W-8-BEN-E - Certificate of Status of Beneficial Owner for United States Tax Withholding and Reporting (Entities)

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Instructions for
Form W-8BEN-E

Department of the Treasury
Internal Revenue Service

(Rev. July 2017)

Certificate of Status of Beneficial Owner for
United States Tax Withholding and Reporting (Entities)
Section references are to the Internal Revenue Code
unless otherwise noted.

General Instructions

Future Developments

For definitions of terms used throughout these
instructions, see Definitions, later.

For the latest information about developments related to
Form W-8BEN-E and its instructions, such as legislation
enacted after they were published, go to IRS.gov/
FormW8BENE.

What's New
Limited FFIs and limited branches. Limited FFI and
limited branch statuses expired on December 31, 2016,
and have been removed from this form and the
instructions.
Sponsored FFIs and sponsored direct reporting
NFFEs. As of January 1, 2017, sponsored FFIs that are
registered deemed-compliant FFIs and sponsored direct
reporting NFFEs are required to obtain their own GIINs to
be provided on this form and can no longer provide the
sponsoring entity’s GIIN. This form has been updated to
reflect this requirement.
Nonreporting IGA FFIs. This form and these
instructions have been updated to reflect the
requirements for withholding agents to document
nonreporting IGA FFIs in the Treasury regulations. These
instructions also clarify that nonreporting IGA FFIs that are
sponsored entities should provide their own GIIN (if
required) and should not provide the GIIN of the
sponsoring entity. See the instructions to Part XII. In
addition, these instructions provide that a trustee of a
trustee-documented trust that is a foreign person should
provide the GIIN it received when it registered as a
participating FFI (including a reporting Model 2 FFI) or
reporting Model 1 FFI.
Foreign taxpayer identification numbers (TINs).
These instructions have been updated to require a foreign
TIN (except in certain cases) to be provided on this form
for certain foreign account holders of a financial account
maintained at a U.S. office or branch of a financial
institution. See the instructions to line 9b for exceptions to
this requirement.

Reminder
Note. If you are a 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.

Jun 27, 2017

Purpose of Form

This form is used by foreign entities to document their
statuses for purposes of chapter 3 and chapter 4, as well
as for certain other Code provisions as described later in
these instructions.
Foreign persons are subject to U.S. tax at a 30% rate
on income they receive from U.S. sources that consists of:
Interest (including certain original issue discount (OID));
Dividends;
Rents;
Royalties;
Premiums;
Annuities;
Compensation for, or in expectation of, services
performed;
Substitute payments in a securities lending transaction;
or
Other fixed or determinable annual or periodical gains,
profits, or income.
This tax is imposed on the gross amount paid and is
generally collected by withholding under section 1441 or
1442 on that amount. A payment is considered to have
been made whether it is made directly to the beneficial
owner or to another person, such as an intermediary,
agent, or partnership, for the benefit of the beneficial
owner.
In addition, section 1446 requires a partnership
conducting a trade or business in the United States to
withhold tax on a foreign partner’s distributive share of the
partnership’s effectively connected taxable income.
Generally, a foreign person that is a partner in a
partnership that submits a Form W-8 for purposes of
section 1441 or 1442 will satisfy the documentation
requirements under section 1446 as well. However, in
some cases the documentation requirements of sections
1441 and 1442 do not match the documentation
requirements of section 1446. See Regulations sections
1.1446-1 through 1.1446-6.
A withholding agent or payer of the income may rely on
a properly completed Form W-8BEN-E to treat a payment
associated with the Form W-8BEN-E as a payment to a
foreign person who beneficially owns the amounts paid. If
applicable, the withholding agent may rely on the Form
W-8BEN-E to apply a reduced rate of, or exemption from,
withholding. If you receive certain types of income, you
must provide Form W-8BEN-E to:

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payment from a withholding agent, receiving a payment
subject to chapter 3 withholding, or if you are an entity
maintaining an account with an FFI requesting this form.

Claim that you are the beneficial owner of the income
for which Form W-8BEN-E is being provided or a partner
in a partnership subject to section 1446; and
If applicable, claim a reduced rate of, or exemption
from, withholding as a resident of a foreign country with
which the United States has an income tax treaty.

Do not use Form W-8BEN-E if:
You are a U.S. person (including U.S. citizens, resident
aliens, and entities treated as U.S. persons, such as a
corporation organized under the law of a state). Instead,
use Form W-9, Request for Taxpayer Identification
Number and Certification.
You are a foreign insurance company that has made an
election under section 953(d) to be treated as a U.S.
person. Instead, provide a withholding agent with Form
W-9 to certify to your U.S. status even if you are
considered an FFI for purposes of chapter 4.
You are a nonresident alien individual. Instead, use
Form W-8BEN, Certificate of Foreign Status of Beneficial
Owner for United States Tax Withholding and Reporting
(Individuals), or Form 8233, Exemption From Withholding
on Compensation for Independent (and Certain
Dependent) Personal Services of a Nonresident Alien
Individual, as applicable.
You are a disregarded entity, branch, or flow-through
entity for U.S. tax purposes. However, you may use this
form if you are a disregarded entity or flow-through entity
using this form either solely to document your chapter 4
status (because you hold an account with an FFI) or, if you
are a disregarded entity or a partnership, to claim treaty
benefits because you are a hybrid entity liable to tax as a
resident for treaty purposes. See Special Instructions for
Hybrid Entities, later. A flow-through entity may also use
this form for purposes of documenting itself as a
participating payee for purposes of section 6050W. If you
are a disregarded entity with a single owner or branch of
an FFI, the single owner, if such owner is a foreign person,
should provide Form W-8BEN or Form W-8BEN-E (as
appropriate). If the single owner is a U.S. person, a Form
W-9 should be provided. If you are a partnership, you
should provide a Form W-8IMY, Certificate of Foreign
Intermediary, Foreign Flow-Through Entity, or Certain
U.S. Branches for United States Tax Withholding and
Reporting.
You are acting as an intermediary (that is, acting not for
your own account, but for the account of others as an
agent, nominee, or custodian), a qualified intermediary
(including a qualified intermediary acting as a qualified
derivatives dealer), or a qualified securities lender (QSL).
Instead, provide Form W-8IMY.
You are receiving income that is effectively connected
with the conduct of a trade or business in the United
States, unless it is allocable to you through a partnership.
Instead, provide Form W-8ECI, Certificate of Foreign
Person’s Claim That Income Is Effectively Connected
With the Conduct of a Trade or Business in the United
States. If any of the income for which you have provided a
Form W-8BEN-E becomes effectively connected, this is a
change in circumstances and the Form W-8BEN-E is no
longer valid.
You are filing for 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 115(2), 501(c), 892, 895, or
1443(b). Instead, provide Form W-8EXP, Certificate of

You may also use Form W-8BEN-E to identify income
from a notional principal contract that is not effectively
connected with the conduct of a trade or business in the
United States to establish the exception to reporting such
income on Form 1042-S. See Regulations section
1.1461-1(c)(2)(ii)(F).
Form W-8BEN-E may also be used to claim exemption
from withholding for portfolio interest pursuant to section
881(c). The portfolio interest exemption does not apply to
payments of interest for which the recipient is a 10 percent
shareholder of the payer or to payments of interest
received by a controlled foreign corporation from a related
person. See sections 881(c)(3) and 881(c)(5). A future
version of this form may require that persons receiving
interest payments to which this form relates identify any
obligation with respect to which they have one of these
prohibited relationships.
You may also be required to submit Form W-8BEN-E to
claim an exception from domestic information reporting on
Form 1099 and backup withholding (at the backup
withholding rate under section 3406) for certain types of
income. Such income includes:
Broker proceeds.
Short-term (183 days or less) original issue discount
(short-term OID).
Bank deposit interest.
Foreign source interest, dividends, rents, or royalties.
Provide Form W-8BEN-E to the withholding agent or
payer before income is paid or credited to you. Failure to
provide a Form W-8BEN-E when requested may lead to
withholding at a 30% rate or the backup withholding rate
in certain cases when you receive a payment to which
backup withholding applies.
In addition to the requirements of chapter 3, chapter 4
requires withholding agents to identify the chapter 4 status
of entities that are payees receiving withholdable
payments. A withholding agent may request this Form
W-8BEN-E to establish your chapter 4 status and avoid
withholding at a 30% rate on such payments.
Chapter 4 also requires participating FFIs and certain
registered deemed-compliant FFIs to document their
entity account holders in order to determine their
chapter 4 statuses regardless of whether withholding
applies to any payments made to the entities. If you are an
entity maintaining an account with an FFI, the FFI may
request that you provide this Form W-8BEN-E in order to
document your chapter 4 status.
Additional information. For additional information and
instructions for the withholding agent, see the Instructions
for the Requester of Forms W-8BEN, W-8BEN-E,
W-8ECI, W-8EXP, and W-8IMY.

Who Must Provide Form W-8BEN-E

You must give Form W-8BEN-E to the withholding agent
or payer if you are a foreign entity receiving a withholdable
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the account holders is a specified U.S. person or a
U.S.-owned foreign entity (unless the account is otherwise
excepted from U.S. account status for chapter 4
purposes).

