in item 7. • Cancelled debts reportable under section 6050P.
Broker transactions. All payees listed in items 1 through 4 and • Fish purchases for cash reportable under
6 through 11 are exempt. Also, C corporations are exempt. A section 6050R.
person registered under the Investment Advisers Act of 1940
who regularly acts as a broker also is exempt. Payees and Account Holders Exempt
Barter exchange transactions and patronage dividends. From FATCA Reporting
Only payees listed in items 1 through 4 are exempt. Reporting under chapter 4 (FATCA) with respect to U.S. persons
Payments reportable under sections 6041 and 6041A. generally applies only to foreign financial institutions (FFI)
Payees listed in items 1 through 5 generally are exempt. (including a branch of a U.S. financial institution that is treated as
an FFI under an applicable intergovernmental agreement (IGA)).
However, the following payments made to a corporation and Thus, for example, a U.S. financial institution maintaining an
reportable on Form 1099-MISC, Miscellaneous Income, are not account in the United States does not need to collect an
exempt from backup withholding. exemption code for FATCA reporting. If you are providing a
• Medical and health care payments. Form W-9, you may pre-populate the FATCA exemption code
• Attorneys' fees (also gross proceeds paid to an attorney, with "Not Applicable," "N/A," or a similar indication that an
reportable under section 6045(f)). exemption from FATCA reporting does not apply. Any payee that
• Payments for services paid by a federal executive agency. provides such a form, however, cannot be treated as exempt
(See Rev. Rul. 2003-66, which is on page 1115 of Internal from FATCA reporting. For details on the FATCA reporting
Revenue Bulletin 2003-26 at IRS.gov/pub/irs-irbs/irb03-26.pdf.) requirements, including specific information regarding which
Payments made in settlement of payment card or third par- financial institutions are required to report, see sections 1471 to
ty network transactions. Only payees listed in items 1 through 1474 and related regulations. See Regulations section
4 are exempt. 1.1471-3(d)(2) for when an FFI may rely on documentary
Instr. for Req. of Form W-9 (Rev. 10-2018) -3-
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evidence to treat a U.S. person as other than a specified U.S. If any one of the joint payees who has not established foreign
person and see Regulations section 1.1471-3(f)(3) for when an status gives you a TIN, use that number for purposes of backup
FFI may presume a U.S. person as other than a specified U.S. withholding and information reporting.
person.
For more information on foreign payees, see the Instructions
If you receive a Form W-9 with a FATCA exemption code and for the Requester of Forms W-8BEN, W-8BEN-E, W-8ECI,
you know or have reason to know the person is a specified U.S. W-8EXP, and W-8IMY.
person, you may not rely on the Form W-9 to treat the person as
exempt from FATCA reporting. However, you may still rely on an Names and TINs To Use
otherwise completed Form W-9 to treat a person as a specified
U.S. person. An exemption from FATCA reporting (or lack for Information Reporting
thereof) does not affect backup withholding as described earlier Show the full name and address as provided on Form W-9 on
in these instructions. The following are not specified U.S. the information return filed with the IRS and on the copy
persons and are thus exempt from FATCA reporting. furnished to the payee. If the payee has marked their address
“NEW”, you should update your records. If you made payments
A. An organization exempt from tax under section 501(a), or to more than one payee or the account is in more than one
any individual retirement plan as defined in section 7701(a)(37); name, enter on the first name line of the information return only
B. The United States or any of its agencies or the name of the payee whose TIN is shown on Form W-9. You
instrumentalities; may show the names of any other individual payees in the area
below the first name line on the information return. Forms W-9
C. A state, the District of Columbia, a U.S. commonwealth or showing an ITIN must have the name exactly as shown on
possession, or any of their political subdivisions, agencies, or line 1a of the Form W-7 application. If you are a PFFI reporting a
instrumentalities; U.S. account on Form 8966, FATCA Report, and the account is
D. A corporation the stock of which is regularly traded on one jointly held by U.S. persons, file a separate Form 8966 for each
or more established securities markets, as described in holder.
Regulations 1.1472-1(c)(1)(i); For more information on the names and TINs to use for
E. A corporation that is a member of the same expanded TIP information reporting, see section J of the General
affiliated group as a corporation described in Regulations Instructions for Certain Information Returns.
1.1472-1(c)(1)(i);
F. A dealer in securities, commodities, or derivative financial Notices From the IRS
instruments (including notional principal contracts, futures, The IRS will send you a notice if the payee's name and TIN on
forwards, and options) that is registered as such under the laws the information return you filed do not match the IRS's records.
of the United States or any State; (See Taxpayer Identification Number (TIN) Matching, next.) If
you receive a backup withholding notice, you may have to send
G. A real estate investment trust; a “B” notice to the payee to solicit another TIN. Pub. 1281,
H. A regulated investment company as defined in section Backup Withholding for Missing and Incorrect Name/TIN(s),
851 or an entity registered at all times during the tax year under contains copies of the two types of “B” notices. If you receive a
the Investment Company Act of 1940; penalty notice, you also may have to send a solicitation to the
payee. See Pub. 1586, Reasonable Cause Regulations and
I. A common trust fund as defined in section 584(a); Requirements for Missing and Incorrect Name/TINs.
J. A bank as defined in section 581;
Taxpayer Identification Number (TIN)
K. A broker;
Matching
L. A trust exempt from tax under section 664 or described in
section 4947; or TIN Matching allows a payer or authorized agent who is required
to file Forms 1099-B, DIV, INT, K, MISC, OID, and/or PATR to
M. A tax-exempt trust under a section 403(b) plan or section match TIN and name combinations with IRS records before
457(g) plan. submitting the forms to the IRS. TIN Matching is one of the
e-services products that is offered and is accessible through the
Joint Foreign Payees IRS website. Go to IRS.gov and enter “e-services” in the search
If the first payee listed on an account gives you a box. It is anticipated that payers who validate the TIN and name
Form W-8 or a similar statement signed under penalties of combinations before filing information returns will receive fewer
perjury, backup withholding applies unless: backup withholding (CP2100) notices and penalty notices.
1. Every joint payee provides the statement regarding
foreign status, or Additional Information
For more information on backup withholding, see Pub. 1281.
2. Any one of the joint payees who has not established
foreign status gives you a TIN.
-4- Instr. for Req. of Form W-9 (Rev. 10-2018)
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Request for Taxpayer Give Form to the
Form W-9 requester. Do not
(Rev. October 2018) Identification Number and Certification
Department of the Treasury send to the IRS.
Internal Revenue Service ▶ Go to www.irs.gov/FormW9 for instructions and the latest information.
1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank.
2 Business name/disregarded entity name, if different from above
3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the 4 Exemptions (codes apply only to
following seven boxes. certain entities, not individuals; see
instructions on page 3):
on page 3. Individual/sole proprietor or C Corporation S Corporation Partnership Trust/estate
single-member LLC Exempt payee code (if any)
Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ▶
Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check Exemption from FATCA reporting
LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is
Print or type. another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that code (if any)
is disregarded from the owner should check the appropriate box for the tax classification of its owner.
Other (see instructions) ▶ (Applies to accounts maintained outside the U.S.)
Specific Instructions 5 Address (number, street, and apt. or suite no.) See instructions. Requester’s name and address (optional)
See
6 City, state, and ZIP code
7 List account number(s) here (optional)
Part I Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid Social security number
backup withholding. For individuals, this is generally your social security number (SSN). However, for a
resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other – –
entities, it is your employer identification number (EIN). If you do not have a number, see How to get a
TIN, later. or
Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Employer identification number
Number To Give the Requester for guidelines on whose number to enter.
–
Part II Certification
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am
no longer subject to backup withholding; and
3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because
you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid,
acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments
other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.
Sign Signature of
Here U.S. person ▶ Date ▶
• Form 1099-DIV (dividends, including those from stocks or mutual
General Instructions funds)
Section references are to the Internal Revenue Code unless otherwise • Form 1099-MISC (various types of income, prizes, awards, or gross
noted. proceeds)
Future developments. For the latest information about developments • Form 1099-B (stock or mutual fund sales and certain other
related to Form W-9 and its instructions, such as legislation enacted transactions by brokers)
after they were published, go to www.irs.gov/FormW9.
• Form 1099-S (proceeds from real estate transactions)
Purpose of Form • Form 1099-K (merchant card and third party network transactions)
An individual or entity (Form W-9 requester) who is required to file an • Form 1098 (home mortgage interest), 1098-E (student loan interest),
information return with the IRS must obtain your correct taxpayer 1098-T (tuition)
identification number (TIN) which may be your social security number • Form 1099-C (canceled debt)
(SSN), individual taxpayer identification number (ITIN), adoption
taxpayer identification number (ATIN), or employer identification number • Form 1099-A (acquisition or abandonment of secured property)
(EIN), to report on an information return the amount paid to you, or other Use Form W-9 only if you are a U.S. person (including a resident
amount reportable on an information return. Examples of information alien), to provide your correct TIN.
returns include, but are not limited to, the following. If you do not return Form W-9 to the requester with a TIN, you might
• Form 1099-INT (interest earned or paid) be subject to backup withholding. See What is backup withholding,
later.
Cat. No. 10231X Form W-9 (Rev. 10-2018)
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Form W-9 (Rev. 10-2018) Page 2
By signing the filled-out form, you: Example. Article 20 of the U.S.-China income tax treaty allows an
1. Certify that the TIN you are giving is correct (or you are waiting for a exemption from tax for scholarship income received by a Chinese
number to be issued), student temporarily present in the United States. Under U.S. law, this
student will become a resident alien for tax purposes if his or her stay in
2. Certify that you are not subject to backup withholding, or the United States exceeds 5 calendar years. However, paragraph 2 of
3. Claim exemption from backup withholding if you are a U.S. exempt the first Protocol to the U.S.-China treaty (dated April 30, 1984) allows
payee. If applicable, you are also certifying that as a U.S. person, your the provisions of Article 20 to continue to apply even after the Chinese
allocable share of any partnership income from a U.S. trade or business student becomes a resident alien of the United States. A Chinese
is not subject to the withholding tax on foreign partners' share of student who qualifies for this exception (under paragraph 2 of the first
effectively connected income, and protocol) and is relying on this exception to claim an exemption from tax
4. Certify that FATCA code(s) entered on this form (if any) indicating on his or her scholarship or fellowship income would attach to Form
that you are exempt from the FATCA reporting, is correct. See What is W-9 a statement that includes the information described above to
FATCA reporting, later, for further information. support that exemption.
Note: If you are a U.S. person and a requester gives you a form other If you are a nonresident alien or a foreign entity, give the requester the
than Form W-9 to request your TIN, you must use the requester’s form if appropriate completed Form W-8 or Form 8233.
it is substantially similar to this Form W-9.
Backup Withholding
Definition of a U.S. person. For federal tax purposes, you are
considered a U.S. person if you are: What is backup withholding? Persons making certain payments to you
must under certain conditions withhold and pay to the IRS 24% of such
• An individual who is a U.S. citizen or U.S. resident alien;
payments. This is called “backup withholding.” Payments that may be
• A partnership, corporation, company, or association created or subject to backup withholding include interest, tax-exempt interest,
organized in the United States or under the laws of the United States; dividends, broker and barter exchange transactions, rents, royalties,
• An estate (other than a foreign estate); or nonemployee pay, payments made in settlement of payment card and
third party network transactions, and certain payments from fishing boat
• A domestic trust (as defined in Regulations section 301.7701-7).
operators. Real estate transactions are not subject to backup
Special rules for partnerships. Partnerships that conduct a trade or withholding.
business in the United States are generally required to pay a withholding You will not be subject to backup withholding on payments you
tax under section 1446 on any foreign partners’ share of effectively receive if you give the requester your correct TIN, make the proper
connected taxable income from such business. Further, in certain cases certifications, and report all your taxable interest and dividends on your
where a Form W-9 has not been received, the rules under section 1446 tax return.
require a partnership to presume that a partner is a foreign person, and
pay the section 1446 withholding tax. Therefore, if you are a U.S. person Payments you receive will be subject to backup withholding if:
that is a partner in a partnership conducting a trade or business in the 1. You do not furnish your TIN to the requester,
United States, provide Form W-9 to the partnership to establish your 2. You do not certify your TIN when required (see the instructions for
U.S. status and avoid section 1446 withholding on your share of Part II for details),
partnership income.
3. The IRS tells the requester that you furnished an incorrect TIN,
In the cases below, the following person must give Form W-9 to the
partnership for purposes of establishing its U.S. status and avoiding 4. The IRS tells you that you are subject to backup withholding
withholding on its allocable share of net income from the partnership because you did not report all your interest and dividends on your tax
conducting a trade or business in the United States. return (for reportable interest and dividends only), or
• In the case of a disregarded entity with a U.S. owner, the U.S. owner 5. You do not certify to the requester that you are not subject to
of the disregarded entity and not the entity; backup withholding under 4 above (for reportable interest and dividend
accounts opened after 1983 only).
• In the case of a grantor trust with a U.S. grantor or other U.S. owner,
generally, the U.S. grantor or other U.S. owner of the grantor trust and Certain payees and payments are exempt from backup withholding.
not the trust; and See Exempt payee code, later, and the separate Instructions for the
Requester of Form W-9 for more information.
• In the case of a U.S. trust (other than a grantor trust), the U.S. trust
(other than a grantor trust) and not the beneficiaries of the trust. Also see Special rules for partnerships, earlier.
Foreign person. If you are a foreign person or the U.S. branch of a What is FATCA Reporting?
foreign bank that has elected to be treated as a U.S. person, do not use
Form W-9. Instead, use the appropriate Form W-8 or Form 8233 (see The Foreign Account Tax Compliance Act (FATCA) requires a
Pub. 515, Withholding of Tax on Nonresident Aliens and Foreign participating foreign financial institution to report all United States
Entities). account holders that are specified United States persons. Certain
Nonresident alien who becomes a resident alien. Generally, only a payees are exempt from FATCA reporting. SeeExemption from FATCA
nonresident alien individual may use the terms of a tax treaty to reduce reporting code, later, and the Instructions for the Requester of Form
or eliminate U.S. tax on certain types of income. However, most tax W-9 for more information.
treaties contain a provision known as a “saving clause.” Exceptions
specified in the saving clause may permit an exemption from tax to Updating Your Information
continue for certain types of income even after the payee has otherwise You must provide updated information to any person to whom you
become a U.S. resident alien for tax purposes. claimed to be an exempt payee if you are no longer an exempt payee
If you are a U.S. resident alien who is relying on an exception and anticipate receiving reportable payments in the future from this
contained in the saving clause of a tax treaty to claim an exemption person. For example, you may need to provide updated information if
from U.S. tax on certain types of income, you must attach a statement you are a C corporation that elects to be an S corporation, or if you no
to Form W-9 that specifies the following five items. longer are tax exempt. In addition, you must furnish a new Form W-9 if
1. The treaty country. Generally, this must be the same treaty under the name or TIN changes for the account; for example, if the grantor of a
which you claimed exemption from tax as a nonresident alien. grantor trust dies.
2. The treaty article addressing the income.
3. The article number (or location) in the tax treaty that contains the Penalties
saving clause and its exceptions. Failure to furnish TIN. If you fail to furnish your correct TIN to a
4. The type and amount of income that qualifies for the exemption requester, you are subject to a penalty of $50 for each such failure
from tax. unless your failure is due to reasonable cause and not to willful neglect.
5. Sufficient facts to justify the exemption from tax under the terms of Civil penalty for false information with respect to withholding. If you
the treaty article. make a false statement with no reasonable basis that results in no
backup withholding, you are subject to a $500 penalty.
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Form W-9 (Rev. 10-2018) Page 3
Criminal penalty for falsifying information. Willfully falsifying IF the entity/person on line 1 is THEN check the box for . . .
certifications or affirmations may subject you to criminal penalties a(n) . . .
including fines and/or imprisonment.
Misuse of TINs. If the requester discloses or uses TINs in violation of • Corporation Corporation
federal law, the requester may be subject to civil and criminal penalties. • Individual Individual/sole proprietor or single-
• Sole proprietorship, or member LLC
Specific Instructions • Single-member limited liability
company (LLC) owned by an
Line 1 individual and disregarded for U.S.
You must enter one of the following on this line; do not leave this line federal tax purposes.
blank. The name should match the name on your tax return. • LLC treated as a partnership for Limited liability company and enter
If this Form W-9 is for a joint account (other than an account U.S. federal tax purposes, the appropriate tax classification.
maintained by a foreign financial institution (FFI)), list first, and then • LLC that has filed Form 8832 or (P= Partnership; C= C corporation;
circle, the name of the person or entity whose number you entered in 2553 to be taxed as a corporation, or S= S corporation)
Part I of Form W-9. If you are providing Form W-9 to an FFI to document or
a joint account, each holder of the account that is a U.S. person must
provide a Form W-9. • LLC that is disregarded as an
entity separate from its owner but
a. Individual. Generally, enter the name shown on your tax return. If the owner is another LLC that is
you have changed your last name without informing the Social Security not disregarded for U.S. federal tax
Administration (SSA) of the name change, enter your first name, the last purposes.
name as shown on your social security card, and your new last name.
Note: ITIN applicant: Enter your individual name as it was entered on • Partnership Partnership
your Form W-7 application, line 1a. This should also be the same as the • Trust/estate Trust/estate
name you entered on the Form 1040/1040A/1040EZ you filed with your
application. Line 4, Exemptions
b. Sole proprietor or single-member LLC. Enter your individual If you are exempt from backup withholding and/or FATCA reporting,
name as shown on your 1040/1040A/1040EZ on line 1. You may enter enter in the appropriate space on line 4 any code(s) that may apply to
your business, trade, or “doing business as” (DBA) name on line 2. you.
c. Partnership, LLC that is not a single-member LLC, C Exempt payee code.
corporation, or S corporation. Enter the entity's name as shown on the • Generally, individuals (including sole proprietors) are not exempt from
entity's tax return on line 1 and any business, trade, or DBA name on backup withholding.
line 2. • Except as provided below, corporations are exempt from backup
d. Other entities. Enter your name as shown on required U.S. federal withholding for certain payments, including interest and dividends.
tax documents on line 1. This name should match the name shown on the • Corporations are not exempt from backup withholding for payments
charter or other legal document creating the entity. You may enter any made in settlement of payment card or third party network transactions.
business, trade, or DBA name on line 2.
• Corporations are not exempt from backup withholding with respect to
e. Disregarded entity. For U.S. federal tax purposes, an entity that is attorneys’ fees or gross proceeds paid to attorneys, and corporations
disregarded as an entity separate from its owner is treated as a that provide medical or health care services are not exempt with respect
“disregarded entity.” See Regulations section 301.7701-2(c)(2)(iii). Enter to payments reportable on Form 1099-MISC.
the owner's name on line 1. The name of the entity entered on line 1
should never be a disregarded entity. The name on line 1 should be the The following codes identify payees that are exempt from backup
name shown on the income tax return on which the income should be withholding. Enter the appropriate code in the space in line 4.
reported. For example, if a foreign LLC that is treated as a disregarded 1—An organization exempt from tax under section 501(a), any IRA, or
entity for U.S. federal tax purposes has a single owner that is a U.S. a custodial account under section 403(b)(7) if the account satisfies the
person, the U.S. owner's name is required to be provided on line 1. If requirements of section 401(f)(2)
the direct owner of the entity is also a disregarded entity, enter the first 2—The United States or any of its agencies or instrumentalities
owner that is not disregarded for federal tax purposes. Enter the
disregarded entity's name on line 2, “Business name/disregarded entity 3—A state, the District of Columbia, a U.S. commonwealth or
name.” If the owner of the disregarded entity is a foreign person, the possession, or any of their political subdivisions or instrumentalities
owner must complete an appropriate Form W-8 instead of a Form W-9. 4—A foreign government or any of its political subdivisions, agencies,
This is the case even if the foreign person has a U.S. TIN. or instrumentalities
Line 2 5—A corporation
If you have a business name, trade name, DBA name, or disregarded 6—A dealer in securities or commodities required to register in the
entity name, you may enter it on line 2. United States, the District of Columbia, or a U.S. commonwealth or
possession
Line 3 7—A futures commission merchant registered with the Commodity
Check the appropriate box on line 3 for the U.S. federal tax Futures Trading Commission
classification of the person whose name is entered on line 1. Check only 8—A real estate investment trust
one box on line 3. 9—An entity registered at all times during the tax year under the
Investment Company Act of 1940
10—A common trust fund operated by a bank under section 584(a)
11—A financial institution
12—A middleman known in the investment community as a nominee or
custodian
13—A trust exempt from tax under section 664 or described in section
4947
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Form W-9 (Rev. 10-2018) Page 4
The following chart shows types of payments that may be exempt M—A tax exempt trust under a section 403(b) plan or section 457(g)
from backup withholding. The chart applies to the exempt payees listed plan
above, 1 through 13. Note: You may wish to consult with the financial institution requesting
IF the payment is for . . . THEN the payment is exempt this form to determine whether the FATCA code and/or exempt payee
for . . . code should be completed.
Interest and dividend payments All exempt payees except Line 5
for 7 Enter your address (number, street, and apartment or suite number).
Broker transactions Exempt payees 1 through 4 and 6 This is where the requester of this Form W-9 will mail your information
through 11 and all C corporations. returns. If this address differs from the one the requester already has on
S corporations must not enter an file, write NEW at the top. If a new address is provided, there is still a
exempt payee code because they chance the old address will be used until the payor changes your
are exempt only for sales of address in their records.
noncovered securities acquired Line 6
prior to 2012.
Enter your city, state, and ZIP code.
Barter exchange transactions and Exempt payees 1 through 4
patronage dividends Part I. Taxpayer Identification Number (TIN)
Payments over $600 required to be Generally, exempt payees Enter your TIN in the appropriate box. If you are a resident alien and
reported and direct sales over 1 through 5 2 you do not have and are not eligible to get an SSN, your TIN is your IRS
$5,0001 individual taxpayer identification number (ITIN). Enter it in the social
security number box. If you do not have an ITIN, see How to get a TIN
Payments made in settlement of Exempt payees 1 through 4 below.
payment card or third party network If you are a sole proprietor and you have an EIN, you may enter either
transactions your SSN or EIN.
1 See Form 1099-MISC, Miscellaneous Income, and its instructions. If you are a single-member LLC that is disregarded as an entity
separate from its owner, enter the owner’s SSN (or EIN, if the owner has
2 However, the following payments made to a corporation and one). Do not enter the disregarded entity’s EIN. If the LLC is classified as
reportable on Form 1099-MISC are not exempt from backup a corporation or partnership, enter the entity’s EIN.
withholding: medical and health care payments, attorneys’ fees, gross
proceeds paid to an attorney reportable under section 6045(f), and Note: See What Name and Number To Give the Requester, later, for
payments for services paid by a federal executive agency. further clarification of name and TIN combinations.
Exemption from FATCA reporting code. The following codes identify How to get a TIN. If you do not have a TIN, apply for one immediately.
payees that are exempt from reporting under FATCA. These codes To apply for an SSN, get Form SS-5, Application for a Social Security
apply to persons submitting this form for accounts maintained outside Card, from your local SSA office or get this form online at
of the United States by certain foreign financial institutions. Therefore, if www.SSA.gov. You may also get this form by calling 1-800-772-1213.
you are only submitting this form for an account you hold in the United Use Form W-7, Application for IRS Individual Taxpayer Identification
States, you may leave this field blank. Consult with the person Number, to apply for an ITIN, or Form SS-4, Application for Employer
requesting this form if you are uncertain if the financial institution is Identification Number, to apply for an EIN. You can apply for an EIN
subject to these requirements. A requester may indicate that a code is online by accessing the IRS website at www.irs.gov/Businesses and
not required by providing you with a Form W-9 with “Not Applicable” (or clicking on Employer Identification Number (EIN) under Starting a
any similar indication) written or printed on the line for a FATCA Business. Go to www.irs.gov/Forms to view, download, or print Form
exemption code. W-7 and/or Form SS-4. Or, you can go to www.irs.gov/OrderForms to
place an order and have Form W-7 and/or SS-4 mailed to you within 10
A—An organization exempt from tax under section 501(a) or any business days.
individual retirement plan as defined in section 7701(a)(37)
If you are asked to complete Form W-9 but do not have a TIN, apply
B—The United States or any of its agencies or instrumentalities for a TIN and write “Applied For” in the space for the TIN, sign and date
C—A state, the District of Columbia, a U.S. commonwealth or the form, and give it to the requester. For interest and dividend
possession, or any of their political subdivisions or instrumentalities payments, and certain payments made with respect to readily tradable
D—A corporation the stock of which is regularly traded on one or instruments, generally you will have 60 days to get a TIN and give it to
more established securities markets, as described in Regulations the requester before you are subject to backup withholding on
section 1.1472-1(c)(1)(i) payments. The 60-day rule does not apply to other types of payments.
You will be subject to backup withholding on all such payments until
E—A corporation that is a member of the same expanded affiliated you provide your TIN to the requester.
group as a corporation described in Regulations section 1.1472-1(c)(1)(i)
Note: Entering “Applied For” means that you have already applied for a
F—A dealer in securities, commodities, or derivative financial TIN or that you intend to apply for one soon.
instruments (including notional principal contracts, futures, forwards,
and options) that is registered as such under the laws of the United Caution: A disregarded U.S. entity that has a foreign owner must use
States or any state the appropriate Form W-8.
G—A real estate investment trust Part II. Certification
H—A regulated investment company as defined in section 851 or an To establish to the withholding agent that you are a U.S. person, or
entity registered at all times during the tax year under the Investment resident alien, sign Form W-9. You may be requested to sign by the
Company Act of 1940 withholding agent even if item 1, 4, or 5 below indicates otherwise.
I—A common trust fund as defined in section 584(a) For a joint account, only the person whose TIN is shown in Part I
J—A bank as defined in section 581 should sign (when required). In the case of a disregarded entity, the
K—A broker person identified on line 1 must sign. Exempt payees, see Exempt payee
code, earlier.
L—A trust exempt from tax under section 664 or described in section
4947(a)(1) Signature requirements. Complete the certification as indicated in
items 1 through 5 below.
