Certificate of foreign status of beneficial owner for United States tax withholding and reporting, mirroring IRS Form W-8BEN. Used by foreign individuals to claim reduced withholding under a tax treaty and certify non-US person status.
The Foreign Status Certification (W-8BEN style) is a ready-to-use records & authorization template you can send for signature in minutes. It is written for 1 signer (beneficial owner) and, by default, expires 30 days after it is sent if left unsigned. It covers tax, irs, w8ben, foreign, withholding, treaty. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.
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# Foreign Status Certification (W-8BEN Style) This document mirrors IRS Form W-8BEN. It is used by foreign individuals to establish their foreign status, claim beneficial ownership of the income, and, where applicable, claim a reduced rate of withholding under an income tax treaty. **Do not use this form if you are a U.S. citizen or resident alien.** Foreign entities should use IRS Form W-8BEN-E. --- ## Part I — Identification of Beneficial Owner **Line 1 — Name of Individual Who Is the Beneficial Owner:** ___________ **Line 2 — Country of Citizenship:** ___________ **Line 3 — Permanent Residence Address (Street, including apt. no. or rural route — do not use a P.O. box or in-care-of address):** ___________ **City or Town:** ___________ **State/Province:** ___________ **Postal Code:** ___________ **Country (do not abbreviate):** ___________ **Line 4 — Mailing Address (if different from above):** ___________ **City or Town:** ___________ **State/Province:** ___________ **Postal Code:** ___________ **Country (do not abbreviate):** ___________ **Line 5 — U.S. Taxpayer Identification Number (SSN or ITIN), if required:**