Foreign Government or Other Foreign Organization for
United States Tax Withholding and Reporting, to certify to
your exemption and identify your chapter 4 status.
However, you should provide Form W-8BEN-E if you are
claiming treaty benefits, and you may provide this form if
you are only claiming you are a foreign person exempt
from backup withholding or documenting your chapter 4
status. For example, a foreign tax-exempt organization
under section 501(c) receiving royalty income that is not
exempt because it is taxable as unrelated business
income but that is eligible for a reduced rate of withholding
under a royalty article of a tax treaty should provide Form
W-8BEN-E. You should use Form W-8ECI if you are
receiving effectively connected income (for example,
income from commercial activities that is not exempt
under an applicable section of the Code).
You are a foreign reverse hybrid entity transmitting
documentation provided by your interest holders to claim
treaty benefits on their behalf. Instead, provide Form
W-8IMY. A foreign reverse hybrid entity also may not use
this form to attempt to claim treaty benefits on its own
behalf. See Foreign Reverse Hybrid Entities, later.
You are a withholding foreign partnership or a
withholding foreign trust within the meaning of sections
1441 and 1442 and the accompanying regulations.
Instead, provide Form W-8IMY.
You are a foreign partnership or foreign grantor trust
providing documentation for purposes of section 1446.
Instead, provide Form W-8IMY and accompanying
documentation.
You are a foreign branch of a U.S. financial institution
that is an FFI (other than a qualified intermediary branch)
under an applicable Model 1 IGA. For purposes of
identifying yourself to withholding agents, you may submit
Form W-9 to certify to your U.S. status.

Change in circumstances. If a change in
circumstances makes any information on the Form
W-8BEN-E you have submitted incorrect for purposes of
either chapter 3 or chapter 4, you must notify the
withholding agent or financial institution maintaining your
account within 30 days of the change in circumstances by
providing the documentation required in Regulations
section 1.1471-3(c)(6)(ii)(E)(2). See Regulations sections
1.1441-1(e)(4)(ii)(D) for the definition of change in
circumstances for purposes of chapter 3, and 1.1471-3(c)
(6)(ii)(E) for purposes of chapter 4.
With respect to an FFI claiming a chapter 4 status
under an applicable IGA, a change in
CAUTION circumstances includes when the jurisdiction
where the FFI is organized or resident (or the jurisdiction
identified in Part II of the form) was included on the list of
jurisdictions treated as having an intergovernmental
agreement in effect and is removed from that list or when
the FATCA status of the jurisdiction changes (for
example, from Model 2 to Model 1). The list of
agreements is maintained at www.treasury.gov/resourcecenter/tax-policy/treaties/Pages/FATCA-Archive.aspx.

!

Expiration of Form W-8BEN-E. Generally, a Form
W-8BEN-E will remain valid for purposes of both chapters
3 and 4 for a period starting on the date the form is signed
and ending on the last day of the third succeeding
calendar year, unless a change in circumstances makes
any information on the form incorrect. For example, a
Form W-8BEN signed on September 30, 2014, remains
valid through December 31, 2017.
However, under certain conditions a Form W-8BEN-E
will remain in effect indefinitely absent a change of
circumstances. See Regulations sections 1.1441-1(e)(4)
(ii) and 1.1471-3(c)(6)(ii) for the period of validity for
chapters 3 and 4 purposes, respectively.

Giving Form W-8BEN-E to the withholding agent. Do
not send Form W-8BEN-E to the IRS. Instead, give it to
the person who is requesting it from you. Generally, this
will be the person from whom you receive the payment,
who credits your account, or a partnership that allocates
income to you. An FFI may also request this form from you
to document the status of your account.

Definitions

When to provide Form W-8BEN-E to the withholding
agent. Give Form W-8BEN-E to the person requesting it
before the payment is made to you, credited to your
account, or allocated. If you do not provide this form, the
withholding agent may have to withhold at the 30% rate
(as applicable under chapters 3 or 4), backup withholding
rate, or the rate applicable under section 1446. If you
receive more than one type of income from a single
withholding agent for which you claim different benefits,
the withholding agent may, at its option, require you to
submit a Form W-8BEN-E for each type of income.
Generally, a separate Form W-8BEN-E must be given to
each withholding agent.
Note. If you own the income with one or more other
persons, the income will be treated by the withholding
agent as owned by a foreign person that is a beneficial
owner of a payment only if Form W-8BEN or W-8BEN-E
(or other applicable document) is provided by each of the
owners. An account will be treated as a U.S. account for
chapter 4 purposes by an FFI requesting this form if any of
Instructions for Form W-8BEN-E (Rev. 7-2017)

Account holder. An account holder is generally the
person listed or identified as the holder or owner of a
financial account. For example, if a partnership is listed as
the holder or owner of a financial account, then the
partnership is the account holder, rather than the partners
of the partnership. However, an account that is held by a
disregarded entity (other than a disregarded entity treated
as an FFI for chapter 4 purposes) is treated as held by the
entity's single owner.
Amounts subject to chapter 3 withholding. Generally,
an amount subject to chapter 3 withholding is an amount
from sources within the United States that is fixed or
determinable annual or periodical (FDAP) income. FDAP
income is all income included in gross income, including
interest (as well as OID), dividends, rents, royalties, and
compensation. Amounts subject to chapter 3 withholding
do not include amounts that are not FDAP, such as most
gains from the sale of property (including market discount
and option premiums), as well as other specific items of
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income described in Regulations section 1.1441-2 (such
as interest on bank deposits and short-term OID).
For purposes of section 1446, the amount subject to
withholding is the foreign partner’s share of the
partnership’s effectively connected taxable income.

Chapter 4 status. The term chapter 4 status means a
person’s status as a U.S. person, specified U.S. person,
foreign individual, participating FFI, deemed-compliant
FFI, restricted distributor, exempt beneficial owner,
nonparticipating FFI, territory financial institution,
excepted NFFE, or passive NFFE.

Beneficial owner. For payments other than those for
which a reduced rate of, or exemption from, withholding is
claimed under an income tax treaty, the beneficial owner
of income is generally the person who is required under
U.S. tax principles to include the payment in gross income
on a tax return. A person is not a beneficial owner of
income, however, to the extent that person is receiving the
income as a nominee, agent, or custodian, or to the extent
the person is a conduit whose participation in a
transaction is disregarded. In the case of amounts paid
that do not constitute income, beneficial ownership is
determined as if the payment were income.
Foreign partnerships, foreign simple trusts, and foreign
grantor trusts are not the beneficial owners of income paid
to the partnership or trust. The beneficial owners of
income paid to a foreign partnership are generally the
partners in the partnership, provided that the partner is not
itself a partnership, foreign simple or grantor trust,
nominee or other agent. The beneficial owners of income
paid to a foreign simple trust (that is, a foreign trust that is
described in section 651(a)) are generally the
beneficiaries of the trust, if the beneficiary is not a foreign
partnership, foreign simple or grantor trust, nominee, or
other agent. The beneficial owners of income paid to a
foreign grantor trust (that is, a foreign trust to the extent
that all or a portion of the income of the trust is treated as
owned by the grantor or another person under sections
671 through 679) are the persons treated as the owners of
the trust. The beneficial owners of income paid to a
foreign complex trust (that is, a foreign trust that is not a
foreign simple trust or foreign grantor trust) is the trust
itself.
For purposes of section 1446, the same beneficial
owner rules apply, except that under section 1446 a
foreign simple trust rather than the beneficiary provides
the form to the partnership.
The beneficial owner of income paid to a foreign estate
is the estate itself.
Note. A payment to a U.S. partnership, U.S. trust, or
U.S. estate is treated as a payment to a U.S. payee that is
not subject to 30% withholding for purposes of chapters 3
and 4. A U.S. partnership, trust, or estate should provide
the withholding agent with a Form W-9. For purposes of
section 1446, a U.S. grantor trust or disregarded entity
shall not provide the withholding agent a Form W-9 in its
own right. Rather, the grantor or other owner shall provide
the withholding agent the appropriate form.

Deemed-compliant FFI. Under section 1471(b)(2),
certain FFIs are deemed to comply with the regulations
under chapter 4 without the need to enter into an FFI
agreement with the IRS. However, certain
deemed-compliant FFIs are required to register with the
IRS and obtain a GIIN. These FFIs are referred to as
registered deemed-compliant FFIs. See Regulations
section 1.1471-5(f)(1).
Disregarded entity. A business entity that has a single
owner and is not a corporation under Regulations section
301.7701-2(b) is disregarded as an entity separate from
its owner. Generally, a disregarded entity does not submit
this Form W-8BEN-E to a withholding agent. Instead, the
owner of such entity provides the appropriate
documentation (for example, a Form W-8BEN-E if the
owner is a foreign entity). However, if a disregarded entity
receiving a withholdable payment is an FFI outside the
single owner’s country of organization or has its own GIIN,
its foreign owner will be required to complete Part II of
Form W-8BEN-E to document the chapter 4 status of the
disregarded entity receiving the payment.
Certain entities that are disregarded for U.S. tax
purposes may be treated as treaty residents for purposes
of claiming treaty benefits under an applicable tax treaty
or may be recognized as FFIs under an applicable IGA. A
hybrid entity claiming treaty benefits on its own behalf is
required to complete Form W-8BEN-E. See Hybrid
Entities under Special Instructions, later.
A disregarded entity with a U.S. owner or a disregarded
entity with a foreign owner that is not otherwise able to fill
out Part II (that is, because it is in the same country as its
single owner and does not have a GIIN) may provide this
form to an FFI solely for purposes of documenting itself for
chapter 4 purposes. In such a case, the disregarded entity
should complete Part I as if it were a beneficial owner and
should not complete line 3.
Financial account. A financial account includes:
A depository account maintained by an FFI;
A custodial account maintained by an FFI;
Equity or debt interests (other than interests regularly
traded on an established securities market) in investment
entities and certain holding companies, treasury centers,
or financial institutions as defined in Regulations section
1.1471-5(e);
Certain cash value insurance contracts; and
Annuity contracts.
For purposes of chapter 4, exceptions are provided for
accounts such as certain tax-favored savings accounts,
term life insurance contracts, accounts held by estates,
escrow accounts, and certain annuity contracts. These
exceptions are subject to certain conditions. See
Regulations section 1.1471-5(b)(2). Accounts may also
be excluded from the definition of financial account under
an applicable IGA.

