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 - 2006

Download a blank fillable 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 - 2006 in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete 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 - 2006 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

Certificate of Foreign Person’s Claim That Income Is

W-8ECI

Form

Effectively Connected With the Conduct of a Trade or

OMB No. 1545-1621

Business in the United States

(Rev. February 2006)

Section references are to the Internal Revenue Code.

See separate instructions.

Department of the Treasury

Give this form to the withholding agent or payer. Do not send to the IRS.

Internal Revenue Service

Note: Persons submitting this form must file an annual U.S. income tax return to report income claimed to be effectively

connected with a U.S. trade or business (see instructions).

Do not use this form for:

Instead, use Form:

● A beneficial owner solely claiming foreign status or treaty benefits

W-8BEN

● A foreign government, international organization, foreign central bank of issue, foreign tax-exempt organization, foreign private

foundation, or government of a U.S. possession claiming the applicability of section(s) 115(2), 501(c), 892, 895, or 1443(b)

W-8EXP

Note: These entities should use Form W-8ECI if they received effectively connected income (e.g., income from commercial activities).

● A foreign partnership or a foreign trust (unless claiming an exemption from U.S. withholding on income effectively

connected with the conduct of a trade or business in the United States)

W-8BEN or W-8IMY

● A person acting as an intermediary

W-8IMY

Note: See instructions for additional exceptions.

Part I

Identification of Beneficial Owner

(See instructions.)

Name of individual or organization that is the beneficial owner

Country of incorporation or organization

Type of entity (check the appropriate box):

Individual

Corporation

Disregarded entity

Partnership

Simple trust

Complex trust

Estate

Government

Grantor trust

Central bank of issue

Tax-exempt organization

Private foundation

International organization

Permanent residence address (street, apt. or suite no., or rural route). Do not use a P.O. box.

City or town, state or province. Include postal code where appropriate.

Country (do not abbreviate)

Business address in the United States (street, apt. or suite no., or rural route). Do not use a P.O. box.

City or town, state, and ZIP code

U.S. taxpayer identification number (required—see instructions)

Foreign tax identifying number, if any (optional)

SSN or ITIN

EIN

Reference number(s) (see instructions)

Specify each item of income that is, or is expected to be, received from the payer that is effectively connected with the conduct of a trade

or business in the United States (attach statement if necessary)

Part II

Certification

Under penalties of perjury, I declare that I have examined the information on this form and to the best of my knowledge and belief it is true, correct,

and complete. I further certify under penalties of perjury that:

● I am the beneficial owner (or I am authorized to sign for the beneficial owner) of all the income to which this form relates,

● The amounts for which this certification is provided are effectively connected with the conduct of a trade or business in the United States

Sign

and are includible in my gross income (or the beneficial owner’s gross income) for the taxable year, and

● The beneficial owner is not a U.S. person.

Here

Furthermore, I authorize this form to be provided to any withholding agent that has control, receipt, or custody of the income of which I am the

beneficial owner or any withholding agent that can disburse or make payments of the income of which I am the beneficial owner.

Signature of beneficial owner (or individual authorized to sign for the beneficial owner)

Date (MM-DD-YYYY)

Capacity in which acting