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Form W-9 (Rev. 10-2018) Page 5
1. Interest, dividend, and barter exchange accounts opened For this type of account: Give name and EIN of:
before 1984 and broker accounts considered active during 1983. 14. Account with the Department of The public entity
You must give your correct TIN, but you do not have to sign the Agriculture in the name of a public
certification. entity (such as a state or local
2. Interest, dividend, broker, and barter exchange accounts government, school district, or
opened after 1983 and broker accounts considered inactive during prison) that receives agricultural
1983. You must sign the certification or backup withholding will apply. If program payments
you are subject to backup withholding and you are merely providing
your correct TIN to the requester, you must cross out item 2 in the 15. Grantor trust filing under the Form The trust
certification before signing the form. 1041 Filing Method or the Optional
3. Real estate transactions. You must sign the certification. You may Form 1099 Filing Method 2 (see
cross out item 2 of the certification. Regulations section 1.671-4(b)(2)(i)(B))
4. Other payments.You must give your correct TIN, but you do not 1 List first and circle the name of the person whose number you furnish.
have to sign the certification unless you have been notified that you If only one person on a joint account has an SSN, that person’s number
have previously given an incorrect TIN. “Other payments” include must be furnished.
payments made in the course of the requester’s trade or business for 2 Circle the minor’s name and furnish the minor’s SSN.
rents, royalties, goods (other than bills for merchandise), medical and 3 You must show your individual name and you may also enter your
health care services (including payments to corporations), payments to
a nonemployee for services, payments made in settlement of payment business or DBA name on the “Business name/disregarded entity”
card and third party network transactions, payments to certain fishing name line. You may use either your SSN or EIN (if you have one), but the
boat crew members and fishermen, and gross proceeds paid to IRS encourages you to use your SSN.
attorneys (including payments to corporations). 4 List first and circle the name of the trust, estate, or pension trust. (Do
5. Mortgage interest paid by you, acquisition or abandonment of not furnish the TIN of the personal representative or trustee unless the
secured property, cancellation of debt, qualified tuition program legal entity itself is not designated in the account title.) Also see Special
payments (under section 529), ABLE accounts (under section 529A), rules for partnerships, earlier.
IRA, Coverdell ESA, Archer MSA or HSA contributions or *Note: The grantor also must provide a Form W-9 to trustee of trust.
distributions, and pension distributions. You must give your correct Note: If no name is circled when more than one name is listed, the
TIN, but you do not have to sign the certification. number will be considered to be that of the first name listed.
What Name and Number To Give the Requester Secure Your Tax Records From Identity Theft
For this type of account: Give name and SSN of: Identity theft occurs when someone uses your personal information
1. Individual The individual such as your name, SSN, or other identifying information, without your
2. Two or more individuals (joint The actual owner of the account or, if permission, to commit fraud or other crimes. An identity thief may use
account) other than an account combined funds, the first individual on your SSN to get a job or may file a tax return using your SSN to receive
maintained by an FFI the account1 a refund.
3. Two or more U.S. persons Each holder of the account To reduce your risk:
(joint account maintained by an FFI) • Protect your SSN,
4. Custodial account of a minor The minor 2 • Ensure your employer is protecting your SSN, and
(Uniform Gift to Minors Act) • Be careful when choosing a tax preparer.
5. a. The usual revocable savings trust The grantor-trustee1
(grantor is also trustee) If your tax records are affected by identity theft and you receive a
b. So-called trust account that is not The actual owner1 notice from the IRS, respond right away to the name and phone number
a legal or valid trust under state law printed on the IRS notice or letter.
6. Sole proprietorship or disregarded The owner3 If your tax records are not currently affected by identity theft but you
think you are at risk due to a lost or stolen purse or wallet, questionable
entity owned by an individual credit card activity or credit report, contact the IRS Identity Theft Hotline
7. Grantor trust filing under Optional The grantor* at 1-800-908-4490 or submit Form 14039.
Form 1099 Filing Method 1 (see For more information, see Pub. 5027, Identity Theft Information for
Regulations section 1.671-4(b)(2)(i) Taxpayers.
(A)) Victims of identity theft who are experiencing economic harm or a
For this type of account: Give name and EIN of: systemic problem, or are seeking help in resolving tax problems that
8. Disregarded entity not owned by an The owner have not been resolved through normal channels, may be eligible for
individual Taxpayer Advocate Service (TAS) assistance. You can reach TAS by
9. A valid trust, estate, or pension trust Legal entity4 calling the TAS toll-free case intake line at 1-877-777-4778 or TTY/TDD
1-800-829-4059.
10. Corporation or LLC electing The corporation Protect yourself from suspicious emails or phishing schemes.
corporate status on Form 8832 or Phishing is the creation and use of email and websites designed to
Form 2553 mimic legitimate business emails and websites. The most common act
11. Association, club, religious, The organization is sending an email to a user falsely claiming to be an established
charitable, educational, or other tax- legitimate enterprise in an attempt to scam the user into surrendering
exempt organization private information that will be used for identity theft.
12. Partnership or multi-member LLC The partnership
13. A broker or registered nominee The broker or nominee
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Form W-9 (Rev. 10-2018) Page 6
The IRS does not initiate contacts with taxpayers via emails. Also, the Privacy Act Notice
IRS does not request personal detailed information through email or ask
taxpayers for the PIN numbers, passwords, or similar secret access Section 6109 of the Internal Revenue Code requires you to provide your
information for their credit card, bank, or other financial accounts. correct TIN to persons (including federal agencies) who are required to
file information returns with the IRS to report interest, dividends, or
If you receive an unsolicited email claiming to be from the IRS, certain other income paid to you; mortgage interest you paid; the
forward this message to phishing@irs.gov. You may also report misuse acquisition or abandonment of secured property; the cancellation of
of the IRS name, logo, or other IRS property to the Treasury Inspector debt; or contributions you made to an IRA, Archer MSA, or HSA. The
General for Tax Administration (TIGTA) at 1-800-366-4484. You can person collecting this form uses the information on the form to file
forward suspicious emails to the Federal Trade Commission at information returns with the IRS, reporting the above information.
spam@uce.gov or report them at www.ftc.gov/complaint. You can Routine uses of this information include giving it to the Department of
contact the FTC at www.ftc.gov/idtheft or 877-IDTHEFT (877-438-4338). Justice for civil and criminal litigation and to cities, states, the District of
If you have been the victim of identity theft, see www.IdentityTheft.gov Columbia, and U.S. commonwealths and possessions for use in
and Pub. 5027. administering their laws. The information also may be disclosed to other
Visit www.irs.gov/IdentityTheft to learn more about identity theft and countries under a treaty, to federal and state agencies to enforce civil
how to reduce your risk. and criminal laws, or to federal law enforcement and intelligence
agencies to combat terrorism. You must provide your TIN whether or
not you are required to file a tax return. Under section 3406, payers
must generally withhold a percentage of taxable interest, dividend, and
certain other payments to a payee who does not give a TIN to the payer.
Certain penalties may also apply for providing false or fraudulent
information.
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Department of the Treasury
Internal Revenue Service
Instructions for
the Requester of
Forms W-8BEN,
W-8BEN-E, W-8ECI,
W-8EXP, and W-8IMY
(Rev. June 2022)
Section references are to the Internal Revenue Code make those payments in connection with their reliance on
unless otherwise noted. Forms W-8.
Future developments. For the latest information about Section 871(m) regulations and qualified securities
developments related to the Forms W-8 and their lenders (QSLs). Notice 2020-2, 2020-3 I.R.B. 327,
instructions for requesters, such as legislation enacted further extended the transition relief provided in Notice
after they were published, go to IRS.gov/UAC/About- 2018-72, 2018-40 I.R.B. 522, for certain provisions of the
Form-W8. section 871(m) regulations, generally for 2021 and 2022.
Notice 2020-2 also further extended the period that a
withholding agent may apply the transition rules to act as
What's New a QSL described in obsoleted Notice 2010-46, 2010-24
Guidance under section 1446(f). The Tax Cuts and I.R.B. 757, Part III, for substitute dividend payments made
Jobs Act (TCJA) added section 1446(f), which generally in 2021 and 2022. As a result, the updated Form W-8IMY
requires that if any portion of a gain on any disposition of (Rev. October 2021) includes chapter 3 status
an interest in a partnership would be treated under section certifications for entities acting as QSLs (applicable to
864(c)(8) as effectively connected gain, the transferee either a QI or other entity acting as a QSL). The updated
purchasing an interest in such a partnership from a Instructions for Form W-8IMY also clarify when a QI may
non-U.S. transferor must withhold a tax equal to 10% of continue to claim status as a QSL in a case in which it is
the amount realized on the disposition unless an also a qualified derivatives dealer (QDD) (as provided in
exception to withholding applies. Section 1446(f) the QI agreement) and include certain other clarifying
generally applies to transfers occurring on or after January changes relevant to section 871(m) and QSL status.
1, 2018. T.D. 9926 (84 FR 76910), published on
FTIN not legally required. Certain Forms W-8 were
November 30, 2020, contains final regulations (section
updated (Rev. October 2021) to include a new line, “FTIN
1446(f) regulations) relating to the withholding and
not legally required,” for account holders otherwise
reporting requirements under section 1446(f), including
required to provide a foreign taxpayer identification
those that apply to brokers effecting transfers of interests
number (FTIN) on the form to indicate that they are not
in publicly traded partnerships (PTPs). The section
legally required to obtain an FTIN from their jurisdiction of
1446(f) regulations also revise certain requirements under
residence.
section 1446(a) relating to withholding and reporting on
distributions made by PTPs, and expand the entities Nonqualified intermediary (NQI) that provides an al-
permitted to act as nominees for PTP distributions to ternative withholding statement. The Form W-8IMY
include certain qualified intermediaries (QIs) and certain and its instructions were updated (Rev. October 2021) to
U.S. branches. Withholding on transfers of interests in allow an NQI that is to provide alternative withholding
PTPs and the revisions included in the section 1446(f) statements and beneficial owner withholding certificates
regulations relating to withholding on PTP distributions for payments associated with this form to represent on the
under section 1446(a) apply to transfers and distributions form that the information on the withholding certificates
that occur on or after January 1, 2023. See Notice will be verified for consistency as required under
2021-51, 2021-36 I.R.B. 361. The provisions of the Regulations section 1.1441-1(e)(3)(iv)(C)(3) (added in
section 1446(f) regulations relating to withholding and T.D. 9890). A similar allowance applies to a
reporting on transfers of interests in partnerships that are nonwithholding foreign partnership or a nonwithholding
not PTPs generally apply to transfers occurring after foreign trust that provides an alternative withholding
January 29, 2021. Forms W-8 and their accompanying statement.
instructions (excluding Form W-8EXP) were updated Electronic signature. The accompanying instructions
(Rev. October 2021) to incorporate the use of those forms for certain Forms W-8 were updated (Rev. October 2021)
by brokers and transferors of partnership interests to reference additional guidance included in final
receiving payments of amounts realized for purposes of regulations issued under chapter 3 (T.D. 9890)
section 1446(f) and by partners and brokers receiving concerning reliance on withholding certificates with
PTP distributions. These instructions address certain electronic signatures. See Regulations section
requirements of brokers and other withholding agents that 1.1441-1(e)(4)(i)(B) (added in T.D. 9890).
Jun 22, 2022 Cat. No. 26698G
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Section 6050Y reporting. The accompanying
instructions for certain Forms W-8 were updated (Rev.
October 2021) to reference the use of the forms by a Who Is a Withholding Agent?
foreign person that is a seller of a life insurance contract Any person, U.S. or foreign, in whatever capacity acting,
(or interest therein) or a foreign person that is a recipient that has control, receipt, custody, disposal, or payment of
of a reportable death benefit for purposes of reporting an amount subject to withholding for chapter 3 purposes
under section 6050Y. or a withholdable payment for chapter 4 purposes is a
withholding agent. See Regulations section 1.1441-2(e)
Purpose of Instructions for what constitutes a payment, which in limited
These instructions supplement the instructions for the circumstances may include when there is no actual
forms listed below and provide notes to assist withholding transfer of cash or property (for example, dividend
agents and foreign financial institutions (FFIs) in validating equivalents). The withholding agent may be an individual,
the forms for chapters 3 and 4 purposes. These corporation, partnership, trust, association, or any other
instructions also outline the due diligence requirements entity, including (but not limited to) any foreign
applicable to withholding agents for establishing a intermediary, foreign partnership, or U.S. branch of certain
beneficial owner’s foreign status and claim for reduced foreign banks and insurance companies. If several
withholding under an income tax treaty. These instructions persons qualify as withholding agents for a single
are not inclusive of all requirements that may apply to a payment, the tax required to be withheld must only be
withholding agent for validating Forms W-8. A withholding withheld once. Generally, the person who pays (or causes
agent should also reference the applicable regulations to be paid) an amount subject to withholding under
under chapters 3 and 4 and the instructions for each Form chapter 3 or a withholdable payment to the foreign person
W-8 listed below. (or to its agent) must withhold. See the Instructions for
• Form W-8BEN, Certificate of Foreign Status of Form 1042, Annual Withholding Tax Return for U.S.
Beneficial Owner for United States Tax Withholding and Source Income of Foreign Persons, and Form 1042-S,
Reporting (Individuals). Foreign Person's U.S. Source Income Subject to
• Form W-8BEN-E, Certificate of Status of Beneficial Withholding, for return filing and information reporting
Owner for United States Tax Withholding and Reporting obligations with respect to payments made to foreign
(Entities). persons.
• Form W-8ECI, Certificate of Foreign Person's Claim For effectively connected taxable income (ECTI)
That Income Is Effectively Connected With the Conduct of allocable to a foreign partner, the partnership (other than a
a Trade or Business in the United States. PTP) is generally the withholding agent and must file Form
• Form W-8EXP, Certificate of Foreign Government or 8804, Annual Return for Partnership Withholding Tax
Other Foreign Organization for United States Tax (section 1446); Form 8805, Foreign Partner's Information
Withholding and Reporting. Statement of Section 1446 Withholding Tax; and Form
• Form W-8IMY, Certificate of Foreign Intermediary, 8813, Partnership Withholding Tax Payment Voucher
Foreign Flow-Through Entity, or Certain U.S. Branches for (section 1446). For ECTI allocable to a foreign partner in a
United States Tax Withholding and Reporting. PTP, a nominee is generally the withholding agent and
For definitions of terms not defined in these must file Form 1042 and 1042-S.
instructions, see the Forms W-8 and their accompanying On the transfer of a partnership interest (other than an
instructions. interest in a PTP) to which withholding under section
1446(f) applies, the transferee is the withholding agent
Throughout these instructions, a reference to or
TIP mention of “Form W-8” includes Forms W-8BEN, and must withhold 10% of the amount realized. The
transferee of a non-PTP interest must file Form 8288, U.S.
W-8BEN-E, W-8ECI, W-8EXP, and W-8IMY.
Withholding Tax Return for Dispositions by Foreign
References to “chapter 3” in the Forms W-8 and their
Persons of U.S. Real Property Interests; and Form
accompanying instructions were generally updated to
8288-A, Statement of Withholding on Dispositions by
exclude sections 1445 and 1446 (which those instructions
Foreign Persons of U.S. Real Property Interests. A broker
addressed separately as applicable). Thus, references to
for a transfer of an interest in a PTP to which withholding
“chapter 3” in these instructions similarly exclude sections
applies under section 1446(f) is a withholding agent for
1445 and 1446.
the amount realized on the transfer and must withhold
These instructions reflect the regulatory changes 10% of the amount realized and file Forms 1042 and
described earlier and the updates to Forms W-8 and their 1042-S.
instructions and certain other changes reflected on the
most current revisions to the Form W-8 series published Responsibilities of a Withholding
as of the date of publication of these instructions. Thus,
different rules may apply to withholding agents with Agent To Obtain Form W-8
respect to prior revisions of Forms W-8 for which these
Chapter 3 Responsibilities
regulatory changes did not yet apply, and different
requirements may apply to future revisions of these forms. Generally, an amount is subject to withholding for
See Requesting Prior Versions of Form W-8, later, purposes of chapter 3 if it is an amount from sources
including the limitations on such use. within the United States that is fixed or determinable
annual or periodical (FDAP) income. FDAP income is in
general all income included in gross income, including
-2- Inst. for the Requester of Forms W-8 (Rev. June 2022)
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interest (and original issue discount (OID)), dividends no substantial U.S. owners). In addition, if you are a
(including dividend equivalents), rents, royalties, and withholding agent and also a participating FFI, you must
compensation. FDAP income does not include most gains withhold to the extent required under Regulations section
from the sale of property (including market discount and 1.1471-4(b) and the FFI agreement, which, in addition to
option premiums) or items of income excluded from gross the requirements described in the previous sentence,
income without regard to the U.S. or foreign status of the require withholding on withholdable payments made to
owner of the income, such as interest under section recalcitrant account holders.
103(a). Amounts subject to chapter 3 withholding do not
include amounts that are not FDAP income as well as You must determine if a payment is a withholdable
other specific items of income described in Regulations payment without regard to any exceptions from
section 1.1441-2 (such as interest on bank deposits and withholding applicable under chapter 3. For each such
short-term OID). withholdable payment, you must obtain a Form W-8 (or
other documentation permitted under Regulations section
For purposes of sections 1441 and 1442, if you are a 1.1471-3(d)) upon which you are permitted to rely under
withholding agent, you must withhold 30% of any payment chapter 4 to determine the chapter 4 status of a payee
of an amount subject to chapter 3 withholding made to a that is a foreign person for purposes of whether
payee that is a foreign person unless you can reliably withholding applies under chapter 4. Thus, a
associate the payment with documentation (for example, determination of whether a Form W-8 is valid for purposes
Form W-8 or Form W-9, Request for Taxpayer of providing an exemption from chapter 4 withholding is a
Identification Number and Certification) upon which you separate determination from whether the Form W-8 may
can rely to treat the payment as made to (a) a payee that be relied upon to provide an exemption from (or reduction
is a U.S. person, or (b) a beneficial owner that is a foreign in) withholding under chapter 3. For purposes of
person entitled to a reduced rate of, or exemption from, determining whether withholding under chapter 4 applies
withholding. In certain circumstances, however, you may to a payment to a QI, WP, or WT, the exceptions in
be allowed to associate a payment with documentary chapter 3 for QIs, WPs, and WTs will apply, provided the
evidence rather than a Form W-8 for a payment made entity includes its chapter 4 status on Form W-8IMY. See
outside the United States with respect to an offshore also Notes for Validating Form W-8IMY under Form
obligation under Regulations section 1.6049-5(c)(1). A W-8IMY, later, for the requirements for withholdable
withholding agent must also withhold under section 1443 payments made to certain U.S. branches that act as
on certain payments to foreign tax-exempt organizations intermediaries.
that are unrelated business taxable income or subject to
the 4% excise tax imposed by section 4948. Section 1446(a) and (f) Responsibilities
However, a withholding agent making a payment to a Section 1446(a) requires a partnership conducting a trade
foreign person need not withhold under chapter 3 if the or business in the United States to withhold tax on a
foreign person assumes responsibility for withholding on foreign partner's allocable share of the partnership's ECTI
the payment as a QI (other than a QI that is acting as a at the highest tax rate applicable to that person for the
QDD, in which case withholding is not required only for a type of income allocated (for example, ordinary income or
payment with respect to a section 871(m) transaction that capital gains) in accordance with the provisions of
is not an underlying security or a dividend equivalent), or if Regulations sections 1.1446-1 through 1.1446-6. For a
the foreign person is a withholding foreign partnership partnership that is not a PTP, the partnership must
(WP), or a withholding foreign trust (WT) that has provided withhold in the year the ECTI is allocable to the foreign
a valid Form W-8IMY certifying to such status. A partner, whether or not there is a distribution. In contrast, if
withholding agent is not required to withhold on dividends the partnership is a PTP, the partnership withholds in the
paid in 2022 to a QI acting as a QDD in its equity year in the ECTI is distributed to the foreign partner, not in
derivatives dealer capacity. The QDD's withholding the year the ECTI is allocable to the foreign partner.
statement should contain the information necessary for
Section 1446(f) generally requires a transferee of a
determining the dividends subject to withholding. See the
partnership interest (or a broker in the case of a transfer of
Instructions for Form W-8IMY for the requirements for a
a PTP interest) to withhold on the amount realized from
QDD withholding statement. Withholding under chapter 3
the transfer by a foreign person when any portion of the
is also not required if the payment is made to a U.S.
gain from the transfer would be treated as effectively
branch of a foreign insurance company or foreign bank or
connected gain under section 864(c)(8).
a territory financial institution that agrees to be treated as
a U.S. person under the requirements of Regulations To avoid being subject to the default withholding rules
section 1.1441-1(b)(2)(iv)(A) and provides a valid Form under section 1446(a) or (f), a partner must provide a
W-8IMY certifying to such status. certification to the partnership or transferee, respectively.
A U.S. person that submits a valid Form W-9 generally will
Chapter 4 Responsibilities not be subject to withholding under section 1446(a) or (f).
For purposes of chapter 4, if you are a withholding agent, Generally, a foreign person that is a partner in a
you must withhold 30% of any payment that is a partnership that submits a Form W-8 for purposes of
withholdable payment (as defined in Regulations section section 1441 or 1442 will satisfy the documentation
1.1473-1(a)) made to a nonparticipating FFI that is not an requirements under section 1446(a) or (f) as well.
exempt beneficial owner or to a non-financial foreign However, in some cases the documentation requirements
entity (NFFE) that is not an excepted NFFE and does not of sections 1441 and 1442 do not match the
disclose its substantial U.S. owners (or certify that it has documentation requirements of section 1446(a) or (f). See
Inst. for the Requester of Forms W-8 (Rev. June 2022) -3-
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Regulations sections 1.1446-1 through 1.1446-6 (for Form 8966) when the individual provides a Form W-8BEN
documentation requirements under section 1446(a)) and and certain documentary evidence establishing foreign
Regulations sections 1.1446(f)-2 and 1.1446(f)-4 (for status.
documentation requirements under section 1446(f)). For If you are an FFI documenting an account holder of an
example, a Form W-8 provided by a partner (including a account that you determine is excepted as a financial
partner that is a partnership or trust) for section 1446(a) or account under Regulations section 1.1471-5(b)(2), a Form
(f) purposes must include the partner's U.S. TIN to be a W-8 (or other permitted documentation for chapter 4
valid form to qualify for a preferential rate of withholding purposes) is not required unless the form is associated
(to the extent applicable), which you may also rely upon with amounts subject to withholding under chapter 3. In
when included on a separate statement associated with such a case, a valid chapter 4 status (including that the
an otherwise valid Form W-8. This statement may be account is not a financial account) is not required to be
provided by a partner that obtains a partnership interest provided on the form.
after providing to you an otherwise valid Form W-8. A
separate statement for providing a U.S. TIN must indicate Requesting Form W-8
that it relates to the applicable Form W-8. See, however, Generally, if you are making a payment of an amount
Regulation section 1.1441-1(e)(4)(vii) for when a U.S. TIN subject to chapter 3 withholding or a withholdable
is required on a Form W-8 to be a valid form for chapter 3 payment, you must withhold as required at the 30% rate
purposes. See also Regulations section 1.1446(f)-4(a)(5) under chapter 3 or 4 unless you can reliably associate the
for when you may rely on a Form W-8 or Form W-9 payment with a Form W-8 or other permitted
furnished by a U.S. clearing organization for a member of documentation to permit withholding at a reduced rate or
the clearing organization for purposes of your requirement an exemption from withholding. You can reliably associate
(as a broker) to withhold on the transfer of a PTP interest. a payment with a Form W-8 if you hold a valid form that
A requirement to withhold under section 1446(f) will not contains the information required for purposes of
apply if you are a broker paying an amount realized on the chapter 3 or 4 (as applicable), you can reliably determine
sale of a PTP interest regardless of whether you obtain a how much of the payment relates to the form, and you
valid Form W-8 when the PTP publishes a qualified notice may rely upon the form under the due diligence
representing that the “10%” exception to withholding requirements. See Due Diligence Requirements in
under section 1446(f) applies (when applicable to the General, later.
period in which the sale is made). See Regulations
section 1.1446(f)-4(b)(3). You should request a Form W-8 from any person to
whom you are making a payment that you believe to be a
Other Uses of Form W-8 foreign person. You should request the form before
making a payment so that you have the form when you
Chapter 61 and section 3406. The Form W-8 you make the payment. See, however, Regulations sections
collect may also be used to establish a person's status for 1.1441-1(b)(7)(ii) and 1.1471-3(c)(7)(ii) for when you may
purposes of domestic information reporting under be able to rely on a Form W-8 obtained after the date of a
chapter 61 and backup withholding under section 3406, payment to support reduced withholding for chapter 3 or 4
including for a payment settlement entity to determine purposes.
whether a participating payee is a foreign person for
A withholding agent or payor that fails to obtain a valid
purposes of section 6050W and whether a reportable
Form W-8 or Form W-9 and fails to withhold as required
policy sale recipient or reportable death benefits recipient
under the presumption rules may be assessed tax at the
is a foreign person for purposes of the reporting required
30% rate under chapter 3 or 4 or the 24% backup
under section 6050Y. In general, if you receive a Form
withholding rate under section 3406 (as of the revision
W-8 that you can reliably associate with the payment and
date of these instructions), as well as interest and
are permitted to rely upon (generally under the standards
penalties for lack of compliance. If you are a partnership
for foreign status claims for chapter 3 purposes), you are
that fails to withhold on ECTI allocable to a foreign partner
exempt from reporting the payment on a Form 1099 and
as required under section 1446(a) or are a broker or
withholding under section 3406.
transferee that fails to withhold as required under section
FFI documenting account holders. If you are an FFI 1446(f), you will be liable for the tax required to be
maintaining a financial account, you may be required to withheld. A nominee for a PTP distribution may also be
perform due diligence procedures to identify and liable for failing to withhold to the extent required on the
document the account holder under the chapter 4 distribution under Regulations section 1.1446-4. In
regulations or an applicable intergovernmental agreement addition under applicable regulations to section 1446(a) or
(IGA) even if you are not making a payment to the account (f), you may in certain cases be liable for interest,
holder that is subject to withholding. You may use Form penalties, and additions to the tax even if there is no
W-8 to document the chapter 4 status of an account underlying tax liability due from a foreign partner on its
holder and to validate a claim of foreign status made by allocable share of the partnership’s ECTI or from the
the account holder, such as when the account has certain transferor on the transfer of a partnership interest.
U.S. indicia. For example, a participating FFI may treat an
individual account holder claiming foreign status that has If you are a withholding agent making a payment of an
U.S. indicia (as described in Regulations section amount subject to chapter 3 withholding or a withholdable
1.1471-4(c)(5)(iv)(B)) as a foreign person for purposes of payment and you make the payment to an intermediary,
the FFI’s U.S. account reporting requirements (that is, you must obtain documentation from such intermediary
(including the intermediary’s chapter 4 status if the
-4- Inst. for the Requester of Forms W-8 (Rev. June 2022)
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payment is a withholdable payment), as well as any signature block the name of the person authorized to sign,
required documentation for the beneficial owner(s) of the a time and date stamp, and a statement that the certificate
payment to the extent required under the chapter 3 or 4 has been electronically signed. You may not treat a Form
regulations. W-8 with a typed name in the signature line as validly
signed without further information supporting that the
Do not send Forms W-8 to the IRS. Instead, keep the signature is an electronic signature. You may also rely on
forms in your records for as long as they may be relevant an electronically signed withholding certificate based on
to the determination of your liability under section 1461 additional information or documentation that you have no
(for amounts subject to chapter 3 withholding), section actual knowledge to be incorrect. See Regulations section
1474 (for withholdable payments), or Regulations section 1.1441-1(e)(4)(i)(B).