Chapter 3. Chapter 3 means chapter 3 of the Internal
Revenue Code (Withholding of Tax on Nonresident Aliens
and Foreign Corporations). Chapter 3 contains sections
1441 through 1464.
Chapter 4. Chapter 4 means chapter 4 of the Internal
Revenue Code (Taxes to Enforce Reporting on Certain
Foreign Accounts). Chapter 4 contains sections 1471
through 1474.
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or a Model 2 IGA. For a list of jurisdictions treated as
having in effect a Model 1 or Model 2 IGA, see
www.treasury.gov/resource-center/tax-policy/treaties/
Pages/FATCA-Archive.aspx.
A Model 1 IGA means an agreement between the
United States or the Treasury Department and a foreign
government or one or more agencies to implement
FATCA through reporting by FFIs to such foreign
government or agency, followed by automatic exchange
of the reported information with the IRS. An FFI in a Model
1 IGA jurisdiction that performs account reporting to the
jurisdiction’s government is referred to as a reporting
Model 1 FFI.
A Model 2 IGA means an agreement or arrangement
between the United States or the Treasury Department
and a foreign government or one or more agencies to
implement FATCA through reporting by FFIs directly to
the IRS in accordance with the requirements of an FFI
agreement, supplemented by the exchange of information
between such foreign government or agency and the IRS.
An FFI in a Model 2 IGA jurisdiction that has entered into
an FFI agreement with respect to a branch is a
participating FFI but may be referred to as a reporting
Model 2 FFI.
The term reporting IGA FFI refers to both reporting
Model 1 FFIs and reporting Model 2 FFIs.

Financial institution. A financial institution generally
means an entity that is a depository institution, custodial
institution, investment entity, or an insurance company (or
holding company of an insurance company) that issues
cash value insurance or annuity contracts. See
Regulations section 1.1471-5(e).
An investment entity organized in a territory that is not
also a depository institution, custodial institution, or
specified insurance company is not treated as a financial
institution. Instead, it is a territory NFFE. If such an entity
cannot qualify as an excepted NFFE as described in
Regulations section 1.1472-1(c)(1) (including an excepted
territory NFFE), it must disclose its substantial U.S.
owners using this definition (applying the 10 percent
threshold) under Regulations section 1.1473-1(b)(1).
Foreign financial institution (FFI). A foreign financial
institution (FFI) means a foreign entity that is a financial
institution.
Fiscally transparent entity. An entity is treated as
fiscally transparent with respect to an item of income for
which treaty benefits are claimed to the extent that the
interest holders in the entity must, on a current basis, take
into account separately their shares of an item of income
paid to the entity, whether or not distributed, and must
determine the character of the items of income as if they
were realized directly from the sources from which
realized by the entity. For example, partnerships, common
trust funds, and simple trusts or grantor trusts are
generally considered to be fiscally transparent with
respect to items of income received by them.

Nonparticipating FFI. A nonparticipating FFI means an
FFI that is not a participating FFI, deemed-compliant FFI,
or exempt beneficial owner.
Nonreporting IGA FFI. A nonreporting IGA FFI is an FFI
that is a resident of, or located or established in, a Model
1 or Model 2 IGA jurisdiction that meets the requirements
of:
A nonreporting financial institution described in a
specific category in Annex II of the Model 1 or Model 2
IGA;
A registered deemed-compliant FFI described in
Regulations section 1.1471-5(f)(1)(i)(A) through (F);
A certified deemed-compliant FFI described in
Regulations section 1.1471-5(f)(2)(i) through (v); or
An exempt beneficial owner described in Regulations
section 1.1471-6.

Flow-through entity. A flow-through entity is a foreign
partnership (other than a withholding foreign partnership),
a foreign simple or foreign grantor trust (other than a
withholding foreign trust), or, for payments for which a
reduced rate of, or exemption from, withholding is claimed
under an income tax treaty, any entity to the extent the
entity is considered to be fiscally transparent with respect
to the payment by an interest holder’s jurisdiction.
Foreign person. A foreign person includes a foreign
corporation, a foreign partnership, a foreign trust, a foreign
estate, and any other person that is not a U.S. person. It
also includes a foreign branch or office of a U.S. financial
institution or U.S. clearing organization if the foreign
branch is a qualified intermediary. Generally, a payment to
a U.S. branch of a foreign person is a payment to a foreign
person.

Participating FFI. A participating FFI is an FFI that has
agreed to comply with the terms of an FFI agreement with
respect to all branches of the FFI, other than a branch that
is a reporting Model 1 FFI or a U.S. branch. The term
participating FFI also includes a reporting Model 2 FFI and
a QI branch of a U.S. financial institution unless such
branch is a reporting Model 1 FFI.

GIIN. The term GIIN means a global intermediary
identification number. A GIIN is the identification number
assigned to an entity that has registered with the IRS for
chapter 4 purposes.

Participating payee. A participating payee means any
person that accepts a payment card as payment or
accepts payment from a third party settlement
organization in settlement of a third party network
transaction for purposes of section 6050W.

Hybrid entity. A hybrid entity is any person (other than
an individual) that is treated as fiscally transparent for
purposes of its status under the Code but is not treated as
fiscally transparent by a country with which the United
States has an income tax treaty. Hybrid entity status is
relevant for claiming treaty benefits. A hybrid entity is
required to provide its chapter 4 status if it is receiving a
withholdable payment.

Payee. A payee is generally a person to whom a
payment is made regardless of whether such person is
the beneficial owner. For a payment made to a financial
account, the payee is generally the holder of the financial
account. See Regulations sections 1.1441-1(b)(2) and
1.1471-3(a)(3).

Intergovernmental agreement (IGA). An
intergovernmental agreement (IGA) means a Model 1 IGA
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Payment settlement entity (PSE). A payment
settlement entity is a merchant acquiring entity or third
party settlement organization. Under section 6050W, a
PSE is generally required to report payments made in
settlement of payment card transactions or third party
network transactions. However, a PSE is not required to
report payments made to a beneficial owner that is
documented as foreign with an applicable Form W-8.

use Form W-9 to certify its status as a U.S. person for
chapter 3 and chapter 4 purposes.

Qualified intermediary (QI). A qualified intermediary
(QI) is a person that is a party to an agreement with the
IRS that is described in Regulations section 1.1441-1(e)
(5)(iii). A qualified derivatives dealer (QDD) is a QI that
has agreed to certain reporting and withholding
requirements pursuant to Regulations section 1.1441-1(e)
(6).

Withholding agent. Any person, U.S. or foreign, that has
control, receipt, custody, disposal, or payment of U.S.
source FDAP income subject to chapter 3 or 4 withholding
is a withholding agent. The withholding agent may be an
individual, corporation, partnership, trust, association, or
any other entity, including (but not limited to) any foreign
intermediary, foreign partnership, and U.S. branches of
certain foreign banks and insurance companies.
For purposes of section 1446, the withholding agent is
the partnership conducting the trade or business in the
United States. For a publicly traded partnership, the
withholding agent may be the partnership, a nominee
holding an interest on behalf of a foreign person, or both.
See Regulations sections 1.1446-1 through 1.1446-6.

Withholdable payment. A withholdable payment is
defined in Regulations section 1.1473-1(a). For
exceptions applicable to the definition of a withholdable
payment, see Regulations section 1.1473-1(a)(4) (for
example, certain nonfinancial payments).

Recalcitrant account holder. A recalcitrant account
holder includes an entity (other than an entity required to
be treated as a nonparticipating FFI) that fails to comply
with a request by an FFI maintaining the account for
documentation and information for determining whether
the account is a U.S. account. See Regulations section
1.1471-5(g).
Reverse hybrid entity. A reverse hybrid entity is any
person (other than an individual) that is not fiscally
transparent under U.S. tax law principles but that is
fiscally transparent under the laws of a jurisdiction with
which the United States has an income tax treaty. See
Form W-8IMY and the accompanying instructions for
information on a reverse hybrid entity making a claim of
treaty benefits on behalf of its owners.

Specific Instructions
Part I – Identification
of Beneficial Owner
Line 1. Enter your name. If you are a disregarded entity
or branch, do not enter your business name. Instead,
enter the legal name of your owner (or, if you are a
branch, the entity that you form a part of) (looking through
multiple disregarded entities if applicable). If you are a
disregarded entity that is a hybrid entity filing a treaty
claim, however, see Hybrid entities under Special
Instructions, later.

Specified U.S. person. A specified U.S. person is any
U.S. person other than a person identified in Regulations
section 1.1473-1(c).
Substantial U.S. owner. A substantial U.S. owner (as
defined in Regulations section 1.1473-1(b)) means any
specified U.S. person that:
Owns, directly or indirectly, more than 10 percent (by
vote or value) of the stock of any foreign corporation;
Owns, directly or indirectly, more than 10 percent of the
profits or capital interests in a foreign partnership;
Is treated as an owner of any portion of a foreign trust
under sections 671 through 679; or
Holds, directly or indirectly, more than a 10 percent
beneficial interest in a trust.

If you are an account holder providing this form to

TIP an FFI solely for purposes of documenting

yourself as an account holder and you are not
receiving a withholdable payment or reportable amount
(as defined in Regulations section 1.1441-1(e)(3)(vi)), you
should complete Part I by substituting the references to
“beneficial owner” with “account holder.”
The named holder on the account is not
necessarily the account holder for purposes of
CAUTION chapter 4. See Definitions, earlier, or, for an
account maintained by an FFI covered by a Model 1 or
Model 2 IGA with respect to the account, the definition of
account holder in an applicable IGA to determine if you
are the account holder. If you hold an account with an FFI
and are unsure whether the definition of “account holder”
under an IGA is applicable to your account, consult with
the FFI requesting this form.

