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Overland Park Kansas Form W-8BEN-E: What You Should Know
Status of Beneficial Owner for United States Tax Withholding and Reportable Transactions (Entities), 1022. Instructions for the Requester of Forms W-8BEN, D — CFP I certify that the information I have furnished to you above has been received, reviewed and is true, complete, and correct. (Signature) Substance in Statement of Assets, Liabilities, and Net worth. I certify that the information I have furnished to you above is true, complete, and correct. (Signature) (1) Name: Title: Address: Address 2: Address of business: City: State: Zip: Country: (2) Employer's Employer Identification Number: Street Address: Suite/Unit: City: State: Zip: Country: (3) Date of Birth: Place of Birth: City: (4) Citizenship: Date of Citizenship: Place of Citizenship: (5) Passport number: Current Passport Code: (6) Passport number: (A) Issued by a country other than Canada or Mexico: (B) Issued by the U.S. State Department: (C) Issued by the U.S. Postal Service: (7) Permanent Resident Alien: Current Address: Current address: (8) U.S. Mail or Certified Mail: Include: (9) Telephone Number: (10) Mailing Address: I certify that the information I have furnished above has been received, reviewed and is true, complete, and correct. (Signature) 1, 2;3, 4;5, 6;9 and 10 Form W-8BEN-E, Certificate of Status of Beneficial Owner for United States Tax Withholding and Reporting (Entities), 1021 (Rev. October 2021) Filed on: June 12, 2012021; Date of First Use: June 11, 20122 (a) Foreign Corporations (or Business Entities), Non-Domestic Corporation, and Trust: This form is used for the reporting entities of foreign corporations (or business entities) if the owner is a United States resident or an entity is established in the United States, but not based in a foreign country, for a non-for-profit or charity activity. For more information regarding Form W-8 BEN-E, please go to IRS.gov/FormW-8BEN/index.
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