Certificate of Foreign Status

Create Form W-8BEN Online

Enter the foreign beneficial owner's identification and tax details, claim treaty benefits when applicable, review the form, and sign electronically.

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For foreign individuals only

Form W-8BEN is generally provided to the withholding agent or payer. It is not a substitute for Form W-9 and is not intended for entities.

Part I: Identification of Beneficial Owner

Enter the individual's legal name, citizenship, permanent residence address, mailing address, and tax identification information.

1. Name of Individual Who Is the Beneficial Owner

2. Country of Citizenship

3. Permanent Residence Address Do not use a post office box or an address used only for mailing purposes.

Address Line 2 (Optional)

City, State, or Province

Postal Code (Optional)

Country

Use the permanent residence address as the mailing address?

4. Mailing Address (If different)

Mailing Address Line 2 (Optional)

Mailing City, State, or Province

Mailing Postal Code (Optional)

Mailing Country (If different)

5. U.S. TIN Type (Optional)

U.S. TIN (Optional) Enter a valid nine-digit SSN or ITIN.

6a. Foreign Tax Identifying Number (Optional)

6b. FTIN Not Legally Required Check this box if an FTIN is not legally required in the beneficial owner's jurisdiction of tax residence.

7. Reference Number(s) (Optional)

8. Date of Birth (Optional)

Part II: Claim of Tax Treaty Benefits

Complete this section only when claiming a reduced rate of, or exemption from, withholding under an applicable income tax treaty.

Are you claiming tax treaty benefits?

9. Treaty Country

10. Treaty Article

Treaty Paragraph

Withholding Rate

Type of Income

Additional Conditions Met

Part III: Certification

Certification: By signing this form, the signer certifies under penalties of perjury that the information provided is true, correct, and complete, and that the beneficial owner is the individual named on line 1 or the signer is authorized to sign for that individual.

Print Name of Signer

Date Signed

Signature

Please provide a signature before submitting.

Capacity to Sign I certify that I have the legal capacity to sign for the individual identified on line 1.

Delivery Email

Enter the email address where you want to receive the completed W-8BEN PDF.

Your Email Address

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Revision October 2021

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Create Form W-8BEN Online

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Review

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Part I: Identification of Beneficial Owner

Part II: Claim of Tax Treaty Benefits

Part III: Certification

Delivery Email

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