U.S. person. A U.S. person is defined in section 7701(a)
(30) and includes domestic partnerships, corporations,
and trusts.

!

Certain foreign insurance companies issuing
annuities or cash value insurance contracts that
CAUTION elect to be treated as a U.S. person for federal tax
purposes but are not licensed to do business in the United
States are treated as FFIs for purposes of chapter 4. For
purposes of providing a withholding agent with
documentation for both chapter 3 and chapter 4 purposes,
however, such an insurance company is permitted to use
Form W-9 to certify its status as a U.S. person. Likewise,
a foreign branch of a U.S. financial institution (other than a
branch that operates as a qualified intermediary) that is
treated as an FFI under an applicable IGA is permitted to

!

Line 2. If you are a corporation, enter your country of
incorporation. If you are another type of entity, enter the
country under whose laws you are created, organized, or
governed.
Line 3. If you are a disregarded entity receiving a
withholdable payment, enter your name on line 3 if you: 1)
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have registered with the IRS and been assigned a GIIN
associated with the legal name of the disregarded entity;
2) are a reporting Model 1 FFI or reporting Model 2 FFI;
and 3) are not a hybrid entity using this form to claim
treaty benefits.

For most of the chapter 4 statuses, you are

TIP required to complete an additional part of this form

certifying that you meet the conditions of the
status indicated on line 5. Complete the required portion
of this form before signing and providing it to the
withholding agent. See Entities Providing Certifications
Under an Applicable IGA under Special Instructions, later.

If you are not required to provide the legal name of
the disregarded entity, you may want to notify the
CAUTION withholding agent that you are a disregarded
entity receiving a payment or maintaining an account by
indicating the name of the disregarded entity on line 10.

!

FFIs Covered by an IGA and Related Entities

A reporting IGA FFI resident in, or established under the
laws of, a jurisdiction covered by a Model 1 IGA should
check “Reporting Model 1 FFI.” A reporting FFI resident
in, or established under the laws of, a jurisdiction covered
by a Model 2 IGA should check “Reporting Model 2 FFI.” If
you are treated as a registered deemed-compliant FFI
under an applicable IGA, you should check “Nonreporting
IGA FFI” rather than “registered deemed-compliant FFI”
and provide your GIIN.

Line 4. Check the one box that applies. By checking a
box, you are representing that you qualify for the
classification indicated. You must check the box that
represents your classification (for example, corporation,
partnership, trust, estate, etc.) under U.S. tax principles
(not under the law of a treaty country). If you are providing
Form W-8BEN-E to an FFI solely for purposes of
documenting yourself for chapter 4 purposes as an
account holder of an account maintained by an FFI, you
do not need to complete line 4.
If you are a partnership, disregarded entity, simple
trust, or grantor trust receiving a payment for which treaty
benefits are being claimed by such entity, you must check
the “Partnership,” “Disregarded entity,” “Simple trust,” or
“Grantor trust” box. For such a case, you must also check
the “yes” box to indicate that you are a hybrid entity
making a treaty claim. You may only check the “no” box if
(1) you are a disregarded entity, partnership, simple trust,
or grantor trust and are using the form solely for purposes
of documenting yourself as an account holder of an FFI
and the form is not associated with a withholdable
payment or a reportable amount or (2) you are using this
form solely for purposes of documenting your status as a
participating payee for purposes of section 6050W. In
such cases, you are not required to complete line 4, but
you may check the “no” box if you choose to complete
line 4. You may also use Form W-8IMY to document
yourself as an account holder of an FFI.

In general, if you are treated as a nonreporting IGA FFI
under an applicable IGA, you should check “Nonreporting
IGA FFI” even if you meet the qualifications for
deemed-compliant status or are an exempt beneficial
owner under the chapter 4 regulations. In such a case,
you should not also check your applicable status under
the regulations but should provide your GIIN on line 9, if
applicable. If you are an owner-documented FFI that is
treated as a nonreporting IGA FFI under an applicable
IGA you must check “Owner-documented FFI” and
complete Part X.
An FFI that is related to a reporting IGA FFI and that is
treated as a nonparticipating FFI in its country of
residence should check “Nonparticipating FFI” in line 5.
If you are an FFI in a jurisdiction treated as having an
IGA in effect, you should not check “Participating FFI” but
rather should check “Reporting Model 1 FFI” or “Reporting
Model 2 FFI” as applicable. See www.treasury.gov/
resource-center/tax-policy/treaties/Pages/FATCAArchive.aspx for a list of jurisdictions treated as having an
IGA in effect.

Only entities that are tax-exempt under section
501(c) should check the “Tax-exempt
CAUTION organization” box for purposes of line 4. Such
organizations should use Form W-8BEN-E only if they are
claiming a reduced rate of withholding under an income
tax treaty or a Code exception other than section 501(c) or
if they are using this form solely for purposes of
documenting themselves as an account holder with an
FFI. However, if you are a private foundation claiming a
treaty-based exemption from withholding under section
1443(b) on your gross investment income, you should
check “Private Foundation” instead of “Tax-exempt
organization.”

!

Non-Profit Organizations Covered by an IGA

If you are a non-profit entity that is established and
maintained in a jurisdiction treated as having an IGA in
effect and you meet the definition of “active NFFE”under
Annex I of the applicable IGA, you should not check a box
on line 5 if you are providing this form to an FFI for
purposes of documenting yourself as an account holder.
Instead, you should provide a certification of your status
under the IGA. See Entities Providing Certifications Under
an Applicable IGA under Special Instructions, later.

Account That Is Not a Financial Account

Line 5. Check the one box that applies to your chapter 4
status. You are only required to provide a chapter 4 status
on this form if you are the payee of a withholdable
payment or are documenting the status of a financial
account you hold with an FFI requesting this form. By
checking a box on this line, you are representing that you
qualify for this classification in your country of residence.

Instructions for Form W-8BEN-E (Rev. 7-2017)

If you are providing this form to document an account you
hold with a foreign financial institution that is not a
financial account under Regulations section 1.1471-5(b)
(2), check the “Account that is not a financial account” box
on line 5.
Line 6. Enter the permanent residence address of the
entity identified in line 1. Your permanent residence
address is the address in the country where you claim to
be a resident for purposes of that country’s income tax. If
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payment and is required to be identified in Part II, you are
not required to provide a GIIN on line 9a. Instead, provide
the GIIN of your branch (if applicable) on line 13.
You must provide your GIIN on line 9 if you are a
nonreporting IGA FFI that is (1) treated as registered
deemed-compliant under Annex II to an applicable Model
2 IGA or (2) a registered deemed-compliant FFI under
Regulations section 1.1471-5(f)(1).

you are giving Form W-8BEN-E to claim a reduced rate of,
or exemption from, withholding under an income tax
treaty, you must determine residency in the manner
required by the treaty. Do not show the address of a
financial institution (unless you are a financial institution
providing your own address), a post office box, or an
address used solely for mailing purposes unless it is the
only address you use and it appears in your organizational
documents (that is, your registered address). If you do not
have a tax residence in any country, the permanent
residence address is where you maintain your principal
office.

If you are in the process of registering with the IRS

TIP as a participating FFI, registered

deemed-compliant FFI (including a sponsored
FFI), reporting Model 1 FFI, reporting Model 2 FFI, direct
reporting NFFE, sponsored direct reporting NFFE, or
nonreporting IGA FFI but have not received a GIIN, you
may complete this line by writing “applied for.” However,
the person requesting this form from you must receive and
verify your GIIN within 90 days.

Line 7. Enter your mailing address only if it is different
from the address on line 6.
Line 8. Enter your U.S. employer identification number
(EIN). An EIN is a U.S. taxpayer identification number
(TIN) for entities. If you do not have a U.S. EIN, apply for
one on Form SS-4, Application for Employer Identification
Number, if you are required to obtain a U.S. TIN.
A partner in a partnership conducting a trade or
business in the United States will likely be allocated
effectively connected taxable income. The partner is
required to file a U.S. federal income tax return and must
have a TIN.
You must provide a U.S. TIN if you are:
Claiming an exemption from withholding under section
871(f) for certain annuities received under qualified plans,
or
Claiming benefits under an income tax treaty and have
not provided a foreign TIN on line 9b.
However, a TIN is not required to be shown in order to
claim treaty benefits on the following items of income:
Dividends and interest from stocks and debt obligations
that are actively traded;
Dividends from any redeemable security issued by an
investment company registered under the Investment
Company Act of 1940 (mutual fund);
Dividends, interest, or royalties from units of beneficial
interest in a unit investment trust that are (or were upon
issuance) publicly offered and are registered with the SEC
under the Securities Act of 1933; and
Income related to loans of any of the above securities.
See Regulations section 1.1441-1(e)(4)(vii) for other
circumstances when you are required to provide a U.S.
TIN.

Line 9b. If you are providing this Form W-8BEN-E to
document yourself as an account holder with respect to a
financial account (as defined in Regulations section
1.1471-5(b)) that you hold at a U.S. office of a financial
institution (including a U.S. branch of an FFI) and you
receive U.S. source income reportable on Form 1042-S
associated with this form, you must provide the TIN
issued to you by the jurisdiction in which you are a tax
resident identified on line 6 unless:
You have not been issued a TIN (including if the
jurisdiction does not issue TINs) , or
You properly identified yourself as a government,
central bank of issue, or international organization on
line 4, or you are a resident of a U.S. possession.
If you are providing this form to document a financial
account described above but you do not enter a TIN on
line 9b, and you are not a government, central bank of
issue, international organization, or resident of a U.S.
possession, you must provide the withholding agent with
an explanation of why you have not been issued a TIN.
For this purpose, an explanation is a statement that you
are not legally required to obtain a TIN in your jurisdiction
of tax residence. The explanation may be written on
line 9b, in the margins of the form, or on a separate
attached statement associated with the form. If you are
writing the explanation on line 9b, you may shorten it to
“not legally required.” Do not write “not applicable.”
In addition, if you are not using this form to document a
financial account described above, you may provide the
TIN issued to you by your jurisdiction of tax residence on
line 9b for purposes of claiming treaty benefits (rather than
providing a U.S. TIN on line 6b, if required).

