受益人非美国个人身份声明.PDFVIP

受益人非美国个人身份声明 Certificate of Foreign Status of Beneficial Owner for United Sates Tax Withholding and Reporting (Individuals) 第一部分 受益人识别 Part I Identification of Beneficial Owner 1、受益人姓名 2 、国籍（请勿缩写） 1. Name of individual who is the beneficial owner 2.Country of citizenship (do not abbreviate) 3、永久地址。请勿提供转交地址或邮箱 3.Pernanent residence address.Do not use a P.O. box or in-care-of address 4 、出生日期 （年-月- 日) 4.Date of birth (YYYY-MM-DD) 第二部分对于美国标记的说明 Part II Written Explanation Supporting the Claim of Foreign Status 对于存在美国标记（例如，美国居住地址、美国邮件地址或电话号码等）但声明为非美国个人的原因如下： For the individual with identified U.S. indicia (e.g. A current U.S. residence address, U.S. mailing address, current U.S. telephone number etc.), please provide written explanations to support the claim of foreign status: □本人持有美国学生签证，在美国院校就读； Is a student at a U.S. educational institution and holds the appropriate visa; □本人持有美国签证，在美国院校任教、培训、实习，或参与教育、文化交流项目； Is a teacher, trainee, or intern at a U.S. educational institution or a participant in an educational or cultural exchange visitor program, and holds the appropriate visa; □本人是外国驻美国使、领馆的外交或工作人员，或在国际组织任职； Is a foreign individual assigned to a diplomatic post or a position in a consulate, embassy, or international organization in the United States; □本人是以上三类人士的配偶或未满21 岁的未婚子女； Is a spouse or unmarried child under the age of 21 years of an individual described in one of the above categories ； □本人不持有美国绿卡，当年也不在美国逗留超过30 天，或超过30 天但三年内在美国逗留时间累计不超过183 天（累 计方式：当年每一天算一天，去年每一天算三分之一天，前年每一天算六分之一天）； The individual neither holds a U.S. Green Card, nor has met the substantial presence test; (The substantial presence test: the individual is physically present in the Un