1.1471-4(c)(2)(iv) (for an FFI documenting account
holders). See, however, section 1.1446(f)-2(b)(7) for the Requesting Prior Versions of Form W-8
requirement to furnish a certification for claiming treaty
benefits to the IRS on the transfer of an interest in a If the IRS issues an updated version of a Form W-8, you
partnership (other than a PTP) subject to section 1446(f). may accept the prior version of the form until the later of 6
full months after the revision date shown on the form or
Form W-8 provided or signed electronically. You may the end of the calendar year the updated form is issued
rely on a valid Form W-8 received by facsimile or scanned (based on the revision date shown on the form), unless
and furnished to you by email unless you know that the the IRS has issued guidance that affects the period for
person transmitting the Form W-8 is not authorized to do acceptance of the prior version (for example, if a new
so. payee status is required under revised regulations that is
You may also rely on an otherwise valid Form W-8 not in the prior version and is relevant to the payee’s
received electronically from a third-party repository if the claim).
form was uploaded or provided to the third-party
repository and there are processes in place to ensure that
Due Diligence Requirements for
the withholding certificate can be reliably associated with
a specific request from you and a specific authorization Reliance on Forms W-8
from the person providing the form (or an agent of the When you receive a completed Form W-8, you must
person providing the form) for you to receive the review it for completeness and accuracy with respect to
withholding certificate. Notwithstanding the preceding the claims made on the form, as well as any information
sentence, you do not need a specific authorization for attached to the form, such as withholding statements and
each payment to be associated with the withholding beneficial owner withholding certificates associated with a
certificate when you are permitted to rely on the Form W-8IMY. In general, you may rely on the information
withholding certificate on an obligation-by-obligation basis and certifications provided on the form unless you have
or as otherwise permitted under Regulations section actual knowledge or reason to know that the information is
1.1441-1(e)(4)(ix). You may also rely on a withholding unreliable or incorrect. If you know or have reason to know
statement received from a third-party repository if the that any information is unreliable or incorrect, you must
intermediary provides a Form W-8IMY and withholding obtain a new Form W-8 or other appropriate
statement through the repository, provides an updated documentation. You may accept a valid Form W-8 for
withholding statement to you in the event of any change in chapter 3 or 61 purposes (or for backup withholding
the information previously provided, and ensures there purposes) that does not contain a valid chapter 4 status
are processes in place to update you when there is a new with respect to payments that are not withholdable
withholding statement (and Forms W-8, as necessary) in payments.
the event of any change that would affect the validity of
the prior forms or withholding statement. For purposes of Reason to know. In general, you have reason to know
this paragraph, a third-party repository is an entity that that a Form W-8 is unreliable or incorrect if:
maintains withholding certificates but is not an agent of • The form is incomplete with respect to any item that is
the applicable withholding agent or the person providing relevant to the claims made;
the certificate. See Regulations section 1.1441-1(e)(4)(iv) • The form contains any information that is inconsistent
(E) for the complete requirements for relying on a with the claims made;
withholding certificate from a third-party repository. • The form lacks information necessary to establish that
the beneficial owner is entitled to a reduced rate of
If you are a withholding agent that maintains a system withholding; or
for furnishing Forms W-8 electronically, you must satisfy • You have other account information that is inconsistent
the requirements of Regulations section 1.1441-1(e)(4)(iv) with the claims made, or you have knowledge of relevant
(B). You may otherwise accept a Form W-8 with an facts or statements contained in the withholding certificate
electronic signature, provided the electronic signature or other documentation that would cause a reasonably
meets the requirements of Regulations section prudent person in your position to question the claims
1.1441-1(e)(4)(iv)(B)(3)(ii). The withholding certificate made. For example, if you have information in your
must reasonably demonstrate that the form has been records that contradicts information provided on the form,
electronically signed by the recipient identified on the form you may not rely on the form.
(or a person authorized to sign for the recipient). For
example, a withholding agent may treat as signed for With respect to a claim for benefits under an income
purposes of the requirements of a valid withholding tax treaty, your reason-to-know requirement that the treaty
certificate, a withholding certificate that has in the claim is unreliable or incorrect includes when the
Inst. for the Requester of Forms W-8 (Rev. June 2022) -5-
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beneficial owner claims benefits under a treaty that does b. You may treat an entity that has provided you with a
not exist or is not in force. For this purpose, you may use Form W-8BEN-E as a foreign person if you do not know or
the list maintained at IRS.gov/businesses/international- have reason to know that the entity is a flow-through entity
businesses/united-states-income-tax-treaties-a-to-z to and:
check whether a treaty exists and is in force. i. You have in your possession or obtain
Limitations on reason to know for certain entities. documentation establishing foreign status that
If you are a financial institution (as defined in Regulations substantiates that the entity is actually organized or
section 1.1471-5(e)), insurance company, or broker or created under the laws of a foreign country; or
dealer in securities maintaining an account for a direct
ii. For a payment made with respect to an offshore
account holder that is the beneficial owner of the
obligation (as defined in Regulations section 1.6049-5(c)
payment, and you make a payment of U.S. source FDAP
(1)), you classify the entity as a resident of the country in
income to the direct account holder, you have reason to
which the account is maintained, you are required to
know that a Form W-8 that is a beneficial owner
report a payment made to the entity annually on a tax
withholding certificate (excluding Form W-8ECI) is
information statement that is filed with the tax authority of
unreliable or incorrect for establishing foreign status (or
the country in which the obligation is maintained, and that
residency in a treaty country in item 4, directly below) only
country has an income tax treaty or tax information
if one or more of the following circumstances exist. See
exchange agreement in effect with the United States.
also Regulations section 1.1441-7(b)(3)(ii) for special
rules that apply to preexisting obligations (as defined for 2. The form is provided with respect to an offshore
such purpose). obligation (as defined in Regulations section 1.6049-5(c)
(1)) and the direct account holder has provided standing
1. You have classified the account holder claiming
instructions directing you to pay amounts from its account
foreign status as a U.S. person in your account
to an address in, or an account maintained in, the United
information, the Form W-8 has a current permanent
States, unless the account holder provides either a
residence address or a current mailing address in the
reasonable explanation in writing that supports its foreign
United States, you have a current residence or current
status or documentary evidence establishing its foreign
mailing address in the United States as part of the
status (as described in Regulations section 1.1471-3(c)(5)
account information, the direct account holder notifies you
(i)).
of a new residence or mailing address in the United
States, or, only to the extent described in Regulations 3. The Form W-8BEN is provided by an individual that
section 1.1441-7(b)(5), you have a U.S. telephone is a direct account holder and is used to establish foreign
number as the sole telephone number for the account status and you have, either on accompanying
holder. However: documentation or as part of your account information, an
unambiguous indication of a place of birth for the
a. An individual who has provided a Form W-8BEN
individual in the United States, unless you have in your
may be treated as a foreign person if:
possession or obtain documentary evidence (described in
i. You have in your possession or obtain documentary Regulations section 1.1471-3(c)(5)(i)(B)) demonstrating
evidence establishing foreign status (as described in citizenship in a country other than the United States and
Regulations section 1.1471-3(c)(5)(i)) that does not either:
contain a U.S. address, and the individual provides you
a. A copy of the individual’s Certificate of Loss of
with a reasonable explanation, in writing, supporting his or
Nationality of the United States, or
her claim of foreign status;
b. A reasonable written explanation of the account
ii. For a payment made outside the United States with
holder’s renunciation of U.S. citizenship or the reason the
respect to an offshore obligation (as defined in
account holder did not obtain U.S. citizenship at birth.
Regulations section 1.6049-5(c)(1)), you have in your
possession or obtain documentary evidence establishing 4. The Form W-8 is provided by a direct account
foreign status (as described in Regulations section holder and is used to establish residence in a treaty
1.1471-3(c)(5)(i)) that does not contain a U.S. address; country and:
iii. For a payment made with respect to an offshore a. The permanent residence address on the form is
obligation (as defined in Regulations section 1.6049-5(c) not in the treaty country or the direct account holder
(1)), you classify the individual as a resident of the country notifies you of a new permanent residence address that is
where the obligation is maintained, you are required to not in the treaty country, unless the direct account holder
report payments made to the individual annually on a tax provides a reasonable explanation for the permanent
information statement that is filed with the tax authority of residence address outside the treaty country or you have
the country in which the obligation is maintained, and that in your possession, or obtain, documentary evidence
country has an income tax treaty or information exchange (described in Regulations section 1.1471-3(c)(5)(i)) that
agreement in effect with the United States; or establishes residency in the treaty country.
iv. For a case in which you have classified the account b. The permanent residence address is in the treaty
holder as a U.S. person in your account information, you country, but the mailing address on the form is not in the
have in your possession or obtain documentary evidence treaty country or you have a current mailing address that
(as described in Regulations section 1.1471-3(c)(5)(i)(B)) is not in the treaty country as part of your account
demonstrating citizenship in a country other than the information for the direct account holder, unless:
United States. i. You have in your possession, or obtain,
documentary evidence (as described in Regulations
-6- Inst. for the Requester of Forms W-8 (Rev. June 2022)
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section 1.1471-3(c)(5)(i)) supporting the claim of holders for different payments or for different portions of
residence in the treaty country and the additional the same payment, you may accept the dual claims even
documentation does not contain an address outside the though you hold different withholding certificates that
treaty country; require you to treat the entity inconsistently. Alternatively,
ii. You have in your possession, or obtain, you may choose to apply only the claim made by the
documentation that establishes that the direct account entity, provided that the entity may be treated as the
holder is an entity organized in a treaty country (or an beneficial owner of the income. If, however, inconsistent
entity managed and controlled in a treaty country, if claims are made for the same portion of a payment, you
required by the applicable treaty); may either reject both claims and request consistent
claims for that portion of the payment, or you may choose
iii. You know that the address outside the treaty
which reduction in rate to apply.
country (other than a P.O. box or in-care-of address) is a
branch of the direct account holder that is a resident of the Requirements for Obtaining and Verifying a
treaty country; or
Global Intermediary Identification Number
iv. The direct account holder provides a written (GIIN)
statement that reasonably establishes entitlement to
treaty benefits. If you receive a Form W-8BEN-E, W-8IMY, or W-8EXP
from an entity payee claiming certain chapter 4 statuses,
c. The direct account holder has standing instructions you must obtain and verify the entity’s GIIN against the
for you to pay amounts from the account to an address or published IRS FFI list. See Regulations section
account outside the treaty country unless the account 1.1471-3(e)(3). You must obtain and verify the GIIN for the
holder provides a reasonable explanation, in writing, following chapter 4 statuses.
establishing the account holder's residence in the • Participating FFIs (including reporting Model 2 FFIs).
applicable treaty country or you have in your possession • Registered deemed-compliant FFIs (including reporting
or obtain documentary evidence (described in Model 1 FFIs).
Regulations section 1.1471-3(c)(5)(i)) establishing the • Direct reporting NFFEs.
account holder’s residence in the applicable treaty • Sponsored direct reporting NFFEs.
country. • Certain nonreporting IGA FFIs (as described below).
Where required, a reasonable explanation supporting If you receive a Form W-8BEN-E or Form W-8IMY from
an individual’s claim of foreign status means a written a nonreporting IGA FFI that is a trustee-documented trust
statement prepared by the individual, or, in the alternative, that indicates its trustee is foreign, you must obtain a GIIN
a checklist provided by you and completed by the of the trustee on the form.
individual stating that the individual meets one of the
requirements listed in Regulations section 1.1441-7(b) If you receive a Form W-8 from a nonreporting IGA FFI
(12)(i) through (iv). that checks Model 2 IGA in Part XII of Form W-8BEN-E,
Part XIX of Form W-8IMY, or Part III, line 15, of Form
For additional information on the standards of
W-8EXP (as applicable), and identifies a category of entity
knowledge for chapter 3 purposes for relying on a claim of
that is a registered deemed-compliant FFI under Annex II
foreign status or a claim of residency in a treaty country
of an applicable Model 2 IGA, you must obtain and verify
and limitations on reason to know, see Regulations
the GIIN of the nonreporting IGA FFI against the published
sections 1.1441-6(b)(1) and 1.1441-7(b). For additional
IRS FFI list. Additionally, if you receive a Form W-8BEN-E
information on the standards of knowledge for Forms W-8
or Form W-8IMY from a nonreporting IGA FFI that
provided for chapter 4 purposes, see Regulations section
provides a citation to a section of the Regulations for its
1.1471-3(e).
registered deemed-compliant status in Part XII of Form
Hold mail instruction. An address that is provided W-8BEN-E or Part XIX of Form W-8IMY (as applicable) or
subject to an instruction to hold all mail to that address is the FFI identifies itself as a registered deemed-complaint
not a permanent residence address, such that you may FFI in Part I, line 4, of Form W-8EXP, you must obtain and
not rely upon the Form W-8. However, the address can be verify the GIIN of the nonreporting IGA FFI against the
used as a permanent residence address if the person has published IRS FFI list. See Regulations section
provided you with the documentary evidence required for 1.1471-1(b)(83) for the definition of nonreporting IGA FFI
this purpose, which differs depending on whether the and Regulations section 1.1471-3(d)(7)(i) for the
Form W-8 includes a treaty claim but which need not documentation requirements for nonreporting IGA FFIs.
include a permanent residence address. See Regulations
For an entity claiming status as a certified
section 1.1441-1(c)(38)(ii). If, after a Form W-8 is
deemed-compliant FFI that is a sponsored, closely held
provided, a person’s permanent residence address is
investment vehicle described in Regulations section
subsequently subject to a hold mail instruction, this is a
1.1471-5(f)(2)(iii) on a Form W-8BEN-E or Form W-8IMY,
change in circumstances requiring the person to provide
you must obtain the GIIN for the sponsoring entity and
the documentary evidence described in the preceding
verify it against the published IRS FFI list. For an entity
sentence in order to use the address as a permanent
claiming status as a sponsored investment entity or
residence address.
controlled foreign corporation described in Regulations
Dual claims under a tax treaty. If you are making section 1.1471-5(f)(1)(i)(F), you must obtain and verify the
payments to a foreign entity that is simultaneously GIIN of the sponsored investment entity or controlled
claiming a reduced rate of tax under a tax treaty on its own foreign corporation against the published IRS FFI list, not
behalf and a separate treaty claim on behalf of its interest the GIIN of the sponsoring entity.
Inst. for the Requester of Forms W-8 (Rev. June 2022) -7-
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If you receive a Form W-8BEN-E, Form W-8IMY, or received and the partnership does not use other means to
Form W-8EXP from an entity payee that is claiming determine a partner's non-foreign status (only for section
chapter 4 status as a participating FFI (including a 1446(a) withholding), the amount is treated as made to a
reporting Model 2 FFI), registered deemed-compliant FFI foreign person and, unless an exception applies,
(including a reporting Model 1 FFI and a sponsored FFI withholding applies as required under the regulations to
described in the Treasury regulations under section section 1446(a) or 1446(f) (as applicable).
1471), direct reporting NFFE, sponsored direct reporting
NFFE, or nonreporting IGA FFI required to provide a GIIN When To Request a New Form W-8
(as described earlier) that contains “Applied for” in the box Request a new Form W-8:
for the GIIN, the payee must provide its GIIN within 90 • Before the expiration of the validity period of an existing
days of providing the form. A Form W-8 from such a Form W-8 (when applicable);
payee that does not include a GIIN, or includes a GIIN that • If the existing form does not support a claim for a
does not appear on the published IRS FFI list, will be reduced rate of withholding or is incomplete with respect
invalid for purposes of chapter 4 beginning on the date to any claim made on the form (such as may result, for
that is 90 days after the date the form is provided. See example, from a new regulatory requirement relevant to
Regulations section 1.1471-3(e)(3)(iii) and (iv). the Form W-8); or
• If you know or have reason to know of a change in
You may only accept a Form W-8BEN-E or Form circumstances that makes any information on the current
W-8IMY with Part II completed if the entity shown in Part II form unreliable or incorrect for purposes of chapter 3 or 4
is an FFI that is a branch of the entity identified in Part II, (to the extent applicable) based on the claims made on
line 1, and the branch is receiving a withholdable the form.
payment, or if the entity shown in Part II is a disregarded Example. A foreign individual investor opens an
entity that is identified in Part I, line 3, as receiving the account with a broker to purchase U.S. Treasury bonds
payment. If you receive a Form W-8BEN-E or Form and provides Form W-8BEN to obtain the portfolio interest
W-8IMY from a branch (other than a U.S. branch) or exemption. The investor does not complete Part II of Form
disregarded entity described in the preceding sentence W-8BEN because he or she is not claiming treaty benefits.
that is receiving a payment associated with the form, you Later, the investor purchases U.S. stock and claims treaty
must verify the GIIN of the branch (unless the branch is benefits on dividend income. The withholding agent must
treated as a nonparticipating FFI) or disregarded entity obtain a new Form W-8BEN at that time that provides the
that is provided in Part II against the published IRS FFI list information required in Part II to be able to withhold based
and not that of the entity identified in Part I, line 1. In such on the treaty claim and not at the 30% withholding tax
a case, you may accept the form without a GIIN on line 9a rate.
(for Form W-8BEN-E) or line 9 (for Form W-8IMY). If you
receive a Form W-8BEN-E from a U.S. branch, the branch Changes in circumstances for chapter 4 purposes.
may provide the GIIN of any other branch of the FFI For chapter 4 purposes, a change in circumstances
(including the GIIN for the FFI’s residence country). A U.S. generally occurs when there is a change in a person’s
branch providing a Form W-8IMY is not required to chapter 4 status. You must treat a Form W-8 as invalid
provide a GIIN. when you know or have reason to know of a change in
circumstances that affects the correctness of the form.
Presumption Rules However, you may continue to treat an FFI as having the
If you do not receive a valid Form W-8 or Form W-9 that same chapter 4 status that it had prior to the change in
you may rely upon under the due diligence requirements, circumstances until the earlier of 90 days from the date of
or cannot otherwise determine whether a payment should the change or the date that new documentation is
be treated as made to a U.S. or foreign person, you must obtained.
apply the presumption rules provided in the regulations. If You are not considered to have reason to know of a
the payment is an amount subject to withholding under change in circumstances if an FFI’s chapter 4 status
chapter 3 or 4 or a reportable payment under one of those changes solely because the jurisdiction where the FFI is
sections or another relevant section under chapter 61 of resident, organized, or located is treated as having an IGA
the Code, you must apply the presumption rules provided in effect or if the jurisdiction had a Model 2 IGA in effect
in the Regulations under sections 1441, 1471, 6045, and and is later treated as having a Model 1 IGA in effect. If
6049 (as applicable). If the presumption rules are applied such change in circumstances occurs, the FFI may
to treat a person as a foreign person, the statutory 30% provide you with oral or written confirmation (including by
withholding rate applies to a payment subject to email) of its new chapter 4 status rather than providing a
withholding under chapter 3 and cannot be reduced (for new Form W-8, and you must retain a record of this
example, no treaty rate). You may not rely on the confirmation.
presumption rules if you have actual knowledge that a If an FFI is resident, organized, or located in a
higher withholding rate is applicable. If you determine that jurisdiction that is treated as having an IGA in effect, and
you are making a withholdable payment to an entity and the jurisdiction’s status on the Treasury Department’s IGA
cannot reliably associate the payment with a Form W-8 or list (located at Treasury.gov/resource-center/tax-policy/
other permitted documentation that is valid for chapter 4 treaties/pages/FATCA.aspx) is later updated to indicate
purposes, you are required to treat the entity payee as a that it is no longer treated as having an IGA in effect, you
nonparticipating FFI. If the payment is an amount subject will have reason to know of a change in circumstances
to withholding under section 1446(a) or section 1446(f) for with respect to the FFI’s chapter 4 status on the date that
which a valid Form W-9 (or acceptable substitute) is not
-8- Inst. for the Requester of Forms W-8 (Rev. June 2022)
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the jurisdiction ceases to be treated as having an IGA in Example 2. An abbreviation of a country of residence
effect. See Regulations section 1.1471-3(c)(6)(ii)(E)(3). If on Form W-8BEN is an inconsequential error if it is an
such change in circumstances occurs, the FFI may ambiguous abbreviation and you have documentary
provide you with oral or written confirmation (including by evidence supporting the beneficial owner's country of
email) of its new chapter 4 status rather than providing a residence. For further information about withholding
new Form W-8, and you must retain a record of this certificates that contain inconsequential errors, see
confirmation. Regulations section 1.1441-1(b)(7)(iv) for chapter 3
purposes and Regulations section 1.1471-3(c)(7)(i) for
Period of Validity chapter 4 purposes.
Generally, a Form W-8 is valid from the date signed until Foreign TINs
the last day of the third succeeding calendar year unless a
If you are a U.S. office or branch of a depository
change in circumstances occurs that makes any
institution, custodial institution, investment entity, or
information on the form incorrect. For example, a Form
specified insurance company (each as defined in
W-8BEN signed on September 30, 2022, generally
Regulations section 1.1471-5(e)) documenting an account
remains valid through December 31, 2025. However,
holder (as defined in Regulations section 1.1471-5(a)(3))
under certain conditions, a Form W-8 will be valid
of an account that is a financial account (as defined in
indefinitely unless there has been a change in
Regulations section 1.1471-5(b)), you must obtain the
circumstances. For example, a Form W-8BEN and
account holder’s TIN for its jurisdiction of tax residence
documentary evidence supporting an individual’s claim of
(FTIN) on a Form W-8 that is a beneficial owner
foreign status (other than the portion of the form making a
withholding certificate in order for the form to be valid for a
claim for treaty benefits) are indefinitely valid if the form
payment of U.S. source income reportable on Form
and documentary evidence are provided within 30 days of
1042-S (as determined before the application of this
each other. A Form W-8BEN-E and documentary
requirement), unless:
evidence supporting an entity’s claim of foreign status
(other than the portion of the form making a claim for • The account holder is resident of a jurisdiction that is
not listed in section 3 of Rev. Proc. 2020-15, 2020-23
treaty benefits) that are received by a withholding agent
I.R.B. 905, which may be further updated in future
before the validity period of either the form or the
published guidance;
documentary evidence would otherwise expire are
indefinitely valid. A Form W-8IMY is valid indefinitely as • The account holder is resident in a jurisdiction that has
been identified on the IRS's List of Jurisdictions That Do
described in this paragraph, but see Notes for Validating
Not Issue Foreign TINs, available at IRS.gov/businesses/
Form W-8IMY, later, for the validity period for a Form
corporations/list-of-jurisdictions-that-do-not-issue-foreign-
W-8IMY provided by a QDD. For further information on
tins;
the period of validity for a Form W-8 for chapter 3
purposes, see Regulations section 1.1441-1(e)(4)(ii), and • The account holder is a government (including a
controlled entity that is a foreign government under
for chapter 4 purposes, see Regulations section
section 892), international organization, foreign central
1.1471-3(c)(6)(ii). The validity period for a Form W-8
bank of issue, or resident of a U.S. territory; or
associated with an amount subject to withholding under
section 1446(a) or an amount realized under section • You obtain a reasonable explanation for why the
account holder has not been issued an FTIN (generally by
1446(f) is determined under the chapter 3 requirements
the account holder checking an applicable box on the
referenced in the preceding sentence.
form).
Forms Received That Are Not Dated or That A reasonable explanation that an account holder does
Contain Inconsequential Errors or Omissions not have an FTIN must address why the account holder
was not issued an FTIN only to the extent provided in the
If a Form W-8 is valid except that the person providing the instructions for the applicable Form W-8. A reasonable
form has not dated the form, you may date the form from explanation for not providing an FTIN includes checking
the day you receive it and measure the validity period the applicable box signaling that you are not legally
from that date. Generally, you may treat a withholding required to obtain an FTIN from your jurisdiction of
certificate as valid if it contains an error or omission that is residence (including if the jurisdiction does not issue
inconsequential and you have sufficient documentation on FTINs). If an account holder provides an explanation other
file to supplement the missing information. However, a than or in furtherance of the one described in the
failure to establish an entity type or make a required Instructions for the applicable Form W-8, you must
certification is not inconsequential. determine whether the explanation is reasonable. In such
Example 1. If an entity receiving a withholdable a case, you may accept this further (or other) explanation
payment selects a certified deemed-compliant FFI status if it is written in the line on the form for an FTIN, in the
on line 5 of Form W-8BEN-E but does not complete the margins of the form, or on a separate attached statement
corresponding required certifications in Part V, the form is associated with the form.
invalid for chapter 4 purposes. On the other hand, if you
receive a Form W-8 for which the person signing the form You may rely on an FTIN provided on a Form W-8
does not also print a name before the signature when unless you know or have reason to know it is incorrect.
required on the form, you are not required to treat the form You may also accept the FTIN on a separate statement as
as incomplete if you have documentation or information provided in Regulations section 1.1441-1(e)(2)(ii)(B)(1).
supporting the identity of the person signing the form.