If you need an EIN, you are encouraged to apply

TIP for one online instead of submitting a paper Form
SS-4. For more information, visit IRS.gov/EIN.

Line 9a. If you are a participating FFI, registered
deemed-compliant FFI (including a sponsored FFI
described in the Treasury regulations), reporting Model 1
FFI, reporting Model 2 FFI, direct reporting NFFE, trustee
of a trustee-documented trust that is a foreign person
providing this form for the trust, or sponsored direct
reporting NFFE, you are required to enter your GIIN (with
regard to your country of residence) on line 9a. If you are
a trustee of a trustee-documented trust and you are a
foreign person, you should provide the GIIN that you
received when you registered as a participating FFI or
reporting Model 1 FFI. If your branch is receiving the

Lines 9a and 9b should accommodate the GIIN or

TIP foreign TIN, as appropriate. You may need to use

a smaller font when completing the form. If the
GIIN or foreign TIN does not fit in the space provided, you
may provide a GIIN or foreign TIN that is indicated and
clearly identified somewhere else on the form, or on a
separate attached sheet, as long as the GIIN or foreign
TIN is clearly identified as being furnished with respect to
line 9a or 9b, respectively. For example, a handwritten
GIIN located just outside of line 9a with a corresponding

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requirements of an applicable IGA or the regulations
under chapter 4 (a related entity), you must check "Branch
treated as nonparticipating FFI."

arrow pointing to line 9a is a properly provided GIIN for
this purpose.
Line 10. This line may be used by you or by the
withholding agent or FFI to include any referencing
information that is useful to the withholding agent to
document the beneficial owner. For example, withholding
agents who are required to associate the Form
W-8BEN-E with a particular Form W-8IMY may want to
use line 10 for a referencing number or code that will
make the association clear. You may also want to use
line 10 to include the number of the account for which you
are providing the form. If you are a single owner of a
disregarded entity you may use line 10 to inform the
withholding agent that the account to which a payment is
made or credited is held in the name of the disregarded
entity (unless the name of the disregarded entity is
required to be provided on line 3).
You may also use line 10 to identify income from a
notional principal contract that is not effectively connected
with the conduct of a trade or business in the United
States.

Line 12. Enter the address of the branch or disregarded
entity.
Line 13. If you are a reporting Model 1 FFI, reporting
Model 2 FFI, or participating FFI, you must enter the GIIN
on line 13 of your branch that receives the payment. If you
are a disregarded entity that completed Part I, line 3 of this
form and are receiving payments associated with this
form, enter your GIIN. Do not enter your GIIN on line 9. If
you are a U.S. branch, enter a GIIN applicable to any
other branch of the FFI (including in its residence country).
If you are in the process of registering your branch

TIP with the IRS but have not received a GIIN, you

may complete this line by writing “applied for.”
However, the person requesting this form from you must
receive and verify your GIIN within 90 days.

Part III – Claim of Tax Treaty Benefits
Line 14a. If you are claiming a reduced rate of, or
exemption from, withholding under an income tax treaty
you must enter the country where you are a resident for
income tax treaty purposes and check the box to certify
that you are a resident of that country.

Part II – Disregarded Entity
or Branch Receiving Payment

Complete Part II for a disregarded entity that has its own
GIIN and is receiving a withholdable payment, or for a
branch (including a branch that is a disregarded entity that
does not have a GIIN) operating in a jurisdiction other than
the country of residence identified in line 2. For example,
assume ABC Co., which is a participating FFI resident in
Country A, operates through a branch in Country B (which
is a Model 1 IGA jurisdiction) and the branch is treated as
a reporting Model 1 FFI under the terms of the Country B
Model 1 IGA. ABC Co. should not enter its GIIN on line 9,
and the Country B branch should complete this Part II by
identifying itself as a reporting Model 1 IGA FFI and
providing its GIIN on line 13. If the Country B branch
receiving the payment is a disregarded entity you may be
required to provide its legal name on line 3.

Line 14b. If you are claiming a reduced rate of, or
exemption from, withholding under an income tax treaty
you must check the box to certify that you:
Derive the item of income for which the treaty benefit is
claimed, and
Meet the limitation on benefits provision contained in
the treaty, if any.
An item of income may be derived by either the entity
receiving the item of income or by the interest holders in
the entity or, in certain circumstances, both. An item of
income paid to an entity is considered to be derived by the
entity only if the entity is not fiscally transparent under the
laws of the entity’s jurisdiction with respect to the item of
income. An item of income paid to an entity shall be
considered to be derived by the interest holder in the
entity only if:
The interest holder is not fiscally transparent in its
jurisdiction with respect to the item of income, and
The entity is considered to be fiscally transparent under
the laws of the interest holder’s jurisdiction with respect to
the item of income. An item of income paid directly to a
type of entity specifically identified in a treaty as a resident
of a treaty jurisdiction is treated as derived by a resident of
that treaty jurisdiction.
Limitation on benefits treaty provisions. If you are a
resident of a foreign country that has entered into an
income tax treaty with the United States that contains a
limitation on benefits (LOB) article, you must complete
one of the checkboxes in line 14b. You may only check a
box if the limitation on benefits article in that treaty
includes a provision that corresponds to the checkbox on
which you are relying to claim treaty benefits. A particular
treaty might not include every type of test for which a
checkbox is provided. For example, “Company that meets
the derivative benefits test” is generally not available to a

If the disregarded entity receiving a withholdable

TIP payment has its own GIIN, Part II should be

completed regardless of whether it is in the same
country as the single owner identified in Part I.
If you have multiple branches/disregarded entities
receiving payments from the same withholding agent and
the information in Part I is the same for each branch/
disregarded entity that will receive payments, a
withholding agent may accept a single Form W-8BEN-E
from you with a schedule attached that includes all of the
Part II information for each branch/disregarded entity
rather than separate Forms W-8BEN-E to identify each
branch/disregarded entity receiving payments associated
with the form and an allocation of the payment to each
branch/disregarded entity.
Line 11. Check the one box that applies. If no box
applies to the disregarded entity, you do not need to
complete this part. If you check reporting Model 1 FFI,
reporting Model 2 FFI, or participating FFI, you must
complete line 13 (see below). If your branch is a branch of
a reporting IGA FFI that cannot comply with the
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company resident in a treaty country that is not a member
of the EU, EEA, or NAFTA. In addition, each treaty LOB
article that contains a specific test listed below may have
particular requirements that must be met that differ from
the requirements in another treaty with regard to the same
test. Accordingly, you must check the relevant treaty LOB
article for the particular requirements associated with
each test. In general, only one LOB checkbox is required
to claim a treaty exemption even if more than one
checkbox would suffice to claim the benefits of the treaty
for that item of income.
Each of the tests is summarized below for your general
convenience but may not be relied upon for making a final
determination that you meet an LOB test. Rather you must
check the text of the LOB article itself to determine which
tests are available under that treaty and the particular
requirements of those tests. See Table 4, Limitation on
Benefits, at IRS.gov/Individuals/International-Taxpayers/
Tax-Treaty-Tables, for a summary of the major tests
within the Limitation on Benefits article that are relevant
for documenting any entity's claim for treaty benefits.
Government—this test is met if the entity is the
Contracting State, political subdivision, or local authority.
Tax-exempt pension trust or pension fund—this test
generally requires that more than half the beneficiaries or
participants in the trust or fund be residents of the country
of residence of the trust or fund itself.
Other tax-exempt organization—this test generally
requires that more than half the beneficiaries, members,
or participants of religious, charitable, scientific, artistic,
cultural, or educational organizations be residents of the
country of residence of the organization.
Publicly-traded corporation—this test generally requires
the corporation's principal class of shares to be primarily
and regularly traded on a recognized stock exchange in
its country of residence, while other treaties may permit
trading in either the United States or the treaty country, or
in certain third countries if the primary place of
management is the country of residence.
Subsidiary of publicly-traded corporation—this test
generally requires that more than 50% of the vote and
value of the company's shares be owned, directly or
indirectly, by five or fewer companies that are
publicly-traded corporations and that themselves meet the
publicly-traded corporation test, as long as all companies
in the chain of ownership are resident in either the United
States or the same country of residence as the subsidiary.
Company that meets the ownership and base erosion
test—this test generally requires that more than 50% of
the vote and value of the company's shares be owned,
directly or indirectly, by individuals, governments,
tax-exempt entities, and publicly-traded corporations
resident in the same country as the company, as long as
all companies in the chain of ownership are resident in the
same country of residence, and less than 50% of the
company's gross income is accrued or paid, directly or
indirectly, to persons who would not be good
shareholders for purposes of the ownership test.
Company that meets the derivative benefits test—this
test is generally limited to NAFTA, EU, and EEA country
treaties, and may apply to all benefits or only to certain
items of income (interest, dividends, and royalties). It
generally requires that more than 95% of the aggregate

