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4 •,.., <br /> Form W 8-(Rev.1©-40?) Page 2; <br /> •.T'ta U S grantor or other owner 0'4 gfanor:trl$t and.n.Qt.the: 4 Tile IRS-tells.you that you are subject to backup, <br /> trust,and withholding:because you:did not report all your interest and <br /> • The U.S.trust(other than a graeitor trust),and not the dividends en your tax return'(for reportable interest and <br /> beneficiaries of the trust. dividends®rify),Or <br /> Foreign pepson If you are-a f..areign persalt,.da nQf use'Form You do nt certify to the rgquasten hat you are not subject <br /> W49. Instead,use t.Yie appropriate Fong W48(see l'ubfication to'backup witolding under 4 above(for reportable interest and <br /> 5.15,Withholding,of Tax on Nonresident Aliens and Foreign dividend accounts opened.after 1983 only). <br /> Entities). Certain payees and payments are exempt from backup <br /> Nonresident alien who becomes a resident alien.Generally, withholding.See the:instructions below and the separate <br /> Instructions for the Requester of Form W-9. <br /> only a nonresident alien individual.mayuse the-terms of a tax <br /> treaty to reduce or eliminate U.S.tax.on certain types.of income. Also see Special rules for partnerships on page 1. <br /> However,most tax treaties contain a provision known.as a ' Penalties <br /> saving.clause Exceptions specified in the saving clause may <br /> permit an exemption from tart to continue for certain types of Failure to furnish.TIN if.you fail to furnish your correct TIN to a <br /> Income even after the payee has Otherwise become a,U.S. requester,,you are subject to.a penalty of$50i;for each sudki <br /> resident alien for tax purposes. failure unless your failure is due to reasonable cause and not to <br /> If you are a:U resident alien Who;fs..relying..on an eXcePff.06 willful neglect. <br /> contained in the saving clause of a to treaty to,claim an Civil penalty false information with'respect to <br /> . exemption from U.S. tax on certain types of income,you must withholding.If you make a false statement With no reasonable <br /> attach a statement to Form W-9 that:specifies the following,five basis that results in no backup withholding;you are subject to a <br /> items: $500 penalty. <br /> 1.The treaty country.Generally,this must be the same treaty Criminal penalty for falsifying information.Willfully falsifying <br /> under which you clammed exemption from tax as a nonresident certifications or affirmations may subject you to criminal <br /> alien penalties including fines and/or imprisonment: <br /> 2.The treaty article.addressing the income. Misuse of TINs.If the requester discloses or uses TINS:in <br /> 3.The article number(or location)in the taxtreaty that violation of federal law,the requester may be subject to civil and <br /> contains the saving clause and its:exceptions: criminal penalties. <br /> 4.The type and amount of'income,that qualifies for the <br /> exemption,from taxa Specific Instructions <br /> 5. Sufficient facts to justify the exemption from tax under the Name <br /> • terms of the treaty article. <br /> Example. Article.20 of the U.S'. China income tax treaty allows If you,•are an individual,you must generally enter the name <br /> an exemption from tax for scholarship income received by a shown on your income tax return. However, if you have changed <br /> `in the United States.Under your last name,for instance, due to marriage without informing <br /> Chinese student temporarily present <br /> U.S.law,this student will become a resident:alien for tax the Social Security city Administration of the name change,enter <br /> purposes if his or-her;stay in the United States exceeds 5 your first name,the last name shown on your social security <br /> calendar years. However,paragraph 2 of the first Protocol to the card,and your new last name. <br /> U.S.:China treaty(dated April 30, 1984)allows the provisions of If the account is in joint names, list first, and then circle,the <br /> Article'20 to continue to apply even after the Chinese student name of the person Or entity whose number you entered in Part I <br /> becomes a resident.alien of the United States.A Chinese of the form. <br /> student who qualifies for this exception(under paragraph2 of Sole proprietor.Enter your individual name as shown on your <br /> the first protocol)and is relying on this_exception to Claim'an income tax return on the"Name"line.You may enter your <br /> exemption from tax oh his or her scholarship or fellowship business,trade,or"doing business as(DBA)"name onthe <br /> income would attach.to•Form W49 a statement that includes the "Business name"line: <br /> information described above to support that exemption: <br /> If you are a nonresident alien or a:fareign entity not subject to Limited liability company(LLC).Check the"Limited liability <br /> backup withholding,give the requester the appropriate company"box only and enter the appropriate:code for the tax <br /> completed Form W-8; classification("D"for disregarded entity,"C"for corporation, "P" <br /> for partnership)in the space provided:. <br /> What is backup withholding?Persons making certain.payments For a single-member LLC(including a foreign LLC with:a <br /> to you must under certain conditions withhold and pay to the domestic owner)that is disregarded as an entity separate from <br /> IRS 28% of such payments.This isoalled"backup withholding." its owner under Regulations sectioh 301,7701-3, enter the <br /> Payments that may be subject to backup withholding include owner's name on the"Name"line. Enter the LLC's name on the <br /> interest,tax-exempt interest, dividends,broker and.barter "Business name" line. <br /> exchange transactions rents.royalties;nonemployee pay,and as a partnership, : <br /> certain payments from fishFor an LLC classified` p or a <br /> flailing boat operators. Real estate corporation,enter <br /> transactions are not subjectto backup withholding. - the LLC's;name on the"Name" line and any business,trade,or <br /> You will not be subject to beat*Withholding on payments DBA name on the''l3usiness name"line. <br /> you receive if you give the requester your correct TIN,'Make the Other entities.Enter your business name as shown on required <br /> proper certifications,and report all your taxable interest and federal tax documents on the"Name" line.This name should <br /> dividends on your tax return. match the name shown:on the charter or other legal document <br /> creating the entity.You:may enter any business,trade,or DBA <br /> Payments you receive Will be'Subject to backup name on the"Business name" line. <br /> withholding if: Note:You are requested to check the appropriate.box for your <br /> 1.You do not furnish your TIN to the requester, status(individual/sole proprietor,corporation, etc). <br /> 2.You do not certify your TIN when required(see the Part II Exempt Payee <br /> instructions.on page.3 for details), <br /> 3:The IRS tells the requester that you furnished an incorrect If you are:exempt from backup withholding,,enter your name as <br /> TIN, described above and check the appropriate boX for your status; <br /> then check the"Exempt•payee"box in the line following the <br /> business name,sign and date the form. <br /> 11 <br />