Inst. for the Requester of Forms W-8 (Rev. June 2022) -9-
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Alternative Certifications Under an Applicable of section 1446(a), or are a broker or transferee
IGA documenting a transferor paid an amount realized under
section 1446(f); if a payee claims foreign status for
If you are an FFI subject to a Model 1 or Model 2 IGA
purposes of domestic information reporting and backup
using Form W-8BEN-E or Form W-8IMY to document
withholding; or if you are an FFI using this form to
account holders pursuant to the due diligence
document an account for purposes of chapter 4.
requirements of Annex I of an applicable IGA, you may
request alternative certifications from your account
holders in accordance with the requirements of, and Notes for Validating Form W-8BEN
definitions applicable to, the IGA instead of the Line 6a and 6b (Foreign TIN). If you do not obtain an
certifications on Form W-8BEN-E or W-8IMY. You should FTIN on line 6a (when required) and the account holder
provide those certifications to account holders from whom has not checked line 6b, or provided a further (or other)
you request a Form W-8BEN-E or W-8IMY, and the explanation for why the account holder has not been
account holder should attach the completed certification issued an FTIN on a separate statement (see Foreign
to the Form W-8BEN-E or W-8IMY in lieu of completing a TINs, earlier), you must treat the form as invalid for
certification otherwise required. In such a case, you must payments of U.S. source income reportable on Form
provide a written statement to the account holder stating 1042-S (as determined before the application of this
that you have provided the alternative certification to meet requirement).
your due diligence requirements under an applicable IGA
and you must associate the certification with the Form Line 8 (Date of birth). If you are a U.S. office or branch
W-8BEN-E or W-8IMY. of a depository institution, custodial institution, investment
entity, or specified insurance company (each as defined in
If you are a withholding agent (including an FFI), you Regulations section 1.1471-5(e)) documenting an
may also request and rely upon an alternative certification individual account holder (as defined in Regulations
from an entity account holder to establish that the account section 1.1471-5(a)(3)) of an account that is a financial
holder is an NFFE (rather than a financial institution) account (as defined in Regulations section 1.1471-5(b)),
under an applicable IGA. An entity providing such a you must obtain the individual account holder’s date of
certification will still be required, however, to provide its birth on the Form W-8BEN in order for the form to not be
chapter 4 status (that is, the type of NFFE) in Part I, line 5, invalid for a payment of U.S. source income reportable on
as determined under the regulations if you are a Form 1042-S (as determined before the application of this
withholding agent other than an FFI documenting an requirement). If the individual’s date of birth is not
account holder under Annex I of an applicable IGA. For provided on the Form W-8BEN, the form is not invalid if
example, if you are a U.S. withholding agent that receives you otherwise have the date of birth in your account files
a Form W-8BEN-E or W-8IMY from an entity account for the account holder or you obtain the date of birth on a
holder certifying to its status as a passive NFFE, you may written statement (including a written statement
request a written certification that the entity is not a transmitted by email) from the account holder and
financial institution as defined under the IGA applicable to associate the written statement with the Form W-8BEN.
the entity and document it under the regulations by You may rely on the date of birth provided by an account
obtaining the NFFE's certification of its chapter 4 status in holder unless you know or have reason to know it is
Part I, line 5. In the case of an FFI documenting an incorrect.
account holder under Annex I of an applicable IGA,
however, a nonprofit organization treated as an active Line 10 (Special rates and conditions). If the
beneficial owner is required to explain the additional
NFFE under the Annex may provide an FFI with an
conditions in the treaty that it meets to be eligible for the
alternative certification that it is an NFFE that qualifies as
rate of withholding on line 10, you may accept a brief
a nonprofit organization under an applicable IGA. In such
explanation for this purpose. You may accept a treaty
a case, the nonprofit organization will not be required to
claim without this explanation under an interest or
check a box in Part I, line 5, and the FFI may treat the
dividends (other than dividends subject to a preferential
entity as an excepted NFFE.
rate based on ownership) article of a treaty or other
If you receive an alternative certification under an income article, unless such article requires additional
applicable IGA described in the preceding paragraphs, representations.
you may rely on such certification unless you know or See the Instructions for Form W-8BEN for further
have reason to know the certification is incorrect. information for when a beneficial owner is required to
complete line 10. For a beneficial owner that is claiming
Rules for Specific Types of Forms treaty benefits for gain or income with respect to a PTP
and that is subject to section 1446, the name of each PTP
W-8 to which the claim relates must be identified. If the
beneficial owner receives gain or income with respect to
Form W-8BEN multiple PTPs, it may attach a separate statement to the
You should request Form W-8BEN from any foreign form that identifies each PTP. If the beneficial owner
individual for any of the purposes described previously in provides the separate statement after it has provided the
these instructions. These purposes include if you are Form W-8BEN, it must indicate that the statement relates
making a payment subject to chapter 3 withholding or a to the applicable form.
withholdable payment; if you are a partnership (or
nominee for a PTP) documenting a partner for purposes
-10- Inst. for the Requester of Forms W-8 (Rev. June 2022)
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A beneficial owner that is taxed on a remittance basis attached that includes all of the information required by
and that is claiming treaty benefits with respect to a Part II for each branch/disregarded entity and you are able
payment under a treaty must state this on line 10 and to allocate each payment to each branch/disregarded
include the amount of income that was remitted to, and is entity associated with the form. See Requirements for
taxable in, the treaty country. You may generally rely on Obtaining and Verifying a Global Intermediary
the claim if you are remitting the payment to the treaty Identification Number (GIIN), earlier, for when a GIIN is
country (or you know that another withholding agent is required when Part II is completed.
doing so) or if you maintain the account for the claimant in
Part III (Claim of Tax Treaty Benefits), line 14b. An
the treaty country, subject to any due diligence
entity claiming a reduced rate of withholding under an
requirements applicable to validating a claim of residency
income tax treaty that contains a limitation on benefits
in a treaty jurisdiction (see Limitations on reason to know
(LOB) article must identify the LOB provision that it
for certain entities, earlier). In certain cases, you may also
satisfies by checking one of the boxes on line 14b. In
be able to use the adjustment to overwithholding
general, the entity is only required to check one box, even
procedures in Regulations section 1.1461-2(a) to repay a
if it satisfies more than one provision. If the applicable
beneficial owner that establishes remittance of the
treaty has no LOB article, the entity must check the box
payment to the treaty country after you make the payment.
indicating no LOB article in the treaty. You may rely on the
Form W-8BEN-E entity’s claim on line 14b unless you have actual
knowledge that the claim is incorrect.
You should request Form W-8BEN-E from any foreign
entity for the purposes described previously in these Part III, line 15 (Special rates and conditions). If the
Instructions for Form W-8BEN or if the payee is to beneficial owner is required to explain the additional
establish that certain income from notional principal conditions in the treaty that it meets to be eligible for the
contracts is not effectively connected with the conduct of rate of withholding on line 15, you may accept a brief
a U.S. trade or business (for reporting on Form 1042-S). explanation. You may accept a treaty claim without this
See Regulations section 1.1441-4, and Notional principal explanation under an interest or dividends (other than
contracts reportable on Form 1042-S, later. dividends subject to a preferential rate based on
ownership) article of a treaty or other income article,
Notes for Validating Form W-8BEN-E unless such article requires additional representations.
See the Instructions for Form W-8BEN-E for further
Part I, line 4 (Chapter 3 Status). If you receive a Form information for when a beneficial owner is required to
W-8BEN-E from an entity that indicates in Part I, line 4, complete line 15. For a beneficial owner that is claiming
that it is a disregarded entity, partnership, simple trust, or treaty benefits for gain or income with respect to a PTP
grantor trust, and the entity has checked “No” in Part I, that is subject to withholding under section 1446(a) or (f),
line 4 (regarding the entity’s claim of treaty benefits), you the name of each PTP to which the claim relates must be
should not accept the Form W-8BEN-E if the form is used identified. If the beneficial owner receives gain or income
only with respect to reportable amounts or withholdable with respect to multiple PTPs, it may attach a separate
payments. In such a case, you should request the entity statement to the form that identifies each PTP. If the
complete a Form W-8IMY if the entity is a partnership, beneficial owner provides the separate statement after it
simple trust, or grantor trust, or have the owner of a has provided the Form W-8BEN-E, it must indicate that
disregarded entity complete the appropriate Form W-8. If the statement relates to the applicable form.
you are an FFI documenting an entity account holder
solely for chapter 4 purposes (that is, you are not required Part X (Owner-Documented FFI), line 24. You may
to document the payee for purposes of withholding or accept this certificate and treat an entity as an
domestic information reporting), the entity does not need owner-documented FFI only if you are a designated
to provide a chapter 3 status on line 4 of the form. For withholding agent under the chapter 4 regulations. Also,
purposes of section 1446, however, you may accept a an owner-documented FFI that is a nonreporting IGA FFI
Form W-8BEN-E from a simple trust. must check “Owner-Documented FFI” (and not
“Nonreporting IGA FFI”) on line 5 and complete Part X.
Part I, lines 9b, and 9c (Foreign TIN). If you do not You may accept a Form W-8BEN-E from an entity
obtain an FTIN on line 9b (when required) and the claiming status as an Owner-Documented FFI that does
account holder has not checked line 9c, provided a further not check box 24d in Part X regardless of whether you
(or other) explanation for why the account holder has not know that the entity is a trust that has one or more
been issued an FTIN on a separate statement (see contingent beneficiaries.
Foreign TINs, earlier), you must treat the form as invalid
for payments of U.S. source income reportable on Form Form W-8ECI
1042-S (as determined before the application of this You should request Form W-8ECI from any foreign person
requirement). or organization to which you are making a payment
Part II (Disregarded Entity or Branch Receiving Pay- subject to withholding under chapter 3 or 4 if it is the
ment). If you are making payments to multiple branches/ beneficial owner of the income (or an entity engaged in a
disregarded entities that would be completing Part II, and U.S. trade or business submitting the form on behalf of its
the Part I information for each branch/disregarded entity is owners, partners, or beneficiaries) and claims that the
the same, instead of obtaining separate Forms W-8BEN-E income is effectively connected with the conduct of a
with respect to each branch/disregarded entity, you may trade or business in the United States. However, if you are
accept a single Form W-8BEN-E with a separate schedule a partnership (or nominee for a PTP interest), you should
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request a Form W-8BEN or W-8BEN-E (as applicable) amount under section 871(m)). However, if the income is
from a foreign partner that is allocated income that is ECTI effectively connected with the conduct of a U.S. trade or
for purposes of withholding under section 1446(a). business, it is reportable by you on Form 1042-S
Nevertheless, a foreign partner that has made an election (regardless of whether the payment is U.S. source
under section 871(d) or section 882(d) must provide that income). You must treat income as effectively connected
election to the partnership along with a Form W-8ECI. with the conduct of a U.S. trade or business, even if a
Form W-8ECI has not been received, if the income is paid
An exception from section 1446(f) withholding applies
to a qualified business unit of a foreign person located in
to a foreign dealer that transfers a PTP interest if the
the United States or if the income is paid to a qualified
foreign dealer provides Form W-8ECI and makes the
business unit of a foreign person located outside the
certifications set forth on line 12 of such form. See
United States and you know, or have reason to know, that
Regulations section 1.1446(f)-4(b)(6). You may rely on the
the payment is income effectively connected with the
certifications made by the dealer for this purpose unless
conduct of a U.S. trade or business. However, a payment
you have actual knowledge they are unreliable or
is not treated as income effectively connected with the
incorrect.
conduct of a U.S. trade or business if the payee provides
If you receive a Form W-8ECI without a U.S. TIN a Form W-8BEN-E representing that the payment is not
entered on line 7, you may not rely on Form W-8ECI to income effectively connected with a U.S. trade or
treat the income as effectively connected with a U.S. trade business or makes a representation in a master
or business and you must apply the appropriate agreement that governs the transactions in notional
presumption rules or obtain another Form W-8 for the principal contracts between the parties (for example, an
payee that you may rely upon. If you receive a Form International Swaps and Derivatives Association
W-8ECI without an FTIN on line 8a when required and the agreement), or in the confirmation on the particular
account holder has not checked line 8b, or provided a notional principal contract transaction, that the payee is a
reasonable (or other) explanation for why the account U.S. person or a non-U.S. branch of a foreign person.
holder has not been issued an FTIN on a separate
Payments to certain U.S. branches treated as effec-
statement when required (see Foreign TINs, earlier), you
tively connected income. If you make a payment to a
must treat the form as invalid for payments of U.S. source
U.S. branch of a foreign bank or insurance company that
income reportable on Form 1042-S (as determined before
does not provide a withholding certificate but has provided
the application of this requirement).
an employer identification number (EIN), the payment is
Your receipt of Form W-8ECI serves as a presumed to be effectively connected with the conduct of
representation by the payee or beneficial owner that the a trade or business within the United States even if the
items of income identified on line 11 are effectively foreign person (or its U.S. branch) does not give you a
connected with the conduct of a trade or business within Form W-8ECI. If you do not obtain a Form W-8ECI or the
the United States. Therefore, if a beneficial owner U.S. branch’s EIN, the income paid cannot be treated as
provides you with a Form W-8ECI, you may treat all of the income effectively connected with a U.S. trade or
U.S. source income identified on line 11 paid to that business.
beneficial owner as effectively connected with the conduct
of a trade or business within the United States and not as Form W-8EXP
a withholdable payment for purposes of chapter 4. You should request Form W-8EXP from any foreign
Accordingly, a chapter 4 status is not required for a payee government, international organization, foreign central
who provides a valid Form W-8ECI unless you are an FFI bank of issue, foreign tax-exempt organization, foreign
requesting a Form W-8ECI from an account holder for private foundation, or government of a U.S. possession to
purposes of your chapter 4 due diligence requirements. which you are making a payment of an amount subject to
If you pay items of income that are not identified on chapter 3 withholding if such person is claiming an
line 11 by the beneficial owner as effectively connected exemption from withholding under sections 1441, 1442,
with the conduct of a trade or business within the United and 1443 pursuant to section 115(2), 501(c), 892, or 895,
States, you are generally required to obtain another type or claiming a rate of withholding under section 1443(b).
of Form W-8 from the beneficial owner. Except as provided below, you should request Form
W-8EXP from a person claiming an exemption from
Generally, you may not treat an amount otherwise withholding under chapter 4 as an exempt beneficial
subject to withholding under chapter 3 or 4 as income owner or tax-exempt organization under section 501(c) or
effectively connected with the conduct of a trade or that is claiming any other chapter 4 status shown on the
business within the United States unless the beneficial form when also claiming a chapter 3 status described in
owner gives you a valid Form W-8ECI. However, there are the preceding sentence. In certain cases, a GIIN may be
exceptions (described below) for income paid on notional required based on the chapter 4 status claimed on the
principal contracts and payments made to certain U.S. form. See Requirements for Obtaining and Verifying a
branches. Global Intermediary Identification Number (GIINs), earlier.
Notional principal contracts reportable on Form If you are an FFI documenting an account holder that is
1042-S. Withholding at a 30% rate is not required on a tax-exempt organization or exempt beneficial owner
amounts paid under the terms of a notional principal (each as defined for chapter 4 purposes) to which you do
contract whether or not a Form W-8ECI is provided not pay amounts subject to withholding under chapter 3,
(except when a payment made under such contract is you may require that the account holder complete Form
U.S. source income, such as a dividend equivalent
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W-8BEN-E (rather than Form W-8EXP) to establish its with respect to payments of U.S. source substitute
status for chapter 4 purposes. dividends made in 2022 and may be relied upon
A Form W-8EXP submitted by a foreign person that is a regardless of whether the QSL acts as an intermediary
partner in a partnership for purposes of withholding under with respect to substitute dividends associated with the
sections 1441 through 1443 will also establish that form. You may accept a Form W-8IMY from an individual
partner's foreign status for purposes of section 1446. acting as an agent or intermediary (as appropriately
However, except as provided in Regulations section amended to account for individual status), but you are not
1.1446-3(c)(3) (regarding certain tax-exempt required to obtain such form if you are able to associate
organizations described in section 501(c)), the payments you make to the person(s) for whom the
submission of Form W-8EXP will have no effect on individual acts.
whether the partner is subject to withholding under section You may accept multiple Forms W-8IMY from an
1446(a). intermediary that is acting in multiple capacities (for
You may treat a payee as an international organization example, as a QI for one account but an NQI or QDD for
without requiring a Form W-8EXP if the payee is another account). However, a QI may provide you with a
designated as an international organization by an single Form W-8IMY that covers more than one category
executive order (pursuant to 22 U.S.C. 288 through of QI shown on the form, provided that it properly
288(f)) and other facts surrounding the payment identifies to you the accounts and/or transactions on a
reasonably indicate that the beneficial owner of the withholding statement. Thus, for example, a QI may
payment is an international organization. With regard to provide a single Form W-8IMY when acting as both an
amounts derived from bankers' acceptances for chapter 3 intermediary and as a QDD with respect to payments you
purposes, you may treat a payee as a foreign central bank make to the QI (by checking each applicable box in Part III
of issue without requiring a Form W-8EXP if the name of of the form). You may accept a single Form W-8IMY,
the payee and other facts surrounding the payment including a withholding statement with the required
reasonably indicate that the beneficial owner of the information. For multiple branches of the entity providing
payment is a foreign central bank of issue. the form if the information in Part I is the same for each
branch and a separate schedule is attached that includes
A U.S. TIN is required if the beneficial owner is claiming all of the Part II information on each branch and sufficient
an exemption or reduced rate of withholding based solely information to associate the payments with each branch
on a claim of tax-exempt status under section 501(c) or and any other required information.
private foundation status. However, a U.S. TIN is not
required from a foreign private foundation that is subject to The chapter 4 status of an intermediary or flow-through
the 4% excise tax on gross investment income (under entity is required on Part I of the form if the form is
section 4948(a)) that would be exempt from withholding associated with a withholdable payment. Part II must be
except for section 4948(a) (for example, portfolio interest). completed when a withholdable payment is made to a
If you receive a Form W-8EXP without an FTIN (or a branch or disregarded entity described in Part II of the
reasonable explanation for why the account holder has form.
not been issued an FTIN) on line 8b (or on a separate Generally, for purposes of both chapters 3 and 4,
statement) when required (see Foreign TINs, earlier), you except to the extent otherwise provided in the Regulations
must treat the form as invalid for payments of U.S. source under section 1441 or 1471, a Form W-8IMY must be
income reportable on Form 1042-S (as determined before associated with a withholding statement and withholding
the application of this requirement). certificates (or documentary evidence, where permitted)
for the beneficial owners. Generally, the withholding
Form W-8IMY
statement must allocate the payment to each payee (or
For purposes of chapter 3 and 4, you should request Form pool of payees, where permitted, as described later),
W-8IMY from any entity that is a QI (including a QI acting provide the rate of withholding for each payee (or pool of
as a QDD), an NQI (including certain U.S. branches and payees), and provide certain identification information on
territory financial institutions), a withholding foreign each payee that is not included in a pool. See, however,
partnership (WP), a withholding foreign trust (WT), or a Regulations section 1.1441-1(e)(3)(iv)(C)(3) for the
flow-through entity to which you make a withholdable allowance for a withholding agent to accept an alternative
payment or pay a reportable amount. A flow-through entity withholding statement from an NQI (which also applies to
for purposes of chapters 3 and 4 includes a foreign a flow-through entity) for purposes of chapter 3 or 4. Also
partnership (other than a WP), a foreign simple or grantor see the Instructions for Form W-8IMY for information on
trust (other than a WT), and, for any payments for which a the box that an NQI may check on the form when
treaty benefit is claimed, any entity to the extent it is providing an alternative withholding statement.
treated as fiscally transparent under the laws of the treaty
jurisdiction, as provided in section 894 and the regulations If you are a participating FFI or registered
thereunder (without regard to whether it is fiscally deemed-compliant FFI, you may also request Form
transparent under the laws of the United States). See W-8IMY from an intermediary or flow-through entity that is
Section 1446 Requirements, later, for when an an account holder to establish its chapter 4 status or
intermediary, partnership or trust is required to provide a status under an applicable IGA even when no payments
Form W-8IMY for purposes of sections 1446(a) and (f). As subject to withholding or domestic information reporting
provided in Notice 2020-2, Form W-8IMY may also be under chapter 61 are made to the account. In such a case,
provided by an entity to claim chapter 3 status as a QSL a withholding statement is not required.
Inst. for the Requester of Forms W-8 (Rev. June 2022) -13-
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Notes for Validating Form W-8IMY the necessary information with respect to the treaty claim
required in Part III of Form W-8BEN-E and its FTIN (when
In addition to the validation requirements for Forms
otherwise required) on a QDD withholding statement or
W-8IMY described directly below with respect to QIs
separate statement. In such case, the portion of the
(including QDDs), flow-through entities, NQIs, U.S.
certificate making a claim for treaty benefits is valid until
branches, territory financial institutions, and QSLs
the end of the third calendar year following the year in
providing the form (requirements that apply for chapters 3
which the Form W-8IMY is signed (unless a change in
and 4 and Form 1099 reporting), see Section 1446
circumstances occurs sooner), and the validation rules for
Requirements, later, if you pay an amount realized or an
a treaty claim apply. A QDD may instead provide a
amount distributed by a PTP (PTP distribution) to any of
separate Form W-8BEN-E to make the treaty claim. You
these entities, or are otherwise a partnership determining
may otherwise treat a Form W-8IMY provided by a QDD
its withholding under section 1446(a).
(other than a flow-through entity or disregarded entity) as
QIs, WPs, and WTs (in general). A QI, WP, or WT a beneficial owner withholding certificate for establishing
acting in its capacity as such must provide the EIN that foreign status of the QDD for a payment of U.S. source
was issued to the entity in such capacity (that is, its FDAP income (as long as the QDD provides its FTIN
QI-EIN, WP-EIN, or WT-EIN) on Form W-8IMY and not (when otherwise required) on a QDD withholding
any other EIN it may have in its NQI, nonwithholding statement or a separate statement). A QDD that is
foreign partnership, or nonwithholding foreign trust receiving payments that it beneficially owns that are not
capacity. Because status as a QI, WP, or WT for a covered by its QI agreement should provide the
financial institution is limited to certain classes of FFIs, if appropriate Form W-8 based on its status (and not Form
you are making a withholdable payment to a QI, WP, or W-8IMY). The QDD must provide to you a withholding
WT that is a financial institution, you must verify that the statement to identify the home office or branch that is
QI, WP, or WT certifies its status as one of the permitted treated as the owner for U.S. income tax purposes and, in
classes in Regulations sections 1.1441-1(e)(5)(ii) (for a certain circumstances (described in the Instructions for
QI), 1.1441-5(c)(2)(ii) (for a WP), or 1.1441-5(e)(5)(v) (for Form W-8IMY), the QDD’s FTIN (or a reasonable
a WT) and provides its GIIN (except in the case of certain explanation for why it has not been issued an FTIN, if
foreign central banks of issue and retirement funds). required). Notwithstanding the preceding sentence, a
If a QI checks line 15f of Part III of the form to certify QDD withholding statement need not identify the branch
that it assumes primary Form 1099 reporting and backup or home office of the QDD if the form is provided only for
withholding responsibility, you may accept the form even if payments beneficially owned by the QDD (and an FTIN is
you do not know if there are any U.S. accounts receiving provided when required). See Foreign TINs, earlier, for
reportable payments at the time of the certification. If a QI when you must treat the form as invalid if an FTIN or
does not check line 15f or 15g of Part III of the form, you reasonable explanation is not provided.
must confirm that the QI is not receiving payments for U.S. QIs assuming withholding on payments of
accounts that are reportable on Form 1099, and the QI substitute interest. If a QI represents its status as a QI
must provide an updated Form W-8IMY or must provide a on a Form W-8IMY with respect to payments of interest
withholding statement if it allocates payments to such and substitute interest and checks line 15e of Part III of
accounts for which it does not assume primary the form, you may treat the QI as assuming withholding for
withholding responsibility. A QI may check line 15i of Part payments of interest and substitute interest it receives
III of the form to indicate that it allocates a portion of the from you in connection with a sale-repurchase or similar
payment to a chapter 4 withholding rate pool of U.S. agreement, a securities lending transaction, or collateral
payees that includes account holders of another that the QI holds in connection with its activities as a
intermediary or flow-through entity even if the withholding dealer in securities. You may accept this representation
statement does not show any intermediaries or regardless of whether the QI represents it acts as a QDD
flow-through entities at the time the certification is (by checking line 16a in Part III). The representation on
provided. However, a QI is not required to check line 15i Line 15e does not apply to payments made to a QI when
of Part III of the form until it provides a withholding acting as a QDD.
statement identifying an intermediary or flow-through QSLs. If you make payment of a U.S. source substitute
entity that receives a payment allocated to a chapter 4 dividend to a QSL (prior to January 1, 2023), the QSL is
withholding rate pool of U.S. payees. required to provide its U.S. TIN. If you make a payment to
QIs acting as QDDs. You should only accept a Form a QSL (prior to January 1, 2023) that is a withholdable
W-8IMY from a QI acting as a QDD to the extent you are payment, you must collect a Form W-8IMY that includes
making payments with respect to potential section 871(m) the QSL’s chapter 4 status and GIIN (as applicable) to
transactions or underlying securities to the QDD when the avoid withholding under chapter 4. A QSL that is a QI
entity claims QDD status in Part III of the form. A QDD should check line 15d of Part III of the form and a QSL that
must indicate its entity classification on line 16b of the is an NQI should check line 17d of Part IV of the form
form. If you are making such payment that is an amount regardless of whether the QSL acts as an intermediary.
subject to chapter 3 withholding to a QI that is acting as a You may not associate a Form W-8IMY from a QSL with a
QDD and the QDD is claiming treaty benefits applicable to payment of a substitute dividend on or after January 1,
the status identified on line 16b on the payment, you may 2023, and you should obtain a revised withholding
treat the Form W-8IMY as a beneficial owner withholding certificate.
certificate and provide such benefits if the QDD provides a
statement associated to the Form W-8IMY that includes
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For information on transition rules that apply until 2023 An intermediary or flow-through entity that is a
for withholding agents to apply with respect to QSLs, see participating FFI or registered deemed-compliant FFI may
Notice 2020-2. provide a status for chapter 4 purposes found under the
requirements of (and documentation or information that is
U.S. branches. If you make a payment to a U.S. branch
publicly available that determines the chapter 4 status of
of a foreign bank or insurance company that represents
the payee permitted under) an applicable IGA for an
that it is acting as an intermediary and has agreed to be
account holder, and you may rely upon such status and
treated as a U.S. person, for chapter 3 and 4 for payments
documentation, provided that you have the information
associated with this form (by checking line 19a in Part VI
necessary to report on Form 1042-S. Additionally, see
of this form) you are not required to obtain the GIIN or
Alternative Certifications Under an Applicable IGA, earlier,
chapter 4 status of the entity, but you must obtain the U.S.
for further details on alternative certifications.
branch’s EIN. If you make a withholdable payment to a
U.S. branch of an FFI that is acting as an intermediary and In general, if you make a withholdable payment to an
that does not agree to be treated as a U.S. person, the intermediary or flow-through entity that is a participating
branch must provide its EIN (but does not need to provide FFI or registered deemed-compliant FFI, the FFI may
a GIIN or chapter 4 status) and certify that the branch is provide an FFI withholding statement that allocates a
applying the rules described in Regulations section portion of the payment to a chapter 4 withholding rate
1.1471-4(d)(2)(iii)(C) by checking the box on line 19c in pool. If an intermediary provides with its Form W-8IMY an
Part VI of the form. If you do not obtain the certification FFI withholding statement that allocates a portion of the
from a U.S. branch described in the preceding sentence, payment to a chapter 4 withholding rate pool of U.S.
you must treat the branch as a nonparticipating FFI and payees, the FFI must provide a chapter 4 status on line 5.
withhold under chapter 4 on withholdable payments made If the intermediary described in the preceding sentence is
to the branch. You are not required to treat as invalid a an NQI, it must provide the certification required in Part IV
Form W-8IMY from an account holder that completes Part with respect to its compliance with the requirements of
VI of the form (to the extent required) but does not Regulations section 1.6049-4(c)(4) (or similar
complete Part II of the form. requirements under chapter 61 for a payment other than
interest). If the intermediary is a QI, it must certify that it
Territory financial institutions acting as intermedia- meets the requirements of Regulations section
ries. If you make a payment to a territory financial 1.6049-4(c)(4)(iii) and, to the extent the U.S. payees are
institution acting as an intermediary, you must obtain the account holders of an intermediary or flow-through entity
territory financial institution’s EIN if it agrees to be treated receiving a payment from the QI, the QI has obtained or
as a U.S. person for chapters 3 and 4 for payments will obtain documentation sufficient to establish each such
associated with this form (by checking line 18b of Part V of intermediary or flow-through entity status as a
the form). You are not required to obtain a GIIN from a participating FFI, registered deemed-compliant FFI, or FFI
territory financial institution. that is a QI. An allocation of a payment shown on a
Participating FFIs and registered deemed-compliant withholding statement and made on or after April 1, 2017,
FFIs that are flow-through entities or acting as inter- to an NQI, nonwithholding foreign partnership, or
mediaries. If a participating FFI or registered nonwithholding foreign trust of an amount subject to
deemed-compliant FFI that is an intermediary or chapter 3 withholding to a chapter 4 withholding rate pool
flow-through entity provides you with a withholding of U.S. payees must identify the payees consistent with
statement and documentation for its account holders or the description in Regulations section 1.1471-3(c)(3)(iii)
payees, you are not required to verify the information on (B)(2)(iii) (describing account holders of an FFI that is a
the account holders or payees provided in the non-U.S. payor that are not subject to withholding under
documentation for chapter 4 purposes unless the chapter 3 or 4 or under section 3406, and that are holders
information in the documentation is facially incorrect, and of U.S. accounts reported by the FFI under its Foreign
you are not required to obtain additional documentation Account Tax Compliance Act (FATCA) requirements as a
for an account holder or payee in addition to the participating FFI or registered deemed-compliant FFI).
withholding certificate unless you are obtaining the
documentation for purposes of chapter 3 or 61, or unless Section 1446 Requirements
you know that the documentation review conducted by the
Section 1446(a) requirements in general. You
participating FFI or registered deemed-compliant FFI was
should request Form W-8IMY for purposes of section
not adequate for purposes of chapter 4. See Regulations
1446(a) only from a foreign upper-tier partnership or
section 1.1441-7(b)(10) for the due diligence
foreign grantor trust or from a simple trust if you do not
requirements for indirect account holders for purposes of
obtain a Form W-8BEN-E from the trust. You may also
chapter 3 and see Regulations section 1.1471-3(e)(4)(vi)
accept a Form W-8IMY from a foreign intermediary
(B) for standards that apply in such case to determine
holding a partnership interest for a partner (including a
whether chapter 4 withholding applies. You may rely on
partner that is an upper-tier partnership or trust) for
documentation that does not include a chapter 4 status for
determining your withholding under section 1446(a).
an account holder of an intermediary or flow-through
Generally, for purposes of section 1446(a), the Form
entity that is an FFI when the withholding statement
W-8IMY submitted by these entities is used to transmit the
provided by such entity indicates that the payment is
forms of the owners of these entities (excluding a
made to an account excluded as a financial account under
partnership that is a PTP and a simple trust when a Form
Regulations section 1.1471-5(b)(2).