vote and value of the company's shares be owned,
directly or indirectly, by seven or fewer equivalent
beneficiaries (ultimate owners who are resident in an EU,
EEA, or NAFTA country and are entitled to identical
benefits under their own treaty with the United States
under one of the ownership tests included within the LOB
article (other than the stock ownership and base erosion
test)). In addition, this test requires that less than 50% of
the company's gross income be paid or accrued, directly
or indirectly, to persons who would not be equivalent
beneficiaries.
Company with an item of income that meets the active
trade or business test—this test generally requires that the
company be engaged in an active trade or business in its
country of residence, that its activities in that country be
substantial in relation to its U.S. activities, if the payer is a
related party, and the income be derived in connection to
or incidental to that trade or business.
Favorable discretionary determination received—this
test requires that the company obtain a favorable
determination granting benefits from the U.S. competent
authority that, despite the company's failure to meet a
specific objective LOB test in the applicable treaty, it may
nonetheless claim the requested benefits. Unless a treaty
or technical explanation specifically provides otherwise,
you may not claim discretionary benefits while your claim
for discretionary benefits is pending.
Other—for other LOB tests that are not listed above (for
example, a headquarters test). Identify the other test
relied upon, or enter N/A if the treaty has no LOB article.
For example, if you meet the headquarters test under the
United States-Netherlands income tax treaty, you should
write “Headquarters test, Article 26(5)” in the space
provided.
If an entity is claiming treaty benefits on its own behalf,
it should complete Form W-8BEN-E. If an interest holder
in an entity that is considered fiscally transparent in the
interest holder’s jurisdiction is claiming a treaty benefit,
the interest holder should complete Form W-8BEN (if an
individual) or Form W-8BEN-E (if an entity) on its own
behalf as the appropriate treaty resident, and the fiscally
transparent entity should associate the interest holder’s
Form W-8BEN or Form W-8BEN-E with a Form W-8IMY
completed by the fiscally transparent entity (see Hybrid
entities under Special Instructions, later).
An income tax treaty may not apply to reduce the
amount of any tax on an item of income received
CAUTION by an entity that is treated as a domestic
corporation for U.S. tax purposes. Therefore, neither the
domestic corporation nor its shareholders are entitled to
the benefits of a reduction of U.S. income tax on an item
of income received from U.S. sources by the corporation.

!

If you are an entity that derives the income as a

TIP resident of a treaty country, you may check this

box if the applicable income tax treaty does not
contain a “limitation on benefits” provision.
Line 14c. If you are a foreign corporation claiming treaty
benefits under an income tax treaty that entered into force
before January 1, 1987 (and has not been renegotiated)
on (1) U.S. source dividends paid to you by another
foreign corporation or (2) U.S. source interest paid to you
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by a U.S. trade or business of another foreign corporation,
you must generally be a “qualified resident” of a treaty
country. See section 884 for the definition of interest paid
by a U.S. trade or business of a foreign corporation
(“branch interest”) and other applicable rules.
In general, a foreign corporation is a qualified resident
of a country if any of the following apply:
It meets a 50% ownership and base erosion test.
It is primarily and regularly traded on an established
securities market in its country of residence or the United
States.
It carries on an active trade or business in its country of
residence.
It gets a ruling from the IRS that it is a qualified resident.
See Regulations section 1.884-5 for the requirements that
must be met to satisfy each of these tests.
If you are claiming treaty benefits under an
income tax treaty entered into force after
CAUTION December 31, 1986, do not check box 14c.
Instead, check box 14b.

!

Line 15. Line 15 must be used only if you are claiming
treaty benefits that require that you meet conditions not
covered by the representations you make in line 14 (or
other certifications on the form). This line is generally not
applicable to claiming treaty benefits under an interest or
dividends (other than dividends subject to a preferential
rate based on ownership) article of a treaty or other
income article, unless such article requires additional
representations. For example, certain treaties allow for a
zero rate on dividends for certain qualified residents
provided that additional requirements are met, such as
ownership percentage, ownership period, and that the
resident meet a combination of tests under an applicable
LOB article. You should indicate the specific treaty article
and paragraph or subparagraph, as applicable. You
should also use this space to set out the requirements you
meet under the identified treaty article.
The following are examples of persons who should
complete this line:
Exempt organizations claiming treaty benefits under the
exempt organization articles of the treaties with Canada,
Mexico, Germany, and the Netherlands.
Foreign corporations that are claiming a preferential
rate applicable to dividends based on ownership of a
specific percentage of stock in the entity paying the
dividend and owning the stock for a specified period of
time. Such persons should provide the percentage of
ownership and the period of time they owned the stock.
For example, under the United States-Italy treaty, to claim
the 5% dividend rate, the Italian corporation must own
25% of the voting stock for a 12-month period.
In addition, for example, if you qualify for and are
claiming a zero rate on dividend payments under Article
10(3) of the United States-Germany income tax treaty,
you should fill out line 15 with “Article 10(3),” “0,” and
“dividends” in the spaces provided. In the space provided
for an explanation, you may write that you are the
beneficial owner of the dividends, you are a resident of
Germany, you have directly owned shares representing
80% or more of the voting power of the company paying
the dividends for the 12-month period ending on the date
Instructions for Form W-8BEN-E (Rev. 7-2017)

the entitlement to the dividend is determined, and that you
satisfy the conditions of Article 28(2)(f)(aa) and (bb) and
Article 28(4) of the treaty with respect to the dividends.
Persons claiming treaty benefits on royalties if the treaty
contains different withholding rates for different types of
royalties.
Persons claiming treaty benefits on interest other than
the generally applicable rate. For example, under the
United States-Australia treaty, the generally applicable
interest rate is 10% under Article 11(2). However, interest
may be exempt from withholding if the specific conditions
under Article 11(3) are met.

Parts IV Through XXVIII –
Certification of Chapter 4 Status

You should complete only one part of Parts IV through
XXVIII certifying to your chapter 4 status (if required). You
are not required to complete a chapter 4 status
certification if you are not the payee of withholdable
payment or you do not hold an account with an FFI
requesting this form. Identify which part (if any) you should
complete by reference to the box you checked on line 5.
An entity that selects nonparticipating FFI, participating
FFI, registered deemed-compliant FFI (other than a
sponsored FFI), reporting Model 1 FFI, reporting Model 2
FFI, or direct reporting NFFE (other than a sponsored
direct reporting NFFE) on line 5 is not required to
complete any of the certifications in Parts IV through
XXVIII.
IGA. In lieu of the certifications contained in Parts IV
through XXVIII of Form W-8BEN-E, in certain cases you
may provide an alternate certification to a withholding
agent. See Entities Providing Certifications Under an
Applicable IGA under Special Instructions, later.

Part IV – Sponsored FFI
Line 16. If you are a sponsored FFI described in
Regulations section 1.1471-5(f)(1)(i)(F), enter the name of
the sponsoring entity that has agreed to fulfill the due
diligence, reporting, and withholding obligations (as
applicable) on behalf of the sponsored FFI identified in
line 1. You must provide your GIIN on line 9.
Line 17. You must check the applicable box to certify that
you are either a sponsored investment entity or sponsored
controlled foreign corporation (within the meaning of
section 957(a)) and that you satisfy the other relevant
requirements for this status.

Part V – Certified Deemed-Compliant
Nonregistering Local Bank
Line 18. If you are a certified deemed-compliant
nonregistering local bank, you must check the box to
certify that you meet all of the requirements for this
certified deemed-compliant status.

Part VI – Certified Deemed-Compliant
FFI with Only Low-Value Accounts
Line 19. If you are a certified deemed-compliant FFI with
only low-value accounts, you must check the box to certify
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that you meet all of the requirements for this certified
deemed-compliant classification.

Part VII – Certified Deemed-Compliant
Sponsored, Closely
Held Investment Vehicle
Line 20. Enter the name of your sponsoring entity that
has agreed to fulfill the due diligence, reporting, and
withholding obligations of the entity identified in line 1 as if
the entity in line 1 were a participating FFI. You must also
enter the GIIN of your sponsoring entity on line 9a.
Line 21. If you are a sponsored, closely held investment
vehicle, you must check the box to certify that you meet all
of the requirements for this certified deemed-compliant
status.

Part VIII – Certified
Deemed-Compliant
Limited Life Debt
Investment Company
Line 22. If you are a limited life debt investment entity,
you must check the box to certify that you meet all of the
requirements for this certified deemed-compliant status.

Part IX – Certain Investment Entities
that Do Not Maintain Financial
Accounts
Line 23. If you are an FFI that is a financial institution
solely because you are described in Regulations section
1.1471-5(e)(4)(i)(A) and you do not maintain financial
accounts, you must check the box to certify that you meet
all of the requirements for this certified deemed-compliant
status.

Part X – Owner-Documented FFI
Line 24a. If you are an owner-documented FFI, you must
check the box to certify that you meet all of the
requirements for this status and are providing this form to
a U.S. financial institution, participating FFI, reporting
Model 1 FFI, or reporting Model 2 FFI that agrees to act as
a designated withholding agent with respect to you. See
Regulations section 1.1471-5(f)(3) for more information
about an owner-documented FFI, including with respect to
a designated withholding agent.
Line 24b. Check the box to certify that you have provided
or will provide the documentation set forth in the
certifications, including the FFI owner reporting statement
and the valid documentation for each person identified on
the FFI owner reporting statement described on line 24b.
Line 24c. Check the box to certify that you have provided
or will provide the auditor’s letter (in lieu of the information
required by line 24b) that satisfies the requirements
reflected on this line.
Check either line 24b or line 24c. Do not check

TIP both boxes.

Line 24d. Check the box if you do not have any
contingent beneficiaries or designated classes with
unidentified beneficiaries. While this certification is not
required, a Form W-8BEN-E provided by an
owner-documented FFI will remain valid indefinitely for
chapter 4 purposes absent a change in circumstances
with respect to offshore obligations (as defined in
Regulations section 1.6049-5(c)(1)) only if this
certification is provided and the account balance of all
accounts held by the owner-documented FFI with the
withholding agent does not exceed $1,000,000 on the
later of June 30, 2014, or the last day of the calendar year
in which the account was opened, and the last day of
each subsequent calendar year preceding the payment,
applying the account aggregation rules of Regulations
section 1.1471-5(b)(4)(iii).

