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W-8ben example Form: What You Should Know
If the withholding agent/payer or the person claiming Treaty benefit is a US Person, the following information must be filled out: Part II. W9BEN. This section is required. This section must be completed and notarized. If the recipient of the return is an individual and the foreign tax credit is applied as follows: Line 4. Enter “PTC, United States” Line 7. Enter “Foreign Earned Income Credit” or “Foreign Tax Credit for Dependent Children” Line 10. Enter “Total Credits” for the tax year (see instructions) Line 14. Enter the tax credits. If the recipient of the return is an individual, enter the following information for the last four tax years (including the tax year in which the dependent child was eligible for the PTC/FTC but was not): Line 4. Enter FICA line number in the box marked “Yes” Line 7. Enter the federal income tax in the box marked “Yes” Line 10. Enter the income tax on Form 1040, line 1 “Yes” Line 14. Enter “Tax Paid” in box marked “Yes” Line 14. Enter “Amount” in box marked “Yes” (see instructions) Line 15. Enter “Income” in line 21. Enter your address in the box marked “US-Mailing Address” (If you have a US Post Office Box, you can enter your box code) This address is the address you provide when completing Form W-8BEN, “Application to Claim Treaty Benefits”, or Form W-8BEN-Form Completion Guide for Individuals. Add together the amount shown in box 2 of “Tax Paid” and the amount shown in box 21 of “Tax Paid” (in the same field). Enter this amount on line 21. Line 17. Enter “Amount (for spouse) in box 23.” Line 18. Enter “Amount (for dependent child)” in box 24. Enter your address in the box marked “US-Mailing Address” (If you have a US Post Office Box, you can enter your box code) This address is the address you provide when completing Form W-8BEN, “Application to Claim Treaty Benefits”, or Form W-8BEN-Form Completion Guide for Individuals. Line 20. Enter “Amount” in box 25.
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