W-8IMY is provided). The other forms should be
accompanied with the information necessary to reliably
Inst. for the Requester of Forms W-8 (Rev. June 2022) -15-
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associate your effectively connected partnership items purposes of withholding on an amount realized on the
with the upper-tier partners, in the case of a foreign distribution (that is, you must withhold at the 10% rate on
upper-tier partnership, and the grantor or other owner, in an amount to which section 1446(f) applies without regard
the case of a foreign grantor trust. Then you must look to underlying payee information).
through these entities to the beneficial owners when You may also accept a Form W-8IMY that is associated
determining your section 1446(a) tax obligation. A with a PTP distribution from a U.S. branch that acts as
domestic upper-tier partnership may also provide you this nominee for a PTP distribution by checking line 19e. If the
information by attaching it to a Form W-9 with a statement U.S. branch does not act as a nominee for the distribution
that it is electing to apply these look through rules. Under by checking line 19f, you may rely on specific payee
those circumstances you may, but are not required to, pay documentation provided by the U.S. branch with the form
the section 1446(a) withholding tax of the foreign partners to the same extent described in the preceding paragraph
of the domestic upper-tier partnership. See Regulations with respect to an NQI to which you pay a PTP
section 1.1446-5. distribution. You must apply similar rules in the case of a
Section 1446(a) (PTP Distributions). Form W-8IMY associated with the distribution that is
Notwithstanding the preceding paragraph, for an amount provided by a territory financial institution.
subject to section 1446(a) withholding on a PTP
Although you may accept a Form W-8IMY that is
distribution, you may accept a Form W-8IMY from a QI
associated from a PTP distribution from an entity that
that acts as a nominee for the distribution by checking
represents its status as a WP or WT, you may not treat the
lines 14 and 15c. In such a case, you must treat the QI as
entity as a WP or WT except for the amount of the
assuming all withholding on the distribution (that is,
distribution subject to withholding under chapter 3 or 4.
amounts subject to chapters 3 and 4 withholding on the
For a nonwithholding partnership or trust to which you pay
distribution in addition to amounts subject to sections a PTP distribution that checks line 21b, see Section 1446
1446(a) and (f) withholding on the distribution). You may
Requirements, earlier. See the requirements of chapters
accept this representation regardless of whether the QI
3, 4 and section 1446(f) for when you can rely on partner,
assumes primary withholding for other payments subject
owner or beneficiary information for amounts subject to
to chapters 3 and 4 withholding by checking line 15a. You
withholding under those provisions on a PTP distribution.
may also accept a Form W-8IMY that is associated with a
Section 1446(f) (PTP interest transfer). For
PTP distribution from any entity that represents its status
purposes of section 1446(f), you should request a Form
as a QI on line 14 but that does not check line 15c for
W-8IMY from a partner that is a foreign partnership that
purposes of your relying on chapters 3 and 4 withholding
transfers an interest in a partnership if you are either the
rate pool information provided by the QI (similar to a case
transferee of the interest (for a partnership other than a
in which a QI does not assume primary withholding for
PTP) or a broker for the partner that sells a PTP interest.
chapters 3 and 4 purposes except that each U.S. partner
You should request the Form W-8IMY from the foreign
must be disclosed). A QI that represents its status as a QI
partnership regardless of whether the partnership
on line 14 of a Form W-8IMY that is associated with a PTP
provides with the form the partner information for allowing
distribution may instead, however, act as a disclosing QI
withholding on a modified amount realized under
for the distribution by not acting as a nominee and
Regulations section 1.1446(f)-2(c) or 1.1446(f)-4(c). See
providing specific payee information to you with its
the Instructions for Form W-8IMY for requirements
withholding statement with respect to its account holders
regarding a withholding statement for purposes of the
that are partners in the PTP (and may only provide
modified amount realized procedures (which requires a
chapter 4 withholding rate pool information when
withholding statement allocating gain from the transfer).
permitted under chapter 4 for a withholdable payment).
For a partner that is a foreign grantor trust, you should
You may not, however, rely on an allocation of a PTP
request a Form W-8IMY from the trust and either a Form
distribution made to a chapter 4 withholding rate pool of
W-8 or W-9 with respect to each grantor or owner of the
U.S. payees (that is, each U.S. partner must be
trust (as the grantor/owner is the transferor). Alternatively,
disclosed). Regardless of whether the QI acts as a
you may request the Form W-8 or W-9 directly from each
disclosing QI, you must determine each amount subject to
grantor or owner. For a partner that is a foreign simple
withholding on the PTP distribution by reference to the
trust, you may request either a Form W-8IMY or
qualified notice issued for the distribution (or, if you
W-8BEN-E from the trust; you do not need to request a
receive the distribution from a nominee, the nominee's
withholding statement or underlying documentation for the
determination) rather than relying on a determination of
trust beneficiaries, however, as the simple trust is the
those amounts by the QI (to avoid withholding under the
transferor and may not use the modified amount realized
default rule in Regulations section 1.1446-4).
procedures described earlier in this paragraph.
If the entity checks its status as an NQI in box 17a of
If you are a broker paying an amount realized from the
Part IV, you must treat the entity as an NQI for a PTP
sale of a PTP interest to a broker that is a foreign person,
distribution that is associated with the form. For
you should request a Form W-8IMY from the broker when
determining your withholding on the distribution, you may
withholding under section 1446(f) may apply (or otherwise
rely on specific payee information provided by the NQI
obtain a Form W-9 from a U.S. broker when required). If
with respect to the partners allocated the distribution on a
the foreign broker is a QI (by checking line 14), you may
withholding statement provided with the form and
accept a Form W-8IMY when the QI represents that it
chapter 4 withholding rate pool information to the extent
assumes primary withholding for the amount realized by
permitted for a QI (as described directly above), but may
checking line 15b. You may also accept a Form W-8IMY
not rely on that information and withholding statement for
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that is associated with an amount realized from the sale of with the Form W-8BEN-E for the hybrid entity. Line 10 of
a PTP interest from any entity that represents its status as the Form W-8BEN-E may be used by the hybrid entity to
a QI on line 14 that does not check line 15c for purposes associate the Forms W-8.
of relying on chapter 3 withholding rate pool information
provided by the QI (similar to a case in which a QI does A foreign reverse hybrid entity is an entity that is a
not assume primary withholding for a PTP distribution). corporation for U.S. tax purposes but is fiscally
You may instead rely on specific payee information transparent under the tax laws of a country with which the
provided by a QI that acts as a disclosing QI for an United States has an income tax treaty. If a foreign
amount realized (or a chapter 4 withholding rate pool reverse hybrid entity is receiving a payment for which the
when permitted for chapter 4). If the foreign broker is an entity is claiming a reduced rate of withholding for its
NQI, you may accept a Form W-8IMY associated with an owners, you must obtain from the entity a Form W-8IMY
amount realized when the NQI checks box 17a, although (including its chapter 4 status if the payment is a
you must determine your withholding under section withholdable payment) along with a withholding statement
1446(f) without regard to whether the NQI provides and documentation for each owner for which the entity
specific payee information with respect to the partners claims treaty benefits. If a foreign reverse hybrid entity is
allocated the amount. See the Instructions for Form receiving a withholdable payment and is not claiming
W-8IMY for when you may rely on payee information treaty benefits on behalf of any of its owners, you should
provided by an NQI solely for purposes of reporting on the obtain only a Form W-8BEN-E from the entity to establish
payees on Form 1042-S. This same withholding its chapter 4 status.
requirement (and reporting allowance) applies to a broker
that is a U.S. branch or territory financial institution that Substitute Forms W-8 for Payments
provides a Form W-8IMY for an amount realized from the
sale of a PTP interest and does not act as a U.S. person of Reportable Amounts and
for the amount by checking line 19d (for a U.S. branch) or Withholdable Payments
line 18d (for a territory financial institution). You may develop and use your own Form W-8 (a
In the case of a PTP distribution, you need not substitute form) for chapters 3 and 4 purposes and for
TIP withhold under section 1446(f) in any case section 1446(a) and (f) purposes if its content is
described in Section 1446(a) (PTP distributions) substantially similar to the IRS's official Form W-8 (to the
above (or on any other transferor) when the PTP does not extent required by these instructions), it satisfies certain
indicate on the qualified notice for the distribution an certification requirements, and it includes a signature
amount that is in excess of its cumulative net income. See under a penalties of perjury statement that is identical to
Regulations section 1.1446(f)-4(c)(2). See, however, the one stated on the official form. You may develop and
Regulations section 1.1446-4(d)(1) for withholding use a substitute form that is in a foreign language,
requirements when a nominee does not receive a provided that you make an English translation of the form
qualified notice or the notice does not specify an amount and its contents available to the IRS upon request. You
included in a distribution. may combine multiple Forms W-8 into a single substitute
form.
Requirements for Hybrid and Reverse Hybrid
A form that satisfies these substitute forms
Entities requirements may be treated as a similar agreed form for
A hybrid entity is an entity that is treated as fiscally purposes of an applicable IGA unless the partner
transparent under the Code but is not treated as fiscally jurisdiction declines such treatment.
transparent under the tax laws of a country with which the
United States has an income tax treaty. A substitute form does not need to contain all of the
provisions contained on the official form, so long as it
If you are making a payment to a foreign hybrid entity contains those provisions that are relevant to the
that is making a claim for treaty benefits on its own behalf, transaction for which it is furnished. You may omit the
the hybrid entity should provide a Form W-8BEN-E to chapter 4 certifications on your substitute form if such
claim treaty benefits. If the hybrid entity is a flow-through certifications are not required based on the payments
entity (not a disregarded entity) claiming treaty benefits on made to the payees. If you are an FFI documenting the
its own behalf on a payment that is a withholdable chapter 4 status of your account holders under your
payment, it should also provide you a Form W-8IMY chapter 4 requirements or an applicable IGA, however,
(including its chapter 4 status) along with a withholding you may not omit the chapter 4 certifications. If you are
statement (if required) establishing the chapter 4 status of making a withholdable payment, you may choose to
each of its partners or owners to determine whether provide a substitute form that does not include all of the
withholding applies to any portion of the payment. chapter 4 statuses provided on the Form W-8, but the
Allocation information is not required on this withholding substitute form must include any chapter 4 status for
statement unless one or more partners or owners are which withholding may apply.
subject to chapter 4 withholding. If the hybrid entity is a
disregarded entity claiming treaty benefits on a payment You may incorporate a substitute Form W-8 into other
that is a withholdable payment, unless the disregarded business forms you customarily use, such as account
entity is treated as the payee for chapter 4 purposes and signature cards, provided the required certifications are
has its own GIIN, the single owner should provide a Form clearly set forth. However, you may not:
W-8BEN-E or Form W-8BEN (as applicable) to you along
Inst. for the Requester of Forms W-8 (Rev. June 2022) -17-
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1. Use a substitute form that requires the payee, by If the substitute form is incorporated into other business
signing, to agree to provisions unrelated to the required forms, the following statement must be presented in the
certifications; or same manner as the penalties of perjury statement and
2. Imply that a person may be subject to 30% must appear immediately above the single signature line:
withholding or backup withholding unless that person “The Internal Revenue Service does not require your
agrees to provisions on the substitute form that are consent to any provisions of this document other than the
unrelated to the required certifications. certifications required to establish your status as a
non-U.S. person, establish your chapter 4 status (if
A substitute Form W-8 is valid only if it contains the required), and, if applicable, obtain a reduced rate of
same penalties of perjury statement and certifications as withholding.”
the official forms and the required signature. However, if
the substitute form is contained in some other business Substitute Form W-8ECI. The substitute Form W-8ECI
form, the words “information on this form” may be must contain all of the information required in Part I other
modified to refer to that portion of the business form than line 9. The certifications in Part II of Form W-8ECI
containing the substitute form information. The design of must be included in a substitute form.
the substitute form must be such that the information and If the substitute form is incorporated into other business
certifications that are being attested to by the penalties of forms, the following statement must be presented in the
perjury statement clearly stand out from any other same manner as the penalties of perjury statement and
information contained in the form. must appear immediately above the single signature line:
“The Internal Revenue Service does not require your
Content of Substitute Form consent to any provisions of this document other than the
Substitute Form W-8BEN. The substitute Form certifications required to establish your status as a
W-8BEN must contain all of the information required in non-U.S. person and that the income for which this form is
Part I, lines 1 through 8. The certifications in Part II must provided is effectively connected with the conduct of a
be included in a substitute form only if treaty benefits are trade or business within the United States.”
claimed, and then only to the extent that the certifications Substitute Form W-8EXP. The substitute Form W-8EXP
are required. For example, Form W-8BEN, line 10 must contain all of the information required in Part I, lines
(Special rates and conditions), is not required if the form is 1 through 5, line 7 (if a U.S. TIN is required), and line 8.
being requested from an individual receiving a payment of See, however, Substitute Forms W-8 for Payments of
U.S. source dividends from stocks that are actively traded Reportable Amounts and Withholdable Payments, earlier,
on an established securities market. The substitute Form for when you may omit a chapter 4 certification on a
W-8BEN must include a statement that if the person substitute Form W-8. The substitute Form W-8EXP must
providing the form is a resident in a FATCA partner also contain all of the statements and certifications
jurisdiction (that is, a Model 1 IGA jurisdiction with contained in Parts II and III, as applicable, with respect to
reciprocity), certain tax account information may be the purpose for which the form is provided, but a specific
provided to the jurisdiction of residence. statement or certification needs to be included (in its
The substitute form must contain the penalties of entirety) only if it is relevant to the type of entity providing
perjury statement identical to the statement on the official the form. For example, if a withholding agent is
Form W-8BEN. Additionally, if the substitute form is documenting a beneficial owner that is a foreign
incorporated into other business forms, the following government for purposes of both chapters 3 and 4, the
statement must be presented in the same manner as the withholding agent may use a substitute Form W-8EXP
penalties of perjury statement and must appear that contains the required information in Part I, plus the
immediately above the single signature line: “The Internal required statements and certifications from Parts II and III
Revenue Service does not require your consent to any that are related to foreign governments, and does not
provisions of this document other than the certifications need to include the statements and certifications for other
required to establish your status as a non-U.S. individual types of entities that would otherwise be providing the
and, if applicable, obtain a reduced rate of withholding.” Form W-8EXP.
Substitute Form W-8BEN-E. The substitute Form If the substitute form is incorporated into other business
W-8BEN-E must contain all of the information required in forms, the following statement must be presented in the
Part I, lines 1 through 6, and lines 8 and 9 if a U.S. or an same manner as the penalties of perjury statement and
FTIN or a GIIN is required. See, however, Substitute must appear immediately above the single signature line:
Forms W-8 for Payments of Reportable Amounts and “The Internal Revenue Service does not require your
Withholdable Payments, earlier, for when you may omit a consent to any provisions of this document other than the
chapter 4 certification on a substitute Form W-8. The certifications required to establish your status as a foreign
certifications in Part II must be included in a substitute government, international organization, foreign central
form if you are making a withholdable payment to a bank of issue, foreign tax-exempt organization, foreign
disregarded entity or a branch that must be reported in private foundation, or government of a U.S. possession,
Part II. The certifications in Part III must be included only if and your chapter 4 status (if required).”
treaty benefits are claimed, and then only to the extent Substitute Form W-8IMY. The substitute Form W-8IMY
that the certifications are required. See Alternative must contain all of the information required in Part I, lines
Certifications Under an Applicable IGA, earlier, for 1 through 6, line 8 (if a U.S. TIN is required), and line 9 (if
circumstances in which the chapter 4 certifications may a GIIN is required). See, however, Substitute Forms W-8
be replaced with alternative certifications.
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for Payments of Reportable Amounts and Withholdable an NQI, a specific type of U.S. branch, a withholding
Payments, earlier, for when you may omit a chapter 4 foreign partnership, a withholding foreign trust, a
certification on a substitute Form W-8. The information nonwithholding foreign partnership, a nonwithholding
required in Part II must be included in a substitute form if foreign simple trust, or a nonwithholding foreign grantor
you are making a withholdable payment to a disregarded trust; (2) your chapter 4 status; and/or (3) your status as a
entity that has its own GIIN or a branch (including a QSL (for the period such status is permitted).”
branch that is a disregarded entity that does not have its
own GIIN) operating in a jurisdiction other than the Non-IRS Form for Individuals Not Receiving
jurisdiction of residence of the entity named in Part I of the Reportable Amounts
form. The substitute Form W-8IMY must also contain all of If you are an FFI documenting an account holder that is an
the statements and certifications relevant to chapter 3 individual and you are not making a payment of a
contained in Parts III through VIII if you are making a reportable amount to such account holder, you may use a
payment subject to withholding under chapter 3 and the non-IRS form rather than a substitute Form W-8BEN. The
statements and certifications relevant to the chapter 4 form must include the name and address of the individual
status contained in Parts IX through XXVIII for the that is the payee or beneficial owner; all countries in which
intermediary or flow-through entity providing the form if the individual is resident for tax purposes; the individual’s
you are making a withholdable payment or if you are an country of birth; a TIN, if any, for each country of
FFI documenting your account holders for purposes of residence; and the individual’s date of birth. The form may
chapter 4 or an applicable IGA. For example, if the only also request other information required for purposes of tax
intermediaries to which a U.S. withholding agent makes or anti-money laundering (AML) due diligence in the
payments are QIs that are participating FFIs, the United States or in other countries. A form that satisfies
withholding agent may use a substitute Form W-8IMY that these requirements may be treated as a similar agreed
contains only the required information from Part I form for purposes of an applicable IGA unless the partner
(including line 9 to collect the intermediaries’ GIINs), plus jurisdiction declines such treatment.
the statements and certifications from Part III. A substitute
Form W-8IMY must also incorporate the same Generally, a non-IRS form for individuals must contain
attachments as the official form (such as a withholding a signed and dated certification made under penalties of
statement and beneficial owner documentation, to the perjury that the information provided on the form is
extent otherwise required). You may also include any accurate and will be updated by the individual within 30
information on a substitute Form W-8IMY, or require any days of a change in circumstances that causes the form to
information to be associated with the form, that is become incorrect. However, the signed certification
reasonably related to your obligation to withhold and provided on a form need not be signed under penalties of
correctly report payments. perjury if the form is accompanied by documentary
evidence that supports the individual’s claim of foreign
If the substitute form is incorporated into other business
status. Such documentary evidence may be the same
forms, the following statement must be presented in the
documentary evidence that is used to support foreign
same manner as the penalties of perjury statement and
status in the case of a payee whose account has U.S.
must appear immediately above the single signature line:
indicia as described in Regulations sections 1.1471-3(e)
“The Internal Revenue Service does not require your
and 1.1471-4(c)(4)(i)(A).
consent to any provisions of this document other than the
certifications required to establish: (1) your status as a QI,
Inst. for the Requester of Forms W-8 (Rev. June 2022) -19-
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Form W-8BEN Certificate of Foreign Status of Beneficial Owner for United
States Tax Withholding and Reporting (Individuals)
(Rev. October 2021) ▶ For use by individuals. Entities must use Form W-8BEN-E. OMB No. 1545-1621
▶
Department of the Treasury Go to www.irs.gov/FormW8BEN for instructions and the latest information.
Internal Revenue Service ▶ Give this form to the withholding agent or payer. Do not send to the IRS.
Do NOT use this form if: Instead, use Form:
• You are NOT an individual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W-8BEN-E
• You are a U.S. citizen or other U.S. person, including a resident alien individual . . . . . . . . . . . . . . . . . . . W-9
• You are a beneficial owner claiming that income is effectively connected with the conduct of trade or business within the United States
(other than personal services) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W-8ECI
• You are a beneficial owner who is receiving compensation for personal services performed in the United States . . . . . . . 8233 or W-4
• You are a person acting as an intermediary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W-8IMY
Note: If you are resident in a FATCA partner jurisdiction (that is, a Model 1 IGA jurisdiction with reciprocity), certain tax account information may be
provided to your jurisdiction of residence.
Part I Identification of Beneficial Owner (see instructions)
1 Name of individual who is the beneficial owner 2 Country of citizenship
3 Permanent residence address (street, apt. or suite no., or rural route). Do not use a P.O. box or in-care-of address.
City or town, state or province. Include postal code where appropriate. Country
4 Mailing address (if different from above)
City or town, state or province. Include postal code where appropriate. Country
5 U.S. taxpayer identification number (SSN or ITIN), if required (see instructions)
6a Foreign tax identifying number (see instructions) 6b Check if FTIN not legally required . . . . . . . . . . .
7 Reference number(s) (see instructions) 8 Date of birth (MM-DD-YYYY) (see instructions)
Part II Claim of Tax Treaty Benefits (for chapter 3 purposes only) (see instructions)
9 I certify that the beneficial owner is a resident of within the meaning of the income tax
treaty between the United States and that country.
10 Special rates and conditions (if applicable—see instructions): The beneficial owner is claiming the provisions of Article and paragraph
of the treaty identified on line 9 above to claim a % rate of withholding on (specify type of income):
.
Explain the additional conditions in the Article and paragraph the beneficial owner meets to be eligible for the rate of withholding:
Part III Certification
Under penalties of perjury, I declare that I have examined the information on this form and to the best of my knowledge and belief it is true, correct, and complete. I further certify under penalties of perjury that:
• I am the individual that is the beneficial owner (or am authorized to sign for the individual that is the beneficial owner) of all the income or proceeds to which this form
relates or am using this form to document myself for chapter 4 purposes;
• The person named on line 1 of this form is not a U.S. person;
• This form relates to:
(a) income not effectively connected with the conduct of a trade or business in the United States;
(b) income effectively connected with the conduct of a trade or business in the United States but is not subject to tax under an applicable income tax treaty;
(c) the partner’s share of a partnership’s effectively connected taxable income; or
(d) the partner’s amount realized from the transfer of a partnership interest subject to withholding under section 1446(f);
• The person named on line 1 of this form is a resident of the treaty country listed on line 9 of the form (if any) within the meaning of the income tax treaty between the United States and that country; and
• For broker transactions or barter exchanges, the beneficial owner is an exempt foreign person as defined in the instructions.
Furthermore, I authorize this form to be provided to any withholding agent that has control, receipt, or custody of the income of which I am the beneficial owner or any withholding agent that can
disburse or make payments of the income of which I am the beneficial owner. I agree that I will submit a new form within 30 days if any certification made on this form becomes incorrect.
▲ I certify that I have the capacity to sign for the person identified on line 1 of this form.
Sign Here
Signature of beneficial owner (or individual authorized to sign for beneficial owner) Date (MM-DD-YYYY)
Print name of signer
For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 25047Z Form W-8BEN (Rev. 10-2021)
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Certificate of Foreign Person's Claim That Income Is Effectively
Form W-8ECI Connected With the Conduct of a Trade or Business in the United States
(Rev. October 2021) ▶ Section references are to the Internal Revenue Code. OMB No. 1545-1621
Department of the Treasury ▶Go to www.irs.gov/FormW8ECI for instructions and the latest information.
Internal Revenue Service ▶ Give this form to the withholding agent or payer. Do not send to the IRS.
Note: Persons submitting this form must file an annual U.S. income tax return to report income claimed to be effectively connected with a U.S. trade or business. See instructions.