Part XI – Restricted Distributor
Line 25a. If you are a restricted distributor you must
check the box to certify that you meet all of the
requirements for this status.
Lines 25b and 25c. Check the appropriate box to certify
your status. Do not check both boxes.
A restricted distributor may certify only with
respect to an account it maintains in connection
CAUTION with a distribution agreement with a restricted
fund. A restricted distributor that, in connection with such
a distribution agreement, receives a payment subject to
chapter 3 withholding or a withholdable payment should
complete Form W-8IMY and not this form except to the
extent it holds interests in connection with such an
agreement as a beneficial owner.

!

Part XII – Nonreporting IGA FFI
Line 26. Check the box to indicate that you are treated as
a nonreporting IGA FFI. You must identify the IGA by
entering the name of the jurisdiction that has the IGA
treated as in effect with the United States, and indicate
whether it is a Model 1 or Model 2 IGA. You must also
provide the withholding agent with the specific category of
FFI described in Annex II of the IGA. In providing the
specific category of FFI described in Annex II, you should
use the language from Annex II that best and most
specifically describes your status. For example, indicate
“investment entity wholly owned by exempt beneficial
owners” rather than “exempt beneficial owner.” If you are
a nonreporting IGA FFI claiming a deemed-compliant
status under the regulations, you must instead indicate on
this line which section of the regulations you qualify under.
If you are a nonreporting financial institution under an
applicable IGA because you qualify as an
owner-documented FFI under the regulations, do not
check “Nonreporting IGA FFI.” Instead, you must check
“Owner-documented FFI” and complete Part X rather than
this Part XII.
See instructions for line 9a for when a GIIN is required
for a nonreporting IGA FFI (including a trustee of a
trustee-documented trust that is a foreign person).

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Part XIII – Foreign Government,
Government of a U.S. Possession, or
Foreign Central Bank of Issue
Line 27. If you are a foreign government or political
subdivision of a foreign government (including wholly
owned agencies and instrumentalities thereof),
government of a U.S. possession, or foreign central bank
of issue (each as defined in Regulations section 1.1471-6)
you must check the box and certify that you meet all of the
requirements for this status (including that you do not
engage in the type of commercial financial activities
described on this line except to the extent permitted under
Regulations section 1.1471-6(h)(2)).
If you are a foreign government or political

TIP subdivision of a foreign government (including

wholly owned agencies and instrumentalities
thereof), government of a U.S. possession, or foreign
central bank of issue, you should only complete Form
W-8BEN-E for payments for which you are not claiming
the applicability of section(s) 115(2), 892, or 895;
otherwise you should use Form W-8EXP.

Part XIV – International Organization
Line 28a. Check this box to certify that you are an
international organization described in section 7701(a)
(18).
If you are an entity that has been designated as

TIP an international organization by executive order

(pursuant to 22 U.S.C. 288 through 288f), check
box 28a. If you are claiming an exemption from
withholding for purposes of chapter 3, however, use Form
W-8EXP.
Line 28b. If you are an international organization other
than an international organization described in line 28a,
you must check the box to certify that you satisfy all of the
requirements for this status.

Part XV – Exempt Retirement Plans
Lines 29a, b, c, d, e, and f. If you are an exempt
retirement plan you must check the appropriate box to
certify that you meet all of the requirements for this status.

Part XVI – Entity Wholly Owned
by Exempt Beneficial Owners
Line 30. If you are an entity wholly owned by exempt
beneficial owners you must check the box to certify that
you meet all of the requirements for this status. You must
also provide the owner documentation described in this
line establishing that each of your direct owners or debt
holders is an exempt beneficial owner described in
Regulations section 1.1471-6(b).

Instructions for Form W-8BEN-E (Rev. 7-2017)

Part XVII – Territory
Financial Institution
Line 31. If you are a territory financial institution you must
check the box to certify that you meet all of the
requirements for this status.

Part XVIII – Excepted
Nonfinancial Group Entity
Line 32. If you are an excepted nonfinancial group entity
you must check the box to certify that you meet all of the
requirements for this status.

Part XIX – Excepted Nonfinancial
Start-Up Company
Line 33. If you are an excepted nonfinancial start-up
company you must check the box to certify that you meet
all of the requirements for this status. You must also
provide the date you were formed or your board passed a
resolution (or equivalent measure) approving a new line of
business (which cannot be that of a financial institution or
passive NFFE).

Part XX – Excepted Nonfinancial
Entity in Liquidation or Bankruptcy
Line 34. If you are an excepted nonfinancial group entity
in liquidation or bankruptcy you must check the box to
certify that you meet all of the requirements for this status.
You must also provide the date that you filed a plan of
liquidation, plan of reorganization, or bankruptcy petition.

Part XXI – 501(c) Organization
Line 35. If you are an entity claiming chapter 4 status as
a section 501(c) organization pursuant to Regulations
section 1.1471-5(e)(5)(v) you must check the box and
provide the date that the IRS issued you a determination
letter or provide a copy of an opinion from U.S. counsel
certifying that you qualify as a section 501(c) organization
(without regard to whether you are a foreign private
foundation).
If you are a section 501(c) organization claiming

TIP an exemption from withholding for purposes of
chapter 3, however, use Form W-8EXP.

Part XXII – Nonprofit Organization
Line 36. If you are a nonprofit organization (other than an
entity claiming chapter 4 status as a section 501(c)
organization pursuant to Regulations section 1.1471-5(e)
(5)(v)) you must check the box to certify that you meet all
of the requirements for this status.
Nonprofit organization under an IGA. If you are an
entity that is established and maintained in a jurisdiction
that is treated as having in effect an IGA and you are
described in Annex I as a nonprofit organization that is an
Active NFFE, see Entities Providing Certifications Under
an Applicable IGA under Special Instructions, later.

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Part XXIII – Publicly-Traded
NFFE or NFFE Affiliate of
a Publicly-Traded Corporation
Line 37a. If you are a publicly-traded NFFE you must
check the box to certify that you are not a financial
institution and provide the name of a securities exchange
on which your stock is publicly traded.
Line 37b. If you are an NFFE that is a member of the
same expanded affiliated group as a publicly-traded U.S.
or foreign entity you must check this box, provide the
name of the publicly-traded entity, and identify the
securities market on which the stock of the publiclytraded entity is traded. See Regulations section
1.1472-1(c)(1)(i) to determine if the stock of an entity is
regularly traded on an established securities market
(substituting the term “U.S. entity” for “NFFE,” as
appropriate, for purposes of testing whether an entity is
publicly traded).

Part XXIV – Excepted Territory NFFE
Line 38. If you are an excepted territory NFFE you must
check the box to certify that you meet all of the
requirements for this classification. See Regulations
section 1.1472-1(c)(1)(iii) for the definition of an excepted
territory NFFE.

Part XXV – Active NFFE
Line 39. If you are an active NFFE you must check the
box to certify that you meet all of the requirements for this
status, including the assets and passive income test
described in the certification for this part. For purposes of
applying this test, passive income includes dividends,
interest, rents, royalties, annuities, and certain other forms
of passive income. See Regulations section 1.1472-1(c)
(1)(iv)(A) for additional detail for the definition of passive
income. Also see Regulations section 1.1472-1(c)(1)(iv)
(B) for exceptions from the definition of passive income for
certain types of income.

Part XXVI – Passive NFFE
Line 40a. If you are a passive NFFE you must check the
box to certify that you are not a financial institution and are
not certifying your status as a publicly-traded NFFE, NFFE
affiliate of a publicly-traded company, excepted territory
NFFE, active NFFE, direct reporting NFFE, or sponsored
direct reporting NFFE.
Note. If you would be a passive NFFE but for the fact that
you are managed by certain types of FFIs (see
Regulations section 1.1471-5(e)(4)(i)(B)), you should not
complete line 40a as you would be considered a financial
institution and not a passive NFFE.
If you are an NFFE that may qualify as an active

TIP NFFE (or other NFFE described in another part of

this form), you may still check line 40a and
disclose your substantial U.S. owners or certify that you
have no substantial U.S. owners.

Line 40b. Check this box to certify that you have no
substantial U.S. owners.
Line 40c. If you do not check the box and make the
certification on line 40b, you must check this box 40c and
complete Part XXIX to identify and provide the name,
address, and TIN of each of your substantial U.S. owners.
Note. If you are an NFFE that is providing Form
W-8BEN-E to an FFI treated as a reporting Model 1 FFI or
reporting Model 2 FFI, you may also use Part XXIX to
report controlling U.S. persons (as defined in an
applicable IGA). The references to “controlling U.S.
persons” in this part and Part XXIX apply only if the form is
being provided to an FFI treated as a reporting Model 1
FFI or reporting Model 2 FFI.

Part XXVII – Excepted
Inter-Affiliate FFI
Line 41. If you are an excepted inter-affiliate FFI you
must check the box to certify that you meet all of the
requirements of this classification. This classification will
only apply for an excepted inter-affiliate FFI that holds
deposit accounts described in the certification for this part
and that is documenting itself to the financial institution
that maintains the deposit account. You are not eligible for
this classification if you receive or make withholdable
payments to or from any person other than a member of
your expanded affiliated group, other than the depository
institution described in the previous sentence. See
Regulations section 1.1471-5(e)(5)(iv) for all the
requirements of this status.

Part XXVIII – Sponsored
Direct Reporting NFFEs
Lines 42 and 43. If you are a sponsored direct reporting
NFFE you must enter the name of the sponsoring entity
on line 42 and check the box to certify that you meet all of
the requirements for this classification. You must also
provide your GIIN in line 9a.

