Tax Information Intervie
Tax Information Intervie
Tax Information Intervie
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Reference Id: A04470656TJEZR7SSC37
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 W-8ECI
trade or business within the U.S. (other than personal services)
You are a beneficial owner who is receiving compensation for personal services performed in the 8233 or W-4
United States
2 Country of citizenship
Philippines
3 Permanent residence address (street, apt. or suite no., or rural route). Do not use a P.O. box or in-care-of address.
Country
Philippines
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4/18/2019 Tax Information Interview
Country
10 Special rates and conditions (if applicable—see instructions): The beneficial owner is claiming the provisions of 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:
1. 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 to which this form relates or am using this form to document myself for chapter 4 purposes,
2. The person named on line 1 of this form is not a U.S. person,
3. The income to which this form relates is (a) not effectively connected with the conduct of a trade or business in the United
States, (b) effectively connected but is not subject to tax under an income tax treaty, or (c) the partner's share of a partnership's
effectively connected income,
4. 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
5. 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.
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