Do not use this form for: Instead, use Form:
• A beneficial owner solely claiming foreign status or treaty benefits . . . . . . . . . . . . . . . . . W-8BEN or W-8BEN-E
• A foreign government, international organization, foreign central bank of issue, foreign tax-exempt organization, foreign private
foundation, or government of a U.S. possession claiming the applicability of section(s) 115(2), 501(c), 892, 895, or 1443(b) . . . . W-8EXP
Note: These entities should use Form W-8ECI if they received effectively connected income and are not eligible to claim an exemption for chapter 3
or 4 purposes on Form W-8EXP.
• A foreign partnership or a foreign trust (unless claiming an exemption from U.S. withholding on income effectively connected with the
conduct of a trade or business in the United States) . . . . . . . . . . . . . . . . . . . . . W-8BEN-E or W-8IMY
• A person acting as an intermediary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W-8IMY
Note: See instructions for additional exceptions.
Part I Identification of Beneficial Owner (see instructions)
1 Name of individual or organization that is the beneficial owner 2 Country of incorporation or organization
3 Name of disregarded entity receiving the payments (if applicable)
4 Type of entity (check the appropriate box):
Partnership Simple trust Complex trust Tax-exempt organization
Foreign Government - Controlled Entity Grantor trust Central bank of issue
Foreign Government - Integral Part International organization Corporation
Private foundation Individual Estate
5 Permanent residence address (street, apt. or suite no., or rural route). Do not use a P.O. box or in-care-of address.
City or town, state or province. Include postal code where appropriate. Country
6 Business address in the United States (street, apt. or suite no., or rural route). Do not use a P.O. box or in-care-of address.
City or town, state, and ZIP code
7 U.S. taxpayer identification number (required—see instructions) SSN or ITIN EIN
8a Foreign tax identifying number (FTIN) 8b Check if FTIN not legally required . . . . . . . . . . .
9 Reference number(s) (see instructions) 10 Date of birth (MM-DD-YYYY)
11 Specify each item of income that is, or is expected to be, received from the payer that is effectively connected with the conduct of a trade or
business in the United States (attach statement if necessary).
12 Check here to certify that: you are a dealer in securities (as defined in section 475(c)(1)); you are a transferor of an interest in a publicly traded partnership
(PTP) claiming an exception from withholding under Regulations section 1.1446(f)-4(b)(6); and any gain from the transfer of the PTP interest associated
with this form is effectively connected with the conduct of a trade or business within the United States without regard to section 864(c)(8). . . .
Part II Certification
Under penalties of perjury, I declare that I have examined the information on this form and to the best of my knowledge and belief it is true, correct, and
complete. I further certify under penalties of perjury that:
• I am the beneficial owner (or I am authorized to sign for the beneficial owner) of all the payments to which this form relates,
• The amounts for which this certification is provided are effectively connected with the conduct of a trade or business in the United States,
• The income for which this form was provided is includible in my gross income (or the beneficial owner’s gross income) for the taxable year, and
• The beneficial owner is not a U.S. person.
Sign
Furthermore, I authorize this form to be provided to any withholding agent that has control, receipt, or custody of the payments of which I am the
Here beneficial owner or any withholding agent that can disburse or make payments of the amounts of which I am the beneficial owner.
I agree that I will submit a new form within 30 days if any certification made on this form becomes incorrect.
I certify that I have the capacity to sign for the person identified on line 1 of this form.
Signature of beneficial owner (or individual authorized to sign for the beneficial owner) Print name Date (MM-DD-YYYY)
For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 25045D Form W-8ECI (Rev. 10-2021)
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Form W-8BEN-E Certificate of Status of Beneficial Owner for
(Rev. October 2021) United States Tax Withholding and Reporting (Entities) OMB No. 1545-1621
▶ For use by entities. Individuals must use Form W-8BEN. ▶Section references are to the Internal Revenue Code.
Department of the Treasury
▶
Internal Revenue Service Go to www.irs.gov/FormW8BENE for instructions and the latest information.
▶ Give this form to the withholding agent or payer. Do not send to the IRS.
Do NOT use this form for: Instead use Form:
• U.S. entity or U.S. citizen or resident . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W-9
• A foreign individual . . . . . . . . . . . . . . . . . . . . . . . . . . . . W-8BEN (Individual) or Form 8233
• A foreign individual or entity claiming that income is effectively connected with the conduct of trade or business within the United States
(unless claiming treaty benefits) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W-8ECI
• A foreign partnership, a foreign simple trust, or a foreign grantor trust (unless claiming treaty benefits) (see instructions for exceptions) . . W-8IMY
• A foreign government, international organization, foreign central bank of issue, foreign tax-exempt organization, foreign private foundation, or
government of a U.S. possession claiming that income is effectively connected U.S. income or that is claiming the applicability of section(s) 115(2),
501(c), 892, 895, or 1443(b) (unless claiming treaty benefits) (see instructions for other exceptions) . . . . . . . . . W-8ECI or W-8EXP
• Any person acting as an intermediary (including a qualified intermediary acting as a qualified derivatives dealer) . . . . . . . . . W-8IMY
Part I Identification of Beneficial Owner
1 Name of organization that is the beneficial owner 2 Country of incorporation or organization
3 Name of disregarded entity receiving the payment (if applicable, see instructions)
4 Chapter 3 Status (entity type) (Must check one box only): Corporation Partnership
Simple trust Tax-exempt organization Complex trust Foreign Government - Controlled Entity
Central Bank of Issue Private foundation Estate Foreign Government - Integral Part
Grantor trust Disregarded entity International organization
If you entered disregarded entity, partnership, simple trust, or grantor trust above, is the entity a hybrid making a treaty claim? If “Yes,” complete Part III. Yes No
5 Chapter 4 Status (FATCA status) (See instructions for details and complete the certification below for the entity's applicable status.)
Nonparticipating FFI (including an FFI related to a Reporting IGA Nonreporting IGA FFI. Complete Part XII.
FFI other than a deemed-compliant FFI, participating FFI, or Foreign government, government of a U.S. possession, or foreign
exempt beneficial owner). central bank of issue. Complete Part XIII.
Participating FFI. International organization. Complete Part XIV.
Reporting Model 1 FFI. Exempt retirement plans. Complete Part XV.
Reporting Model 2 FFI. Entity wholly owned by exempt beneficial owners. Complete Part XVI.
Registered deemed-compliant FFI (other than a reporting Model 1 Territory financial institution. Complete Part XVII.
FFI, sponsored FFI, or nonreporting IGA FFI covered in Part XII). Excepted nonfinancial group entity. Complete Part XVIII.
See instructions. Excepted nonfinancial start-up company. Complete Part XIX.
Sponsored FFI. Complete Part IV. Excepted nonfinancial entity in liquidation or bankruptcy.
Certified deemed-compliant nonregistering local bank. Complete Complete Part XX.
Part V. 501(c) organization. Complete Part XXI.
Certified deemed-compliant FFI with only low-value accounts. Nonprofit organization. Complete Part XXII.
Complete Part VI. Publicly traded NFFE or NFFE affiliate of a publicly traded
Certified deemed-compliant sponsored, closely held investment corporation. Complete Part XXIII.
vehicle. Complete Part VII. Excepted territory NFFE. Complete Part XXIV.
Certified deemed-compliant limited life debt investment entity. Active NFFE. Complete Part XXV.
Complete Part VIII. Passive NFFE. Complete Part XXVI.
Certain investment entities that do not maintain financial accounts. Excepted inter-affiliate FFI. Complete Part XXVII.
Complete Part IX. Direct reporting NFFE.
Owner-documented FFI. Complete Part X. Sponsored direct reporting NFFE. Complete Part XXVIII.
Restricted distributor. Complete Part XI. Account that is not a financial account.
6 Permanent residence address (street, apt. or suite no., or rural route). Do not use a P.O. box or in-care-of address (other than a registered address).
City or town, state or province. Include postal code where appropriate. Country
7 Mailing address (if different from above)
City or town, state or province. Include postal code where appropriate. Country
For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 59689N Form W-8BEN-E (Rev. 10-2021)
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Form W-8BEN-E (Rev. 10-2021) Page 2
Part I Identification of Beneficial Owner (continued)
8 U.S. taxpayer identification number (TIN), if required
9a GIIN b Foreign TIN c Check if FTIN not legally required. . . . . . ▶
10 Reference number(s) (see instructions)
Note: Please complete remainder of the form including signing the form in Part XXX.
Part II Disregarded Entity or Branch Receiving Payment. (Complete only if a disregarded entity with a GIIN or a
branch of an FFI in a country other than the FFI’s country of residence. See instructions.)
11 Chapter 4 Status (FATCA status) of disregarded entity or branch receiving payment
Branch treated as nonparticipating FFI. Reporting Model 1 FFI. U.S. Branch.
Participating FFI. Reporting Model 2 FFI.
12 Address of disregarded entity or branch (street, apt. or suite no., or rural route). Do not use a P.O. box or in-care-of address (other than a
registered address).
City or town, state or province. Include postal code where appropriate.
Country
13 GIIN (if any)
Part III Claim of Tax Treaty Benefits (if applicable). (For chapter 3 purposes only.)
14 I certify that (check all that apply):
a The beneficial owner is a resident of within the meaning of the income tax
treaty between the United States and that country.
b The beneficial owner derives the item (or items) of income for which the treaty benefits are claimed, and, if applicable, meets the
requirements of the treaty provision dealing with limitation on benefits. The following are types of limitation on benefits provisions that may
be included in an applicable tax treaty (check only one; see instructions):
Government Company that meets the ownership and base erosion test
Tax-exempt pension trust or pension fund Company that meets the derivative benefits test
Other tax-exempt organization Company with an item of income that meets active trade or business test
Publicly traded corporation Favorable discretionary determination by the U.S. competent authority received
Subsidiary of a publicly traded corporation No LOB article in treaty
Other (specify Article and paragraph):
c The beneficial owner is claiming treaty benefits for U.S. source dividends received from a foreign corporation or interest from a U.S. trade
or business of a foreign corporation and meets qualified resident status (see instructions).
15 Special rates and conditions (if applicable—see instructions):
The beneficial owner is claiming the provisions of Article and paragraph
of the treaty identified on line 14a above to claim a % rate of withholding on (specify type of income):
Explain the additional conditions in the Article the beneficial owner meets to be eligible for the rate of withholding:
Part IV Sponsored FFI
16 Name of sponsoring entity:
17 Check whichever box applies.
I certify that the entity identified in Part I:
• Is an investment entity;
• Is not a QI, WP (except to the extent permitted in the withholding foreign partnership agreement), or WT; and
• Has agreed with the entity identified above (that is not a nonparticipating FFI) to act as the sponsoring entity for this entity.
I certify that the entity identified in Part I:
• Is a controlled foreign corporation as defined in section 957(a);
• Is not a QI, WP, or WT;
• Is wholly owned, directly or indirectly, by the U.S. financial institution identified above that agrees to act as the sponsoring entity for this entity; and
• Shares a common electronic account system with the sponsoring entity (identified above) that enables the sponsoring entity to identify all
account holders and payees of the entity and to access all account and customer information maintained by the entity including, but not limited
to, customer identification information, customer documentation, account balance, and all payments made to account holders or payees.
Form W-8BEN-E (Rev. 10-2021)
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Form W-8BEN-E (Rev. 10-2021) Page 3
Part V Certified Deemed-Compliant Nonregistering Local Bank
18 I certify that the FFI identified in Part I:
• Operates and is licensed solely as a bank or credit union (or similar cooperative credit organization operated without profit) in its country of
incorporation or organization;
• Engages primarily in the business of receiving deposits from and making loans to, with respect to a bank, retail customers unrelated to such
bank and, with respect to a credit union or similar cooperative credit organization, members, provided that no member has a greater than 5%
interest in such credit union or cooperative credit organization;
• Does not solicit account holders outside its country of organization;
• Has no fixed place of business outside such country (for this purpose, a fixed place of business does not include a location that is not
advertised to the public and from which the FFI performs solely administrative support functions);
• Has no more than $175 million in assets on its balance sheet and, if it is a member of an expanded affiliated group, the group has no more
than $500 million in total assets on its consolidated or combined balance sheets; and
• Does not have any member of its expanded affiliated group that is a foreign financial institution, other than a foreign financial institution that
is incorporated or organized in the same country as the FFI identified in Part I and that meets the requirements set forth in this part.
Part VI Certified Deemed-Compliant FFI with Only Low-Value Accounts
19 I certify that the FFI identified in Part I:
• Is not engaged primarily in the business of investing, reinvesting, or trading in securities, partnership interests, commodities, notional
principal contracts, insurance or annuity contracts, or any interest (including a futures or forward contract or option) in such security,
partnership interest, commodity, notional principal contract, insurance contract or annuity contract;
• No financial account maintained by the FFI or any member of its expanded affiliated group, if any, has a balance or value in excess of
$50,000 (as determined after applying applicable account aggregation rules); and
• Neither the FFI nor the entire expanded affiliated group, if any, of the FFI, have more than $50 million in assets on its consolidated or
combined balance sheet as of the end of its most recent accounting year.
Part VII Certified Deemed-Compliant Sponsored, Closely Held Investment Vehicle
20 Name of sponsoring entity:
21 I certify that the entity identified in Part I:
• Is an FFI solely because it is an investment entity described in Regulations section 1.1471-5(e)(4);
• Is not a QI, WP, or WT;
• Will have all of its due diligence, withholding, and reporting responsibilities (determined as if the FFI were a participating FFI) fulfilled by the
sponsoring entity identified on line 20; and
• 20 or fewer individuals own all of the debt and equity interests in the entity (disregarding debt interests owned by U.S. financial institutions,
participating FFIs, registered deemed-compliant FFIs, and certified deemed-compliant FFIs and equity interests owned by an entity if that
entity owns 100% of the equity interests in the FFI and is itself a sponsored FFI).
Part VIII Certified Deemed-Compliant Limited Life Debt Investment Entity
22 I certify that the entity identified in Part I:
• Was in existence as of January 17, 2013;
• Issued all classes of its debt or equity interests to investors on or before January 17, 2013, pursuant to a trust indenture or similar agreement; and
• Is certified deemed-compliant because it satisfies the requirements to be treated as a limited life debt investment entity (such as the
restrictions with respect to its assets and other requirements under Regulations section 1.1471-5(f)(2)(iv)).
Part IX Certain Investment Entities that Do Not Maintain Financial Accounts
23 I certify that the entity identified in Part I:
• Is a financial institution solely because it is an investment entity described in Regulations section 1.1471-5(e)(4)(i)(A), and
• Does not maintain financial accounts.
Part X Owner-Documented FFI
Note: This status only applies if the U.S. financial institution, participating FFI, or reporting Model 1 FFI to which this form is given has agreed that it will
treat the FFI as an owner-documented FFI (see instructions for eligibility requirements). In addition, the FFI must make the certifications below.
24a (All owner-documented FFIs check here) I certify that the FFI identified in Part I:
• Does not act as an intermediary;
• Does not accept deposits in the ordinary course of a banking or similar business;
• Does not hold, as a substantial portion of its business, financial assets for the account of others;
• Is not an insurance company (or the holding company of an insurance company) that issues or is obligated to make payments with respect to
a financial account;
• Is not owned by or in an expanded affiliated group with an entity that accepts deposits in the ordinary course of a banking or similar
business, holds, as a substantial portion of its business, financial assets for the account of others, or is an insurance company (or the holding
company of an insurance company) that issues or is obligated to make payments with respect to a financial account;
• Does not maintain a financial account for any nonparticipating FFI; and
• Does not have any specified U.S. persons that own an equity interest or debt interest (other than a debt interest that is not a financial
account or that has a balance or value not exceeding $50,000) in the FFI other than those identified on the FFI owner reporting statement.
Form W-8BEN-E (Rev. 10-2021)
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Form W-8BEN-E (Rev. 10-2021) Page 4
Part X Owner-Documented FFI (continued)
Check box 24b or 24c, whichever applies.
b I certify that the FFI identified in Part I:
• Has provided, or will provide, an FFI owner reporting statement that contains:
(i) The name, address, TIN (if any), chapter 4 status, and type of documentation provided (if required) of every individual and specified
U.S. person that owns a direct or indirect equity interest in the owner-documented FFI (looking through all entities other than specified
U.S. persons);
(ii) The name, address, TIN (if any), and chapter 4 status of every individual and specified U.S. person that owns a debt interest in the
owner-documented FFI (including any indirect debt interest, which includes debt interests in any entity that directly or indirectly owns
the payee or any direct or indirect equity interest in a debt holder of the payee) that constitutes a financial account in excess of
$50,000 (disregarding all such debt interests owned by participating FFIs, registered deemed-compliant FFIs, certified deemed-
compliant FFIs, excepted NFFEs, exempt beneficial owners, or U.S. persons other than specified U.S. persons); and
(iii) Any additional information the withholding agent requests in order to fulfill its obligations with respect to the entity.
• Has provided, or will provide, valid documentation meeting the requirements of Regulations section 1.1471-3(d)(6)(iii) for each person
identified in the FFI owner reporting statement.
c I certify that the FFI identified in Part I has provided, or will provide, an auditor's letter, signed within 4 years of the date of payment,
from an independent accounting firm or legal representative with a location in the United States stating that the firm or representative has
reviewed the FFI’s documentation with respect to all of its owners and debt holders identified in Regulations section 1.1471-3(d)(6)(iv)(A)(2),
and that the FFI meets all the requirements to be an owner-documented FFI. The FFI identified in Part I has also provided, or will provide,
an FFI owner reporting statement of its owners that are specified U.S. persons and Form(s) W-9, with applicable waivers.
Check box 24d if applicable (optional, see instructions).
d I certify that the entity identified on line 1 is a trust that does not have any contingent beneficiaries or designated classes with unidentified
beneficiaries.
Part XI Restricted Distributor
25a (All restricted distributors check here) I certify that the entity identified in Part I:
• Operates as a distributor with respect to debt or equity interests of the restricted fund with respect to which this form is furnished;
• Provides investment services to at least 30 customers unrelated to each other and less than half of its customers are related to each other;
• Is required to perform AML due diligence procedures under the anti-money laundering laws of its country of organization (which is an FATF-
compliant jurisdiction);
• Operates solely in its country of incorporation or organization, has no fixed place of business outside of that country, and has the same
country of incorporation or organization as all members of its affiliated group, if any;
• Does not solicit customers outside its country of incorporation or organization;
• Has no more than $175 million in total assets under management and no more than $7 million in gross revenue on its income statement for
the most recent accounting year;
• Is not a member of an expanded affiliated group that has more than $500 million in total assets under management or more than $20 million
in gross revenue for its most recent accounting year on a combined or consolidated income statement; and
• Does not distribute any debt or securities of the restricted fund to specified U.S. persons, passive NFFEs with one or more substantial U.S.
owners, or nonparticipating FFIs.
Check box 25b or 25c, whichever applies.
I further certify that with respect to all sales of debt or equity interests in the restricted fund with respect to which this form is furnished that are made
after December 31, 2011, the entity identified in Part I:
b Has been bound by a distribution agreement that contained a general prohibition on the sale of debt or securities to U.S. entities and U.S.
resident individuals and is currently bound by a distribution agreement that contains a prohibition of the sale of debt or securities to any
specified U.S. person, passive NFFE with one or more substantial U.S. owners, or nonparticipating FFI.
c Is currently bound by a distribution agreement that contains a prohibition on the sale of debt or securities to any specified U.S. person,
passive NFFE with one or more substantial U.S. owners, or nonparticipating FFI and, for all sales made prior to the time that such a
restriction was included in its distribution agreement, has reviewed all accounts related to such sales in accordance with the procedures
identified in Regulations section 1.1471-4(c) applicable to preexisting accounts and has redeemed or retired any, or caused the restricted
fund to transfer the securities to a distributor that is a participating FFI or reporting Model 1 FFI securities which were sold to specified U.S.
persons, passive NFFEs with one or more substantial U.S. owners, or nonparticipating FFIs.
Form W-8BEN-E (Rev. 10-2021)
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Form W-8BEN-E (Rev. 10-2021) Page 5
Part XII Nonreporting IGA FFI
26 I certify that the entity identified in Part I:
• Meets the requirements to be considered a nonreporting financial institution pursuant to an applicable IGA between the United States and
. The applicable IGA is a Model 1 IGA or a Model 2 IGA; and
is treated as a under the provisions of the applicable IGA or Treasury regulations
(if applicable, see instructions);
• If you are a trustee documented trust or a sponsored entity, provide the name of the trustee or sponsor .
The trustee is: U.S. Foreign
Part XIII Foreign Government, Government of a U.S. Possession, or Foreign Central Bank of Issue
27 I certify that the entity identified in Part I is the beneficial owner of the payment, and is not engaged in commercial financial activities of a
type engaged in by an insurance company, custodial institution, or depository institution with respect to the payments, accounts, or
obligations for which this form is submitted (except as permitted in Regulations section 1.1471-6(h)(2)).
Part XIV International Organization
Check box 28a or 28b, whichever applies.
28a I certify that the entity identified in Part I is an international organization described in section 7701(a)(18).
b I certify that the entity identified in Part I:
• Is comprised primarily of foreign governments;
• Is recognized as an intergovernmental or supranational organization under a foreign law similar to the International Organizations Immunities
Act or that has in effect a headquarters agreement with a foreign government;
• The benefit of the entity’s income does not inure to any private person; and
• Is the beneficial owner of the payment and is not engaged in commercial financial activities of a type engaged in by an insurance company,
custodial institution, or depository institution with respect to the payments, accounts, or obligations for which this form is submitted (except as
permitted in Regulations section 1.1471-6(h)(2)).
Part XV Exempt Retirement Plans
Check box 29a, b, c, d, e, or f, whichever applies.
29a I certify that the entity identified in Part I:
• Is established in a country with which the United States has an income tax treaty in force (see Part III if claiming treaty benefits);
• Is operated principally to administer or provide pension or retirement benefits; and
• Is entitled to treaty benefits on income that the fund derives from U.S. sources (or would be entitled to benefits if it derived any such income)
as a resident of the other country which satisfies any applicable limitation on benefits requirement.
b I certify that the entity identified in Part I:
• Is organized for the provision of retirement, disability, or death benefits (or any combination thereof) to beneficiaries that are former
employees of one or more employers in consideration for services rendered;
• No single beneficiary has a right to more than 5% of the FFI’s assets;
• Is subject to government regulation and provides annual information reporting about its beneficiaries to the relevant tax authorities in the
country in which the fund is established or operated; and
(i) Is generally exempt from tax on investment income under the laws of the country in which it is established or operates due to its status
as a retirement or pension plan;
(ii) Receives at least 50% of its total contributions from sponsoring employers (disregarding transfers of assets from other plans described
in this part, retirement and pension accounts described in an applicable Model 1 or Model 2 IGA, other retirement funds described in
an applicable Model 1 or Model 2 IGA, or accounts described in Regulations section 1.1471-5(b)(2)(i)(A));
(iii) Either does not permit or penalizes distributions or withdrawals made before the occurrence of specified events related to retirement,
disability, or death (except rollover distributions to accounts described in Regulations section 1.1471-5(b)(2)(i)(A) (referring to retirement
and pension accounts), to retirement and pension accounts described in an applicable Model 1 or Model 2 IGA, or to other retirement
funds described in this part or in an applicable Model 1 or Model 2 IGA); or
(iv) Limits contributions by employees to the fund by reference to earned income of the employee or may not exceed $50,000 annually.
c I certify that the entity identified in Part I:
• Is organized for the provision of retirement, disability, or death benefits (or any combination thereof) to beneficiaries that are former
employees of one or more employers in consideration for services rendered;
• Has fewer than 50 participants;
• Is sponsored by one or more employers each of which is not an investment entity or passive NFFE;
• Employee and employer contributions to the fund (disregarding transfers of assets from other plans described in this part, retirement and
pension accounts described in an applicable Model 1 or Model 2 IGA, or accounts described in Regulations section 1.1471-5(b)(2)(i)(A)) are
limited by reference to earned income and compensation of the employee, respectively;
• Participants that are not residents of the country in which the fund is established or operated are not entitled to more than 20% of the fund’s assets; and
• Is subject to government regulation and provides annual information reporting about its beneficiaries to the relevant tax authorities in the
country in which the fund is established or operates.
Form W-8BEN-E (Rev. 10-2021)
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Form W-8BEN-E (Rev. 10-2021) Page 6
Part XV Exempt Retirement Plans (continued)
d I certify that the entity identified in Part I is formed pursuant to a pension plan that would meet the requirements of section 401(a), other
than the requirement that the plan be funded by a trust created or organized in the United States.
e I certify that the entity identified in Part I is established exclusively to earn income for the benefit of one or more retirement funds
described in this part or in an applicable Model 1 or Model 2 IGA, or accounts described in Regulations section 1.1471-5(b)(2)(i)(A) (referring to
retirement and pension accounts), or retirement and pension accounts described in an applicable Model 1 or Model 2 IGA.
f I certify that the entity identified in Part I:
• Is established and sponsored by a foreign government, international organization, central bank of issue, or government of a U.S. possession
(each as defined in Regulations section 1.1471-6) or an exempt beneficial owner described in an applicable Model 1 or Model 2 IGA to provide
retirement, disability, or death benefits to beneficiaries or participants that are current or former employees of the sponsor (or persons
designated by such employees); or
• Is established and sponsored by a foreign government, international organization, central bank of issue, or government of a U.S. possession
(each as defined in Regulations section 1.1471-6) or an exempt beneficial owner described in an applicable Model 1 or Model 2 IGA to provide
retirement, disability, or death benefits to beneficiaries or participants that are not current or former employees of such sponsor, but are in
consideration of personal services performed for the sponsor.
Part XVI Entity Wholly Owned by Exempt Beneficial Owners
30 I certify that the entity identified in Part I:
• Is an FFI solely because it is an investment entity;
• Each direct holder of an equity interest in the investment entity is an exempt beneficial owner described in Regulations section 1.1471-6 or in
an applicable Model 1 or Model 2 IGA;
• Each direct holder of a debt interest in the investment entity is either a depository institution (with respect to a loan made to such entity) or an
exempt beneficial owner described in Regulations section 1.1471-6 or an applicable Model 1 or Model 2 IGA.
• Has provided an owner reporting statement that contains the name, address, TIN (if any), chapter 4 status, and a description of the type of
documentation provided to the withholding agent for every person that owns a debt interest constituting a financial account or direct equity
interest in the entity; and
• Has provided documentation establishing that every owner of the entity is an entity described in Regulations section 1.1471-6(b), (c), (d), (e),
(f) and/or (g) without regard to whether such owners are beneficial owners.