Part XXIX – Substantial U.S.
Owners of Passive NFFE

If you identified yourself as a passive NFFE (including an
investment entity that is a territory NFFE but is not an
excepted territory NFFE under Regulations section
1.1472-1(c)) with one or more substantial U.S. owners in
Part XXVI, you must identify each substantial U.S. owner.
Provide the name, address, and TIN of each substantial
U.S. owner in the relevant column. You may attach this
information on a separate statement, which remains
subject to the same perjury statement and other
certifications made in Part XXX. If you are reporting
controlling U.S. persons (as defined in an applicable IGA)
to a Model 1 FFI or reporting Model 2 FFI with which you
maintain an account that requests such ownership
information with this form, you may use this space or
attach a separate statement to report such persons.

Part XXX – Certification

Form W-8BEN-E must be signed and dated by an
authorized representative or officer of the beneficial
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owner, participating payee (for purposes of section
6050W), or account holder of an FFI requesting this form.
You must check the box to certify that you have the legal
capacity to sign for the entity identified on line 1 that is the
beneficial owner of the income. If Form W-8BEN-E is
completed by an agent acting under a duly authorized
power of attorney, the form must be accompanied by the
power of attorney in proper form or a copy thereof
specifically authorizing the agent to represent the principal
in making, executing, and presenting the form. Form
2848, Power of Attorney and Declaration of
Representative, may be used for this purpose. The agent,
as well as the beneficial owner, payee, or account holder
(as applicable), may incur liability for the penalties
provided for an erroneous, false, or fraudulent form. By
signing Form W-8BEN-E, the authorized representative,
officer, or agent of the entity also agrees to provide a new
form within 30 days following a change in circumstances
affecting the correctness of the form.
A withholding agent may allow you to provide this form
with an electronic signature. The electronic signature must
indicate that the form was electronically signed by a
person authorized to do so (for example, with a time and
date stamp and statement that the form has been
electronically signed). Simply typing your name into the
signature line is not an electronic signature.

that is a withholdable payment, unless you are treated as
the payee for chapter 4 purposes and have your own
GIIN, your single owner should provide Form W-8BEN-E
or Form W-8BEN (as applicable) to the withholding agent
along with this form. You or the withholding agent may use
line 10 to inform the withholding agent to associate the
two forms.

Broker transactions or barter exchanges. Income
from transactions with a broker or a barter exchange is
subject to reporting rules and backup withholding unless
Form W-8BEN-E or a substitute form is filed to notify the
broker or barter exchange that you are an exempt foreign
person.
You are an exempt foreign person for a calendar year
in which:
You are a foreign corporation, partnership, estate, or
trust; and
You are neither engaged, nor plan to be engaged
during the year, in a U.S. trade or business that has
effectively connected gains from transactions with a
broker or barter exchange.

Line 9b. If your country of residence for tax purposes has
issued you a tax identifying number, enter it here. Do not
enter the tax identifying number of your owner(s).

Line 1. Enter your legal name (determined by reference
to your legal identity in your country of incorporation or
organization).
Line 2. Enter the country under whose laws you are
created, organized, or governed.
Line 3. Leave this line blank. For purposes of completing
this form as a hybrid entity making a treaty claim
(including a disregarded entity), you are treated as the
beneficial owner and should be identified in line 1.
Line 4. Check the box that applies among disregarded
entity, partnership, grantor trust, or simple trust. You must
also check the box indicating that you are a hybrid making
a treaty claim and complete Part III.
Line 5. Leave this line blank, except in the circumstances
described above.
Lines 6, 7, and 8. Complete lines 6, 7, and 8 as provided
in the specific instructions, earlier.

Line 10. This reference line is used to associate this
Form W-8BEN-E with another applicable withholding
certificate or other documentation provided for purposes
of chapter 4. For example, if you are a partnership making
a treaty claim, you may want to provide information for the
withholding agent to associate this Form W-8BEN-E with
the Form W-8IMY and owner documentation you provide
for purposes of establishing the chapter 4 status of your
owner(s).

Special Instructions

You must complete Parts III and XXX in accordance
with the specific instructions above. Complete Part II if
applicable.

Hybrid Entity Making a Claim of Treaty Benefits

Foreign Reverse Hybrid Entities

If you are a hybrid entity making a claim for treaty benefits
as a resident on your own behalf, you may do so as
permitted under an applicable tax treaty. You should
complete this Form W-8BEN-E to claim treaty benefits in
the manner described in the instructions for Part III and
complete Part I to the extent indicated below. Note that
you should not complete line 5 indicating your chapter 4
status unless you are a disregarded entity that is treated
as the payee for chapter 4 purposes.
If you are a flow-through entity claiming treaty benefits
on a payment that is a withholdable payment, you should
also provide Form W-8IMY along with a withholding
statement (if required) establishing the chapter 4 status of
each of your partners or owners. Allocation information is
not required on this withholding statement unless one or
more partners or owners are subject to chapter 4
withholding (such as a nonparticipating FFI). If you are a
disregarded entity claiming treaty benefits on a payment
Instructions for Form W-8BEN-E (Rev. 7-2017)

A foreign reverse hybrid entity should only file a Form
W-8BEN-E for payments for which it is not claiming treaty
benefits on behalf of its owners and must provide a
chapter 4 status when it is receiving a withholdable
payment. A foreign reverse hybrid entity claiming treaty
benefits on behalf of its owners should provide the
withholding agent with Form W-8IMY (including its
chapter 4 status when receiving a withholdable payment)
along with a withholding statement and Forms W-8BEN or
W-8BEN-E (or documentary evidence to the extent
permitted) on behalf of each of its owners claiming treaty
benefits. See Form W-8IMY and accompanying
instructions for more information.

Entities Providing Certifications
Under an Applicable IGA

An FFI in an IGA jurisdiction with which you have an
account may provide you with a chapter 4 status
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certification other than as shown in Parts IV through XXVIII
in order to satisfy its due diligence requirements under the
applicable IGA. In such a case, you may attach the
alternative certification to this Form W-8BEN-E in lieu of
completing a certification otherwise required in Parts IV
through XXVIII provided that you: (1) determine that the
certification accurately reflects your status for chapter 4
purposes or under an applicable IGA; and (2) the
withholding agent provides a written statement to you that
it has provided the certification to meet its due diligence
requirements as a participating FFI or registered
deemed-compliant FFI under an applicable IGA. For
example, Entity A organized in Country A holds an
account with an FFI in Country B. Country B has a Model
1 IGA in effect. The FFI in Country B may ask Entity A to
provide a chapter 4 status certification based on the terms
of the Country B IGA in order to fulfil its due diligence and
documentation requirements under the Country B IGA.
You may also provide with this form an applicable IGA
certification if you are determining your chapter 4 status
under the definitions provided in an applicable IGA and
your certification identifies the jurisdiction that is treated
as having an IGA in effect and describes your status as an
NFFE or FFI in accordance with the applicable IGA.
However, if you determine your status under an applicable
IGA as an NFFE, you must still determine if you are an
excepted NFFE under the Regulations in order to
complete this form unless you are provided an alternative
certification by an FFI described in the preceding
paragraph that covers your certification as an NFFE (such
as “active NFFE”) as defined in an applicable IGA.
Additionally, you are required to comply with the
conditions of your status under the law of the IGA
jurisdiction to which you are subject if you are determining
your status under that IGA. If you cannot provide the
certifications in Parts IV through XXVIII, or if you are a
nonprofit entity that meets the definition of “active NFFE”
under the applicable IGA, do not check a box in line 5.
However, if you determine your status under the
definitions of the IGA and can certify to a chapter 4 status
included on this form, you do not need to provide the
certifications described in this paragraph unless required
by the FFI to whom you are providing this form.
Any certifications provided under an applicable IGA
remain subject to the penalty of perjury statement and
other certifications made in Part XXX.

Entities Providing Alternate or Additional
Certifications Under Regulations

If you qualify for a status that is not shown on this form,
you may attach applicable certifications for such status
from any other Form W-8 on which the relevant
certifications appear. If the applicable certifications do not
appear on any Form W-8 (if, for example, new regulations
provide for an additional status and this form has not been
updated to incorporate the status) then you may provide
an attachment certifying that you qualify for the applicable
status described in a particular Regulations section.
Include a citation to the applicable provision in the
Regulations. Any such attached certification becomes an
integral part of this Form W-8BEN-E and is subject to the
penalty of perjury statement and other certifications made
in Part XXX.
Paperwork Reduction Act Notice. We ask for the
information on this form to carry out the Internal Revenue
laws of the United States. You are required to provide the
information. We need it to ensure that you are complying
with these laws and to allow us to figure and collect the
right amount of tax.
You are not required to provide the information
requested on a form that is subject to the Paperwork
Reduction Act unless the form displays a valid OMB
control number. Books or records relating to a form or its
instructions must be retained as long as their contents
may become material in the administration of any Internal
Revenue law. Generally, tax returns and return
information are confidential, as required by section 6103.
The time needed to complete and file this form will vary
depending on individual circumstances. The estimated
average time is:Recordkeeping, 12 hr., 40 min.;
Learning about the law or the form, 4 hr., 17 min.;
Preparing and sending the form, 8 hr., 16 min.
If you have comments concerning the accuracy of
these time estimates or suggestions for making this form
simpler, we would be happy to hear from you. You can
send us comments from IRS.gov/FormComments. You
can write to the Internal Revenue Service, Tax Forms and
Publications, 1111 Constitution Ave. NW, IR-6526,
Washington, DC 20224. Do not send Form W-8IMY to this
office. Instead, give it to your withholding agent.

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Instructions for Form W-8BEN-E (Rev. 7-2017)