Part XVII Territory Financial Institution
31 I certify that the entity identified in Part I is a financial institution (other than an investment entity) that is incorporated or organized under
the laws of a possession of the United States.
Part XVIII Excepted Nonfinancial Group Entity
32 I certify that the entity identified in Part I:
• Is a holding company, treasury center, or captive finance company and substantially all of the entity’s activities are functions described in
Regulations section 1.1471-5(e)(5)(i)(C) through (E);
• Is a member of a nonfinancial group described in Regulations section 1.1471-5(e)(5)(i)(B);
• Is not a depository or custodial institution (other than for members of the entity’s expanded affiliated group); and
• Does not function (or hold itself out) as an investment fund, such as a private equity fund, venture capital fund, leveraged buyout fund, or any
investment vehicle with an investment strategy to acquire or fund companies and then hold interests in those companies as capital assets for
investment purposes.
Part XIX Excepted Nonfinancial Start-Up Company
33 I certify that the entity identified in Part I:
• Was formed on (or, in the case of a new line of business, the date of board resolution approving the new line of business)
(date must be less than 24 months prior to date of payment);
• Is not yet operating a business and has no prior operating history or is investing capital in assets with the intent to operate a new line of
business other than that of a financial institution or passive NFFE;
• Is investing capital into assets with the intent to operate a business other than that of a financial institution; and
• Does not function (or hold itself out) as an investment fund, such as a private equity fund, venture capital fund, leveraged buyout fund, or any
investment vehicle whose purpose is to acquire or fund companies and then hold interests in those companies as capital assets for investment purposes.
Part XX Excepted Nonfinancial Entity in Liquidation or Bankruptcy
34 I certify that the entity identified in Part I:
• Filed a plan of liquidation, filed a plan of reorganization, or filed for bankruptcy on ;
• During the past 5 years has not been engaged in business as a financial institution or acted as a passive NFFE;
• Is either liquidating or emerging from a reorganization or bankruptcy with the intent to continue or recommence operations as a nonfinancial
entity; and
• Has, or will provide, documentary evidence such as a bankruptcy filing or other public documentation that supports its claim if it remains in
bankruptcy or liquidation for more than 3 years.
Form W-8BEN-E (Rev. 10-2021)
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Part XXI 501(c) Organization
35 I certify that the entity identified in Part I is a 501(c) organization that:
• Has been issued a determination letter from the IRS that is currently in effect concluding that the payee is a section 501(c) organization that is
dated ; or
• Has provided a copy of an opinion from U.S. counsel certifying that the payee is a section 501(c) organization (without regard to whether the
payee is a foreign private foundation).
Part XXII Nonprofit Organization
36 I certify that the entity identified in Part I is a nonprofit organization that meets the following requirements.
• The entity is established and maintained in its country of residence exclusively for religious, charitable, scientific, artistic, cultural or educational purposes;
• The entity is exempt from income tax in its country of residence;
• The entity has no shareholders or members who have a proprietary or beneficial interest in its income or assets;
• Neither the applicable laws of the entity’s country of residence nor the entity’s formation documents permit any income or assets of the entity
to be distributed to, or applied for the benefit of, a private person or noncharitable entity other than pursuant to the conduct of the entity’s
charitable activities or as payment of reasonable compensation for services rendered or payment representing the fair market value of property
which the entity has purchased; and
• The applicable laws of the entity’s country of residence or the entity’s formation documents require that, upon the entity’s liquidation or
dissolution, all of its assets be distributed to an entity that is a foreign government, an integral part of a foreign government, a controlled entity
of a foreign government, or another organization that is described in this part or escheats to the government of the entity’s country of
residence or any political subdivision thereof.
Part XXIII Publicly Traded NFFE or NFFE Affiliate of a Publicly Traded Corporation
Check box 37a or 37b, whichever applies.
37a I certify that:
• The entity identified in Part I is a foreign corporation that is not a financial institution; and
• The stock of such corporation is regularly traded on one or more established securities markets, including
(name one securities exchange upon which the stock is regularly traded).
b I certify that:
• The entity identified in Part I is a foreign corporation that is not a financial institution;
• The entity identified in Part I is a member of the same expanded affiliated group as an entity the stock of which is regularly traded on an
established securities market;
• The name of the entity, the stock of which is regularly traded on an established securities market, is ; and
• The name of the securities market on which the stock is regularly traded is .
Part XXIV Excepted Territory NFFE
38 I certify that:
• The entity identified in Part I is an entity that is organized in a possession of the United States;
• The entity identified in Part I:
(i) Does not accept deposits in the ordinary course of a banking or similar business;
(ii) Does not hold, as a substantial portion of its business, financial assets for the account of others; or
(iii) Is not an insurance company (or the holding company of an insurance company) that issues or is obligated to make payments with
respect to a financial account; and
• All of the owners of the entity identified in Part I are bona fide residents of the possession in which the NFFE is organized or incorporated.
Part XXV Active NFFE
39 I certify that:
• The entity identified in Part I is a foreign entity that is not a financial institution;
• Less than 50% of such entity’s gross income for the preceding calendar year is passive income; and
• Less than 50% of the assets held by such entity are assets that produce or are held for the production of passive income (calculated as a
weighted average of the percentage of passive assets measured quarterly) (see instructions for the definition of passive income).
Part XXVI Passive NFFE
40a I certify that the entity identified in Part I is a foreign entity that is not a financial institution (other than an investment entity organized in a
possession of the United States) and is not certifying its status as a publicly traded NFFE (or affiliate), excepted territory NFFE, active
NFFE, direct reporting NFFE, or sponsored direct reporting NFFE.
Check box 40b or 40c, whichever applies.
b I further certify that the entity identified in Part I has no substantial U.S. owners (or, if applicable, no controlling U.S. persons); or
c I further certify that the entity identified in Part I has provided the name, address, and TIN of each substantial U.S. owner (or, if applicable,
controlling U.S. person) of the NFFE in Part XXIX.
Form W-8BEN-E (Rev. 10-2021)
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Part XXVII Excepted Inter-Affiliate FFI
41 I certify that the entity identified in Part I:
• Is a member of an expanded affiliated group;
• Does not maintain financial accounts (other than accounts maintained for members of its expanded affiliated group);
• Does not make withholdable payments to any person other than to members of its expanded affiliated group;
• Does not hold an account (other than depository accounts in the country in which the entity is operating to pay for expenses) with or receive
payments from any withholding agent other than a member of its expanded affiliated group; and
• Has not agreed to report under Regulations section 1.1471-4(d)(2)(ii)(C) or otherwise act as an agent for chapter 4 purposes on behalf of any financial
institution, including a member of its expanded affiliated group.
Part XXVIII Sponsored Direct Reporting NFFE (see instructions for when this is permitted)
42 Name of sponsoring entity:
43 I certify that the entity identified in Part I is a direct reporting NFFE that is sponsored by the entity identified on line 42.
Part XXIX Substantial U.S. Owners of Passive NFFE
As required by Part XXVI, provide the name, address, and TIN of each substantial U.S. owner of the NFFE. Please see the instructions for a definition of
substantial U.S. owner. If providing the form to an FFI treated as a reporting Model 1 FFI or reporting Model 2 FFI, an NFFE may also use this part for
reporting its controlling U.S. persons under an applicable IGA.
Name Address TIN
Part XXX Certification
Under penalties of perjury, I declare that I have examined the information on this form and to the best of my knowledge and belief it is true, correct, and complete. I further
certify under penalties of perjury that:
• The entity identified on line 1 of this form is the beneficial owner of all the income or proceeds to which this form relates, is using this form to certify its status for
chapter 4 purposes, or is submitting this form for purposes of section 6050W or 6050Y;
• The entity identified on line 1 of this form is not a U.S. person;
• This form relates to: (a) income not effectively connected with the conduct of a trade or business in the United States, (b) income effectively connected with the
conduct of a trade or business in the United States but is not subject to tax under an income tax treaty, (c) the partner’s share of a partnership’s effectively
connected taxable income, or (d) the partner’s amount realized from the transfer of a partnership interest subject to withholding under section 1446(f); and
• For broker transactions or barter exchanges, the beneficial owner is an exempt foreign person as defined in the instructions.
Furthermore, I authorize this form to be provided to any withholding agent that has control, receipt, or custody of the income of which the entity on line 1 is the beneficial
owner or any withholding agent that can disburse or make payments of the income of which the entity on line 1 is the beneficial owner.
I agree that I will submit a new form within 30 days if any certification on this form becomes incorrect.
I certify that I have the capacity to sign for the entity identified on line 1 of this form.
▲
Sign Here
Signature of individual authorized to sign for beneficial owner Print Name Date (MM-DD-YYYY)
Form W-8BEN-E (Rev. 10-2021)
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Certificate of Foreign Government or Other Foreign
Form W-8EXP
Organization for United States Tax
(Rev. October 2023) Withholding and Reporting
(For use by foreign governments, international organizations, foreign central banks of issue, foreign OMB No. 1545-1621
tax-exempt organizations, foreign private foundations, and governments of U.S. territories.)
Go to www.irs.gov/FormW8EXP for instructions and the latest information.
Department of the Treasury Section references are to the Internal Revenue Code.
Internal Revenue Service Give this form to the withholding agent or payer. Do not send to the IRS.
Do not use this form for: Instead, use Form:
• A foreign government or other foreign organization that is not claiming the applicability of section(s) 115(2), 501(c), 892,
895, or 1443(b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W-8BEN-E or W-8ECI
• A beneficial owner solely claiming foreign status or treaty benefits . . . . . . . . . . . . . . . . . W-8BEN or W-8BEN-E
• A foreign partnership (except for a withholding qualified holder under section 1445) or a foreign trust . . . . . . . W-8BEN-E or W-8IMY
• A person claiming that income is effectively connected with the conduct of a trade or business in the United States . . . . . . W-8ECI
• A person acting as an intermediary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W-8IMY
Part I Identification of Beneficial Owner
1 Name of organization 2 Country of incorporation or organization
3 Type of Foreign government Foreign tax-exempt organization
entity International organization Foreign private foundation
Foreign central bank of issue (not Government of a U.S. territory
wholly owned by the foreign sovereign) Withholding qualified holder under section 1445
4 Chapter 4 Status (FATCA status):
Participating FFI. Foreign government (including a political subdivision),
Reporting Model 1 FFI. government of a U.S. territory, or foreign central bank of issue.
Reporting Model 2 FFI. Complete Part III.
Registered deemed-compliant FFI Exempt retirement plan of foreign government. Complete Part III.
(other than a Reporting Model 1 FFI). 501(c) organization. Complete Part III.
Nonreporting IGA FFI. Complete Part III. Passive NFFE. Complete Part III.
Territory financial institution. Complete Part III. Direct reporting NFFE.
International organization. Sponsored direct reporting NFFE. Complete Part III.
5 Permanent address (street, apt. or suite no., or rural route). Do not use a P.O. box or in-care-of address (other than a registered address).
City or town, state or province. Include postal code where appropriate. Country
6 Mailing address (if different from above).
City or town, state or province. Include postal or ZIP code where appropriate. Country
7 U.S. TIN, if required (see instructions) 8a GIIN b Foreign TIN (see instructions)
9 Reference number(s) (see instructions)
Part II Qualification Statement for Chapter 3 Status
10 For a foreign government:
a I certify that the entity identified in Part I is a foreign government within the meaning of section 892 and the payments are
within the scope of the exemption granted by section 892.
Check box 10b or box 10c, whichever applies.
b The entity identified in Part I is an integral part of the government of .
c The entity identified in Part I is a controlled entity of the government of .
If box 10c is checked, check box 10d or box 10e, whichever applies.
d I certify that for a beneficial owner that is a controlled entity of a foreign sovereign (other than a foreign central bank of issue
wholly owned by a foreign sovereign), the beneficial owner is not engaged in commercial activities within or outside the
United States.
e I certify that for a beneficial owner that is a foreign central bank of issue and a controlled entity of a foreign sovereign, the
beneficial owner is not engaged in commercial activities within the United States.
11 For an international organization:
I certify that:
• The entity identified in Part I is an international organization within the meaning of section 7701(a)(18), and
• The payments are within the scope of the exemption granted by section 892.
For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 25401F Form W-8EXP (Rev. 10-2023)
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Form W-8EXP (Rev. 10-2023) Page 2
Part II Qualification Statement for Chapter 3 Status (continued)
12 For a foreign central bank of issue (not wholly owned by the foreign sovereign):
I certify that:
• The entity identified in Part I is a foreign central bank of issue,
• The entity identified in Part I does not hold obligations or bank deposits to which this form relates for use in connection
with the conduct of a commercial banking function or other commercial activity, and
• The payments are within the scope of the exemption granted by section 895.
13 For a foreign tax-exempt organization, including foreign private foundations:
If any of the income to which this certification relates constitutes income includible under section 512 in computing the
entity’s unrelated business taxable income, attach a statement identifying the amounts.
Check either box 13a or box 13b.
a I certify that the entity identified in Part I has been issued a determination letter by the IRS dated
that is currently in effect and that concludes that it is an exempt organization described in section 501(c).
b I have attached to this form an opinion from U.S. counsel concluding that the entity identified in Part I is described in
section 501(c).
For section 501(c)(3) organizations only, check either box 13c or box 13d.
c If the determination letter or opinion of counsel concludes that the entity identified in Part I is described in section 501(c)(3),
I certify that the organization is not a private foundation described in section 509. I have attached an affidavit of the
organization setting forth sufficient facts for the IRS to determine that the organization is not a private foundation because it
meets one of the exceptions described in section 509(a)(1), (2), (3), or (4).
d If the determination letter or opinion of counsel concludes that the entity identified in Part I is described in section 501(c)(3),
I certify that the organization is a private foundation described in section 509.
14 For a government of a U.S. territory:
I certify that the entity identified in Part I is a government of a territory of the United States, or is a political subdivision
thereof, and is claiming the exemption granted by section 115(2).
15 For a withholding qualified holder:
Check either box 15a or 15b.
a I certify that the entity identified in Part I is treated as a non-foreign person for purposes of sections 897 and 1445 because
it is a qualified holder under Regulations section 1.897(I)-1(d).
b I certify that the entity identified in Part I is treated as a non-foreign person for purposes of sections 897 and 1445 because
it is a foreign partnership, all of the interests of which are held by qualified holders (under Regulations section 1.897(I)-1(d)),
including through one or more partnerships.
Part III Qualification Statement for Chapter 4 Status (if required)
16 For a nonreporting IGA FFI:
I certify that the entity identified in Part I:
• Meets the requirements to be considered a nonreporting financial institution pursuant to an applicable IGA between the United States
and ;
• Is treated as a under the provisions of the applicable IGA (see instructions); and
• If you are an FFI treated as a registered deemed-compliant FFI under an applicable Model 2 IGA, provide your
GIIN: .
17 For a territory financial institution:
I certify that the entity identified in Part I is a financial institution (other than an investment entity) that is incorporated or
organized under the laws of a territory of the United States.
18 For a foreign government (including a political subdivision), government of a U.S. territory, or foreign central bank of issue:
I certify that the entity identified in Part I is the beneficial owner of the payment and is not engaged in commercial financial
activities of a type engaged in by an insurance company, custodial institution, or depository institution with respect to the
payments, accounts, or obligations for which this form is submitted (except as permitted in Regulations section
1.1471-6(h)(2)).
19 For an exempt retirement plan of a foreign government:
Check box 19a or box 19b, whichever applies.
a I certify that the entity identified in Part I is established and sponsored by a foreign government, international organization,
central bank of issue, or government of a U.S. territory (each as defined in Regulations section 1.1471-6 or an applicable
Model 1 or Model 2 IGA) to provide retirement, disability, or death benefits to beneficiaries or participants that are current
or former employees of the sponsor (or persons designated by such employees); or
b I certify that the entity identified in Part I is established and sponsored by a foreign government, international organization,
central bank of issue, or government of a U.S. territory (each as defined in Regulations section 1.1471-6 or an applicable
Model 1 or Model 2 IGA) to provide retirement, disability, or death benefits to beneficiaries or participants that are not
current or former employees of such sponsor, but are in consideration of personal services performed for the sponsor.
Form W-8EXP (Rev. 10-2023)
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Part III Qualification Statement for Chapter 4 Status (if required) (continued)
20 For a 501(c) organization:
I certify that the entity identified in Part I is an entity described in section 501(c) but is not an insurance company described
in section 501(c)(15).
21 For a passive NFFE:
a I certify that the entity identified in Part I is a foreign entity that is not a financial institution (other than an investment entity
organized in a territory of the United States).
Check box 21b or 21c, whichever applies.
b I further certify that the entity identified in Part I has no substantial U.S. owners, or
c I further certify that the entity identified in Part I has provided a statement including the name, address, and TIN of each
substantial U.S. owner of the NFFE (see instructions).
22 Name of sponsoring entity:
I certify that the entity identified in Part I is a direct reporting NFFE that is sponsored by the entity identified in line 22.
Part IV Certification
Under penalties of perjury, I declare that I have examined the information on this form and to the best of my knowledge and
belief it is true, correct, and complete. I further certify under penalties of perjury that:
• The organization for which I am signing is the beneficial owner of the income and other payments to which this form relates, and
the beneficial owner is not a U.S. person; and/or
• The organization for which I am signing is a withholding qualified holder because it is a qualified holder under Regulations
section 1.897(I)-1(d) or it is a partnership and all of its interests are held, directly or indirectly, by qualified holders under
Regulations section 1.1445-1(g)(11).
Furthermore, I authorize this form to be provided to any withholding agent that has control, receipt, or custody of the payments
of which I am the beneficial owner or any withholding agent that can disburse or make payments of the amounts of which I am
the beneficial owner.
I agree that I will submit a new form within 30 days if any certification made on this form becomes incorrect.
I certify that I have the capacity to sign for the entity identified on line 1 of this form.
Sign
Here
Signature of authorized official Print name Date (MM-DD-YYYY)
Form W-8EXP (Rev. 10-2023)
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Certificate of Foreign Intermediary, Foreign Flow-Through Entity, or Certain
Form W-8IMY U.S. Branches for United States Tax Withholding and Reporting
(Rev. October 2021) ▶ Section references are to the Internal Revenue Code. OMB No. 1545-1621
Department of the Treasury ▶ Go to www.irs.gov/FormW8IMY for instructions and the latest information.
Internal Revenue Service ▶ Give this form to the withholding agent or payer. Do not send to the IRS.
Do not use this form for: Instead, use Form:
• A beneficial owner solely claiming foreign status or treaty benefits (other than a qualified intermediary (QI) acting as a qualified derivatives
dealer (QDD)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W-8BEN or W-8BEN-E
• A hybrid entity claiming treaty benefits on its own behalf (other than a QI acting as a QDD) . . . . . . . . . . . . . . W-8BEN-E
• A foreign person claiming that income is effectively connected with the conduct of a trade or business in the United States . . . . . W-8ECI
• A disregarded entity with a single foreign owner that is the beneficial owner (other than a QI acting as a QDD) of the income to which this form
relates. Instead, the single foreign owner should use . . . . . . . . . . . . . . . . . . W-8BEN, W-8ECI, or W-8BEN-E
• A foreign government, international organization, foreign central bank of issue, foreign tax-exempt organization, foreign private foundation, or
government of a U.S. possession claiming the applicability of section(s) 115(2), 501(c), 892, 895, or 1443(b) . . . . . . . . . . W-8EXP
• U.S. entity or U.S. citizen or resident . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W-9
• A foreign person documenting itself for purposes of section 6050W . . . . . . . . . . . . . . W-8BEN, W-8BEN-E, or W-8ECI
Part I Identification of Entity
1 Name of organization that is acting as intermediary 2 Country of incorporation or organization
3 Name of disregarded entity (if applicable), see instructions
4 Chapter 3 Status (entity type) (Must check one box only.):
QI (including a QDD). Complete Part III. Withholding foreign trust. Complete Part VII.
Nonqualified intermediary. Complete Part IV. Nonwithholding foreign partnership. Complete Part VIII.
Territory financial institution. Complete Part V. Nonwithholding foreign simple trust. Complete Part VIII.
U.S. branch. Complete Part VI. Nonwithholding foreign grantor trust. Complete Part VIII.
Withholding foreign partnership. Complete Part VII.
5 Chapter 4 Status (FATCA status) (See instructions for details and complete the certification below for the entity’s applicable status.)
(Must check one box only.):
Nonparticipating foreign financial institution (FFI) (including an FFI related Owner-documented FFI. Complete Part XI.
to a Reporting IGA FFI other than a deemed-compliant FFI, participating
FFI, or exempt beneficial owner). Complete Part IX (if applicable). Restricted distributor. Complete Part XVII.
Participating FFI. Foreign central bank of issue. Complete Part XVIII.
Reporting Model 1 FFI. Nonreporting IGA FFI. Complete Part XIX.
Reporting Model 2 FFI. Exempt retirement plans. Complete Part XX.
Registered deemed-compliant FFI (other than a reporting Model 1 FFI, Excepted nonfinancial group entity. Complete Part XXI.
sponsored FFI, or nonreporting IGA FFI covered in Part XIX). Excepted nonfinancial start-up company. Complete Part XXII.
Territory financial institution. Complete Part V. Excepted nonfinancial entity in liquidation or bankruptcy.
Sponsored FFI (other than a certified deemed-compliant sponsored, Complete Part XXIII.
closely held investment vehicle). Complete Part X. Publicly traded NFFE or NFFE affiliate of a publicly traded
Certified deemed-compliant nonregistering local bank. Complete Part XII. corporation. Complete Part XXIV.
Certified deemed-compliant FFI with only low-value accounts. Complete Part XIII. Excepted territory NFFE. Complete Part XXV.
Certified deemed-compliant sponsored, closely held investment Active NFFE. Complete Part XXVI.
vehicle. Complete Part XIV. Passive NFFE. Complete Part XXVII.
Certified deemed-compliant limited life debt investment entity. Complete Part XV. Direct reporting NFFE.
Certain investment entities that do not maintain financial accounts. Complete Part XVI. Sponsored direct reporting NFFE. Complete Part XXVIII.
6 Permanent residence address (street, apt. or suite no., or rural route). Do not use a P.O. box or in-care-of address (other than a registered address).
City or town, state or province. Include postal code where appropriate. Country
7 Mailing address (if different from above)
City or town, state or province. Include postal code where appropriate. Country
8 U.S. taxpayer identification number, if required ▶
QI-EIN WP-EIN WT-EIN EIN
9a GIIN (if applicable) ▶
b Foreign taxpayer identification number, if required ▶
10 Reference number(s) (see instructions)
For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 25402Q Form W-8IMY (Rev. 10-2021)
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Part II Disregarded Entity or Branch Receiving Payment. (Complete only if a disregarded entity with a GIIN or
a branch of an FFI in a country other than the FFI’s country of residence. Do not complete Part II for QDD
branches. See instructions.)
11 Chapter 4 Status (FATCA status) of disregarded entity or branch receiving payment.
Branch treated as nonparticipating FFI. Reporting Model 1 FFI. U.S. Branch.
Participating FFI. Reporting Model 2 FFI.
12 Address of branch (street, apt. or suite no., or rural route). Do not use a P.O. box or in-care-of address (other than a registered address).
City or town, state or province. Include postal code where appropriate. Country
13 GIIN (if any) ▶
Chapter 3 Status Certifications
Part III Qualified Intermediary
All Qualified Intermediaries
14 I certify that the entity identified in Part I (or branch, if relevant):
• Is a QI with respect to the accounts identified on line 10 or in a withholding statement associated with this form (as required) that is one
or more of the following:
(i) Not acting for its own account;
(ii) A QDD receiving payments on underlying securities and/or potential section 871(m) transactions;
(iii) A QI assuming primary withholding responsibility for payments of substitute interest, as permitted by the QI Agreement.
• Has provided or will provide a withholding statement (as required) for purposes of chapters 3 and 4, and section 1446(a), or section
1446(f), subject to the certifications made on this form.
• To the extent it acts as a disclosing QI for purposes of section 1446(a) or (f) for payments associated with this form, the QI is to provide
the required payee documentation to associate with an amount realized or an amount subject to withholding on a PTP distribution.
Qualified Intermediaries When Not Acting As Qualified Derivatives Dealers (check all that apply)
15a I certify that the entity identified in Part I of this form assumes primary withholding responsibility for purposes of chapters 3 and 4 for each
account identified on a withholding statement attached to this form (or, if no withholding statement is attached to this form, for all accounts).
b I certify that the entity identified in Part I of this form assumes primary withholding and reporting responsibility for each payment of an amount
realized from the sale of an interest in a publicly traded partnership under section 1446(f) associated with each account identified on a withholding
statement attached to this form for receiving such amounts (or, if no withholding statement is attached to this form, for all accounts).
c I certify that the entity identified in Part I of this form assumes primary withholding as a nominee under Regulations section 1.1446-4(b)(3)
for each distribution by a publicly traded partnership associated with each account identified on a withholding statement attached to this
form for receiving such distributions (or, if no withholding statement is attached to this form, for all accounts).
d I certify that the entity identified in Part I of this form is a QI acting as a qualified securities lender assuming primary withholding and
reporting responsibilities with respect to payments that are U.S. source substitute dividends received from the withholding agent
associated with each account identified on a withholding statement attached to this form (or, if no withholding statement is attached to this
form, for all accounts).
e I certify that the entity identified in Part I of this form assumes primary withholding responsibility for purposes of chapters 3 and 4 and
primary Form 1099 reporting and backup withholding responsibility for all payments of U.S. source interest and substitute interest
associated with this form, as permitted by the QI Agreement.
f I certify that the entity identified in Part I of this form assumes primary Form 1099 reporting and backup withholding responsibility or
reporting responsibility as a participating FFI or registered deemed-compliant FFI with respect to accounts that it maintains that are held by
specified U.S. persons as permitted under Regulations sections 1.6049-4(c)(4)(i) or (c)(4)(ii) in lieu of Form 1099 reporting for each account
identified on a withholding statement attached to this form (or, if no withholding statement is attached to this form, for all accounts).
g I certify that the entity identified in Part I of this form does not assume primary Form 1099 reporting and backup withholding responsibility for each
account identified on a withholding statement attached to this form (or, if no withholding statement is attached to this form, for all accounts).
h (Complete only to the extent the entity identified in Part I of this form does not assume primary Form 1099 reporting and backup withholding
responsibility.) If the entity identified in Part I of this form has allocated or will allocate a portion of a payment to a chapter 4 withholding rate pool
of U.S. payees on a withholding statement associated with this form, I certify that the entity meets the requirements of Regulations section
1.6049-4(c)(4)(iii) with respect to any account holder of an account it maintains that is included in such a withholding rate pool.
i (Complete only to the extent the entity identified in Part I of this form does not assume primary Form 1099 reporting and backup withholding
responsibility.) If the entity identified in Part I of this form has allocated or will allocate a portion of a payment to a chapter 4 withholding rate pool
of U.S. payees on a withholding statement associated with this form, to the extent the U.S. payees are account holders of an intermediary or flow-
through entity receiving a payment from the entity, I certify that the entity has obtained, or will obtain, documentation sufficient to establish each
such intermediary or flow-through entity status as a participating FFI, registered deemed-compliant FFI, or FFI that is a QI.
Form W-8IMY (Rev. 10-2021)
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Form W-8IMY (Rev. 10-2021) Page 3
Qualified Derivatives Dealers
16a I certify that each QDD identified in Part I of this form or on a withholding statement associated with this form meets the requirements to
act as a QDD (including approval by the IRS to so act) and assumes primary withholding and reporting responsibilities under chapters 3, 4,
and 61 and section 3406 with respect to any payments it makes with respect to potential section 871(m) transactions.
b Entity classification of QDD: Corporation Partnership Disregarded Entity
Part IV Nonqualified Intermediary
Check all that apply.
17a (All nonqualified intermediaries and QIs that are not acting in their capacity as such check here.) I certify that the entity identified in Part I of this
form is not acting as a QI with respect to each account(s) for which this form is provided and is not acting for its own account.
b I certify that the entity identified in Part I of this form is using this form to transmit withholding certificates and/or other documentation and
has provided, or will provide, a withholding statement, as required. Note: If this form is provided for purposes of the entity’s interest in a
publicly traded partnership, see the instructions for Part IV before checking this box.
c I certify that the entity identified in Part I of this form meets the requirements of Regulations section 1.6049-4(c)(4)(iii) with respect to any
account holder of an account it maintains that is included in a withholding rate pool of U.S. payees provided on a withholding statement
associated with this form (excluding a distribution from a publicly traded partnership).
d I certify that the entity identified in Part I of this form is acting as a qualified securities lender (other than a QI) assuming primary withholding and reporting
responsibilities with respect to payments associated with this form that are U.S. source substitute dividends received from the withholding agent.
e To the extent that the entity identified in Part I of this form is providing an alternative withholding statement described in Regulations
section 1.1441-1(e)(3)(iv)(C)(3) for any payments associated with the form, the entity represents that the information on all of the
withholding statements associated with this withholding certificate have been (or will be) verified for inconsistency with any other account
information the entity has for the beneficial owners for determining the rate of withholding with respect to each payee (applying the
standards of knowledge under section 1441 or section 1471, as applicable).
Part V Territory Financial Institution
18a I certify that the entity identified in Part I is a financial institution (other than an investment entity that is not also a depository institution,
custodial institution, or specified insurance company) that is incorporated or organized under the laws of a territory of the United States.
Check the box on line 18b or 18c, whichever applies.
b I further certify that the entity identified in Part I is using this form as evidence of its agreement with the withholding agent to be treated as a U.S. person
for purposes of chapters 3 and 4 with respect to any reportable amounts and withholdable payments associated with this withholding certificate.
c I further certify that the entity identified in Part I:
• Is using this form to transmit withholding certificates and/or other documentation for the persons for whom it receives a payment of a
reportable amount or a withholdable payment; and
• Has provided or will provide a withholding statement, as required.
Check the boxes on lines 18d, and 18e or 18f, as applicable.
d I certify that the entity identified in Part I agrees to be treated as a U.S. person under Regulations section 1.1446(f)-4(a)(2)(i)(B) with respect
to amounts realized on sales of interests in publicly traded partnerships.
e I certify that the entity identified in Part I agrees to be treated as a U.S. person (as described in Regulations section 1.1441-1(b)(2)(iv)(A))
and as a nominee under Regulations section 1.1446-4(b)(3) with respect to distributions by publicly traded partnerships, or
f Is not acting as a nominee for distributions from publicly traded partnerships and is providing withholding statements for the distributions.
Note: If this form is provided for an amount realized, see the instructions for Part V before providing a withholding statement for an amount
realized when the entity does not check the box on line 18d.
Part VI Certain U.S. Branches
19a I certify that the entity identified in Part I is a U.S. branch receiving reportable amounts or withholdable payments that are not income
effectively connected with the conduct of a trade or business in the United States, distributions from publicly traded partnerships, or
amounts realized on sales of interests in publicly traded partnerships.
Check the box on line 19b or 19c, whichever applies.
b I certify that the entity identified in Part I is a U.S. branch of a foreign bank or insurance company described in Regulations section
1.1441-1(b)(2)(iv)(A) that is using this form as evidence of its agreement with the withholding agent to be treated as a U.S. person with
respect to any reportable amounts or withholdable payments associated with this withholding certificate.
c I certify that the entity identified in Part I:
• Is using this form to transmit withholding certificates and/or other documentation for the persons for whom the branch receives a payment of a reportable amount;
• Has provided or will provide a withholding statement, as required; and
• In the case of a withholdable payment, is applying the rules described in Regulations section 1.1471-4(d)(2)(iii)(C).
Check the boxes on lines 19d, and 19e or 19f, as applicable.
d I certify that the entity identified in Part I is a U.S. branch (as described in Regulations section 1.1446(f)-4(a)(2)(i)(B)) that is acting as a U.S.
person with respect to amounts realized on the sales of interests in publicly traded partnerships,
e I certify that the entity identified in Part I is a U.S. branch (as described in Regulations section 1.1441-1(b)(2)(iv)(A)) that is treated as a
U.S. person and as a nominee with respect to distributions by publicly traded partnerships under Regulations section 1.1446-4(b)(3), or
f Is not acting as a nominee for distributions from publicly traded partnerships and is providing withholding statements for the distributions.
Note: If this form is provided for an amount realized, see the instructions for Part VI before providing a withholding statement for an
amount realized when the U.S. branch does not check the box on line 19d.
Form W-8IMY (Rev. 10-2021)
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Part VII Withholding Foreign Partnership (WP) or Withholding Foreign Trust (WT)
20 I certify that the entity identified in Part I is a withholding foreign partnership or a withholding foreign trust that is compliant with the terms
of its WP or WT agreement.
Part VIII Nonwithholding Foreign Partnership, Simple Trust, or Grantor Trust
Check all that apply.
21a I certify that the entity identified in Part I:
• Is a nonwithholding foreign partnership, a nonwithholding foreign simple trust, or a nonwithholding foreign grantor trust and is providing
this form for payments that are not effectively connected, or are not treated as effectively connected, with the conduct of a trade or
business in the United States; and
• Is using this form to transmit withholding certificates and/or other documentation and has provided or will provide a withholding
statement, as required for purposes of chapters 3 and 4, that is subject to the certifications made on this form.
b I certify that the entity identified in Part I is a foreign partnership or foreign grantor trust that is a partner in a lower-tier partnership and is
providing this Form W-8IMY for purposes of section 1446(a).
c I certify that the entity identified in Part I is a foreign partnership receiving an amount realized on the transfer of an interest in a partnership
for purposes of section 1446(f).
d I certify that the entity identified in Part I is a foreign partnership providing a withholding statement for a modified amount realized from the
transfer (check, when applicable, only if box 21c is checked).
e I certify that the entity identified in Part I is a foreign grantor trust providing the form on behalf of each grantor or other owner of the trust
under Regulations section 1.1446(f)-1(c)(2)(vii) that is transmitting withholding certificates and providing a withholding statement to allocate
the amount realized to each grantor or other owner.
f To the extent the entity identified in Part I of this form is providing an alternative withholding statement described in Regulations section
1.1441-1(e)(3)(iv)(C)(3) for any payments associated with the form, the entity represents that the information on all of the withholding
certificates associated with the withholding statement may be relied on based on the standards of knowledge under section 1441 or
section 1471 applicable to the entity.
Chapter 4 Status Certifications
Part IX Nonparticipating FFI with Exempt Beneficial Owners
22 I certify that the entity identified in Part I is using this form to transmit withholding certificates and/or other documentation and has provided
or will provide a withholding statement that indicates the portion of the payment allocated to one or more exempt beneficial owners.
Part X Sponsored FFI
23a Name of sponsoring entity: ▶
Check the box on line 23b or 23c, whichever applies.
b I certify that the entity identified in Part I:
• Is an investment entity;
• Is not a QI, WP (except to the extent permitted in the withholding foreign partnership agreement), or WT; and
• Has agreed with the entity identified above (that is not a nonparticipating FFI) to act as the sponsoring entity for this entity.
c I certify that the entity identified in Part I:
• Is a controlled foreign corporation as defined in section 957(a);
• Is not a QI, WP, or WT;
• Is wholly owned, directly or indirectly, by the U.S. financial institution identified above that agrees to act as the sponsoring entity for this
entity; and
• Shares a common electronic account system with the sponsoring entity (identified above) that enables the sponsoring entity to identify all
account holders and payees of the entity and to access all account and customer information maintained by the entity including, but not limited
to, customer identification information, customer documentation, account balance, and all payments made to account holders or payees.
Part XI Owner-Documented FFI
Note: This status only applies if the U.S. financial institution, participating FFI, reporting Model 1 FFI, or reporting Model 2 FFI to which this form is
given has agreed that it will treat the FFI as an owner-documented FFI. The owner-documented FFI must make the certifications below.
24a I certify that the FFI identified in Part I:
• Does not act as an intermediary;
• Does not accept deposits in the ordinary course of a banking or similar business;
• Does not hold, as a substantial portion of its business, financial assets for the account of others;
• Is not an insurance company (or the holding company of an insurance company) that issues or is obligated to make payments with
respect to a financial account;
• Is not affiliated with an entity (other than an FFI that is also treated as an owner-documented FFI) that accepts deposits in the ordinary
course of a banking or similar business, holds, as a substantial portion of its business, financial assets for the account of others, or is an
insurance company (or the holding company of an insurance company) that issues or is obligated to make payments with respect to a
financial account; and
• Does not maintain a financial account for any nonparticipating FFI.
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Form W-8IMY (Rev. 10-2021) Page 5
Part XI Owner-Documented FFI (continued)
Check the box on line 24b or 24c, whichever applies.
b I certify that the FFI identified in Part I:
• Has provided, or will provide, an FFI owner reporting statement (including any applicable owner documentation) that contains:
(i) The name, address, TIN (if any), chapter 4 status, and type of documentation provided (if required) of every individual and specified
U.S. person that owns a direct or indirect equity interest in the owner-documented FFI (looking through all entities other than
specified U.S. persons);
(ii) The name, address, TIN (if any), chapter 4 status, and type of documentation provided (if required) of every individual and specified
U.S. person that owns a debt interest in the owner-documented FFI (including any indirect debt interest, which includes debt interests
in any entity that directly or indirectly owns the payee or any direct or indirect equity interest in a debt holder of the payee) that
constitutes a financial account in excess of $50,000 (disregarding all such debt interests owned by participating FFIs, registered
deemed-compliant FFIs, certified deemed-compliant FFIs, excepted NFFEs, exempt beneficial owners, or U.S. persons other than
specified U.S. persons); and
(iii) Any additional information the withholding agent requests in order to fulfill its obligations with respect to the entity.
c I certify that the FFI identified in Part I:
• Has provided, or will provide, an auditor’s letter, signed no more than 4 years prior to the date of payment, from an independent
accounting firm or legal representative with a location in the United States stating that the firm or representative has reviewed the FFI’s
documentation with respect to all of its owners and debt holders identified in Regulations section 1.1471-3(d)(6)(iv)(A)(2) and that the FFI
meets all the requirements to be an owner-documented FFI. The FFI identified in Part I has also provided, or will provide, an FFI owner
reporting statement and Form W-9, with applicable waivers, as described in Regulations section 1.1471-3(d)(6)(iv).
Part XII Certified Deemed-Compliant Nonregistering Local Bank
25 I certify that the FFI identified in Part I:
• Operates and is licensed solely as a bank or credit union (or similar cooperative credit organization operated without profit) in its country
of incorporation or organization;
• Engages primarily in the business of receiving deposits from and making loans to, with respect to a bank, retail customers unrelated to
such bank and, with respect to a credit union or similar cooperative credit organization, members, provided that no member has a greater
than 5% interest in such credit union or cooperative credit organization;
• Does not solicit account holders outside its country of organization;
• Has no fixed place of business outside such country (for this purpose, a fixed place of business does not include a location that is not
advertised to the public and from which the FFI performs solely administrative support functions);
• Has no more than $175 million in assets on its balance sheet and, if it is a member of an expanded affiliated group, the group has no
more than $500 million in total assets on its consolidated or combined balance sheets; and
• Does not have any member of its expanded affiliated group that is an FFI, other than an FFI that is incorporated or organized in the same
country as the FFI identified in Part I and that meets the requirements set forth in this Part XII.
Part XIII Certified Deemed-Compliant FFI With Only Low-Value Accounts
26 I certify that the FFI identified in Part I:
• Is not engaged primarily in the business of investing, reinvesting, or trading in securities, partnership interests, commodities, notional
principal contracts, insurance or annuity contracts, or any interest (including a futures or forward contract or option) in such security,
partnership interest, commodity, notional principal contract, insurance contract, or annuity contract;
• No financial account maintained by the FFI or any member of its expanded affiliated group, if any, has a balance or value in excess of
$50,000 (as determined after applying applicable account aggregation rules); and
• Neither the FFI nor the FFI’s entire expanded affiliated group, if any, has more than $50 million in assets on its consolidated or combined
balance sheet as of the end of its most recent accounting year.
Part XIV Certified Deemed-Compliant Sponsored, Closely Held Investment Vehicle
27a Name of sponsoring entity: ▶
b I certify that the FFI identified in Part I:
• Is an FFI solely because it is an investment entity described in Regulations section 1.1471-5(e)(4);
• Is not a QI, WP, or WT;
• Will have all of its due diligence, withholding, and reporting responsibilities (determined as if the FFI were a participating FFI) fulfilled by
the sponsoring entity identified on line 27a; and
• 20 or fewer individuals own all of the debt and equity interests in the entity (disregarding debt interests owned by U.S. financial
institutions, participating FFIs, registered deemed-compliant FFIs, and certified deemed-compliant FFIs and equity interests owned by an
entity that owns 100% of the equity interests in the FFI identified in Part I and is itself a sponsored FFI).
Part XV Certified Deemed-Compliant Limited Life Debt Investment Entity
28 I certify that the FFI identified in Part I:
• Was in existence as of January 17, 2013;
• Issued all classes of its debt or equity interests to investors on or before January 17, 2013, pursuant to a trust indenture or similar
agreement; and
• Is certified deemed-compliant because it satisfies the requirements to be treated as a limited life debt investment entity (such as the
restrictions with respect to its assets and other requirements under Regulations section 1.1471-5(f)(2)(iv)).
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Part XVI Certain Investment Entities That Do Not Maintain Financial Accounts
29 I certify that the entity identified in Part I:
• Is a financial institution solely because it is an investment entity described in Regulations section 1.1471-5(e)(4)(i)(A); and
• Does not maintain financial accounts.
Part XVII Restricted Distributor
30a (All restricted distributors check here.) I certify that the entity identified in Part I:
• Operates as a distributor with respect to debt or equity interests of the restricted fund with respect to which this form is furnished;
• Provides investment services to at least 30 customers unrelated to each other and less than half of its customers are related to each
other;
• Is required to perform AML due diligence procedures under the anti-money laundering laws of its country of organization (which is a
FATF-compliant jurisdiction);
• Operates solely in its country of incorporation or organization, has no fixed place of business outside of that country, and has the same
country of incorporation or organization as all members of its affiliated group, if any;
• Does not solicit customers outside its country of incorporation or organization;
• Has no more than $175 million in total assets under management and no more than $7 million in gross revenue on its income statement
for the most recent accounting year;
• Is not a member of an expanded affiliated group that has more than $500 million in total assets under management or more than $20
million in gross revenue for its most recent accounting year on a combined or consolidated income statement; and
• Does not distribute any debt or securities of the restricted fund to specified U.S. persons, passive NFFEs with one or more substantial
U.S. owners, or nonparticipating FFIs.
Check the box on line 30b or 30c, whichever applies.
I further certify that with respect to all sales of debt or equity interests in the restricted fund with respect to which this form is furnished that are made
after December 31, 2011, the entity identified in Part I:
b Has been bound by a distribution agreement that contained a general prohibition on the sale of debt or securities to U.S. entities and U.S.
resident individuals and is currently bound by a distribution agreement that contains a prohibition of the sale of debt or securities to any
specified U.S. person, passive NFFE with one or more substantial U.S. owners, or nonparticipating FFI.
c Is currently bound by a distribution agreement that contains a prohibition on the sale of debt or securities to any specified U.S. person,
passive NFFE with one or more substantial U.S. owners, or nonparticipating FFI and, for all sales made prior to the time that such a
restriction was included in its distribution agreement, has reviewed all accounts related to such sales in accordance with the procedures
identified in Regulations section 1.1471-4(c) applicable to preexisting accounts and has redeemed or retired any securities which were sold
to specified U.S. persons, passive NFFEs with one or more substantial U.S. owners, or nonparticipating FFIs, or will transfer the securities
to a distributor that is a participating FFI, reporting Model 1 FFI, or reporting Model 2 FFI.
Part XVIII Foreign Central Bank of Issue
31 I certify that the entity identified in Part I is treated as the beneficial owner of the payment solely for purposes of chapter 4 under
Regulations section 1.1471-6(d)(4).
Part XIX Nonreporting IGA FFI
32 I certify that the entity identified in Part I:
• Meets the requirements to be considered a nonreporting financial institution pursuant to an applicable IGA between the United States and
. The applicable IGA is a Model 1 IGA or a Model 2 IGA; and
is treated as a under the provisions of the applicable IGA or Treasury regulations
(if applicable, see instructions); and
• If you are a trustee documented trust or a sponsored entity, provide the name of the trustee or sponsor .
The trustee is: U.S. Foreign
Part XX Exempt Retirement Plans
Check the box on line 33a, b, c, d, e, or f, whichever applies.
33a I certify that the entity identified in Part I:
• Is established in a country with which the United States has an income tax treaty in force;
• Is operated principally to administer or provide pension or retirement benefits; and
• Is entitled to treaty benefits on income that the fund derives from U.S. sources (or would be entitled to benefits if it derived any such
income) as a resident of the other country which satisfies any applicable limitation on benefits requirement.
b I certify that the entity identified in Part I:
• Is organized for the provision of retirement, disability, or death benefits (or any combination thereof) to beneficiaries that are former
employees of one or more employers in consideration for services rendered;
• No single beneficiary has a right to more than 5% of the FFI’s assets;
• Is subject to government regulation and provides annual information reporting about its beneficiaries to the relevant tax authorities in the
country in which the fund is established or operated; and
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Form W-8IMY (Rev. 10-2021) Page 7
Part XX Exempt Retirement Plans (continued)
(i) Is generally exempt from tax on investment income under the laws of the country in which it is established or operates due to its
status as a retirement or pension plan;
(ii) Receives at least 50% of its total contributions from sponsoring employers (disregarding transfers of assets from other plans
described in this part, retirement and pension accounts described in an applicable Model 1 or Model 2 IGA, other retirement funds
described in an applicable Model 1 or Model 2 IGA, or accounts described in Regulations section 1.1471-5(b)(2)(i)(A));
(iii) Either does not permit or penalizes distributions or withdrawals made before the occurrence of specified events related to
retirement, disability, or death (except rollover distributions to accounts described in Regulations section 1.1471-5(b)(2)(i)(A)
(referring to retirement and pension accounts), to retirement and pension accounts described in an applicable Model 1 or Model 2
IGA, or to other retirement funds described in this part or in an applicable Model 1 or Model 2 IGA); or
(iv) Limits contributions by employees to the fund by reference to earned income of the employee or may not exceed $50,000 annually.
c I certify that the entity identified in Part I:
• Is organized for the provision of retirement, disability, or death benefits (or any combination thereof) to beneficiaries that are former
employees of one or more employers in consideration for services rendered;
• Has fewer than 50 participants;
• Is sponsored by one or more employers, each of which is not an investment entity or passive NFFE;
• Employee and employer contributions to the fund (disregarding transfers of assets from other plans described in this part, retirement and
pension accounts described in an applicable Model 1 or Model 2 IGA, or accounts described in Regulations section 1.1471-5(b)(2)(i)(A)) are
limited by reference to earned income and compensation of the employee, respectively;
• Participants that are not residents of the country in which the fund is established or operated are not entitled to more than 20% of the fund’s assets; and
• Is subject to government regulation and provides annual information reporting about its beneficiaries to the relevant tax authorities in the
country in which the fund is established or operates.
d I certify that the entity identified in Part I is formed pursuant to a pension plan that would meet the requirements of section 401(a), other
than the requirement that the plan be funded by a trust created or organized in the United States.
e I certify that the entity identified in Part I is established exclusively to earn income for the benefit of one or more retirement funds described
in this part or in an applicable Model 1 or Model 2 IGA, accounts described in Regulations section 1.1471-5(b)(2)(i)(A) (referring to
retirement and pension accounts), or retirement and pension accounts described in an applicable Model 1 or Model 2 IGA.
f I certify that the entity identified in Part I:
• Is established and sponsored by a foreign government, international organization, central bank of issue, or government of a U.S.
possession (each as defined in Regulations section 1.1471-6) or an exempt beneficial owner described in an applicable Model 1 or Model
2 IGA to provide retirement, disability, or death benefits to beneficiaries or participants that are current or former employees of the sponsor
(or persons designated by such employees); or
• Is established and sponsored by a foreign government, international organization, central bank of issue, or government of a U.S.
possession (each as defined in Regulations section 1.1471-6) or an exempt beneficial owner described in an applicable Model 1 or Model
2 IGA to provide retirement, disability, or death benefits to beneficiaries or participants that are not current or former employees of such
sponsor, but are in consideration of personal services performed for the sponsor.
Part XXI Excepted Nonfinancial Group Entity
34 I certify that the entity identified in Part I:
• Is a holding company, treasury center, or captive finance company and substantially all of the entity’s activities are functions described in
Regulations section 1.1471-5(e)(5)(i)(C) through (E);
• Is a member of a nonfinancial group described in Regulations section 1.1471-5(e)(5)(i)(B);
• Is not a depository or custodial institution (other than for members of the entity’s expanded affiliated group); and
• Does not function (or hold itself out) as an investment fund, such as a private equity fund, venture capital fund, leveraged buyout fund, or
any investment vehicle with an investment strategy to acquire or fund companies and then hold interests in those companies as capital
assets for investment purposes.
Part XXII Excepted Nonfinancial Start-Up Company
35 I certify that the entity identified in Part I:
• Was formed on (or in the case of a new line of business, the date of board resolution approving the new line of business)
(date must be less than 24 months prior to date of payment);
• Is not yet operating a business and has no prior operating history or is investing capital in assets with the intent to operate a new line of
business other than that of a financial institution or passive NFFE; and
• Does not function (or hold itself out) as an investment fund, such as a private equity fund, venture capital fund, leveraged buyout fund, or
any investment vehicle whose purpose is to acquire or fund companies and then hold interests in those companies as capital assets for
investment purposes.
Part XXIII Excepted Nonfinancial Entity in Liquidation or Bankruptcy
36 I certify that the entity identified in Part I:
• Filed a plan of liquidation, filed a plan for reorganization, or filed for bankruptcy on the following date: ;
• Has not been engaged during the past 5 years in business as a financial institution or acted as a passive NFFE;
• Is either liquidating or emerging from a reorganization or bankruptcy with the intent to continue or recommence operations as a
nonfinancial entity; and
• Has provided, or will provide, documentary evidence such as a bankruptcy filing or other public documentation that supports its claim if
it remains in bankruptcy or liquidation for more than 3 years.
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Part XXIV Publicly Traded NFFE or NFFE Affiliate of a Publicly Traded Corporation
Check the box on line 37a or 37b, whichever applies.
37a I certify that:
• The entity identified in Part I is a foreign corporation that is not a financial institution; and
• The stock of such corporation is regularly traded on one or more established securities markets, including .
b I certify that:
• The entity identified in Part I is a foreign corporation that is not a financial institution;
• The entity identified in Part I is a member of the same expanded affiliated group as an entity the stock of which is regularly traded on an
established securities market;
• The name of the entity, the stock of which is regularly traded on an established securities market, is ; and
• The name of the securities market on which the stock is regularly traded is ▶ .
Part XXV Excepted Territory NFFE
38 I certify that:
• The entity identified in Part I is an entity that is organized in a possession of the United States;
• All of the owners of the entity identified in Part I are bona fide residents of the possession in which the NFFE is organized or incorporated;
and
• The entity identified in Part I:
(i) Does not accept deposits in the ordinary course of a banking or similar business;
(ii) Does not hold, as a substantial portion of its business, financial assets for the account of others; and
(iii) Is not an insurance company (or the holding company of an insurance company) that issues or is obligated to make payments with
respect to a financial account.
Part XXVI Active NFFE
39 I certify that:
• The entity identified in Part I is a foreign entity that is not a financial institution;
• Less than 50% of such entity’s gross income for the preceding calendar year is passive income; and
• Less than 50% of the assets held by such entity are assets that produce or are held for the production of passive income (calculated as a
weighted average of the percentage of passive assets measured quarterly). See the instructions for the definition of passive income.
Part XXVII Passive NFFE
40 I certify that the entity identified in Part I:
• Is a foreign entity that is not a financial institution (this category includes an entity organized in a possession of the United States that
engages (or holds itself out as being engaged) primarily in the business of investing, reinvesting, or trading in securities, partnership
interests, commodities, notional principal contracts, insurance or annuity contracts, or any interest in such security, partnership interest,
commodity, notional principal contract, insurance contract, or annuity contract); and
• Is using this form to transmit withholding certificates and/or other documentation and has provided or will provide a withholding
statement, as required.
Part XXVIII Sponsored Direct Reporting NFFE
41 Name of sponsoring entity: ▶
42 I certify that the entity identified in Part I is a direct reporting NFFE that is sponsored by the entity identified on line 41.
Part XXIX Certification
Under penalties of perjury, I declare that I have examined the information on this form, and to the best of my knowledge and belief, it is true, correct, and
complete. Furthermore, I authorize this form to be provided to any withholding agent that has control, receipt, or custody of the income or proceeds for
which I am providing this form or any withholding agent that can disburse or make payments of the amounts for which I am providing this form.
I agree that I will submit a new form within 30 days if any certification made on this form becomes incorrect.
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Sign Here
Signature of authorized official Print Name Date (MM-DD-YYYY)
Form W-8IMY (Rev. 10-2021)
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