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Certificate of Foreign Status of Beneficial Owner for United States Tax Withholding
美国财政部国税局在美预扣税收益方外籍身份证明表
Do not use this form for: 不得将此表用于以下用
Instead, use Form: 应采用下列表：
● A U.S. citizen or other U.S. person, including a resident alien individual W-9
美国公民或其它美国境内居民，包括居住在美国的外国人
● A person claiming an exemption from U.S. withholding on income effectively connected with the conduct of a trade or business in the United States W-8ECI
在美国的贸易或业务行为所得税免于美国缴纳预扣税的个人
● A foreign partnership, a foreign simple trust, or a foreign grantor trust (see instructions for exceptions) W-8ECI or W-8IMY
国外合伙制公司、国外简单信托、或国外授予人信托（见说明中给出的例外情况）
● A foreign government, international organization, foreign central bank of issue, foreign tax-exempt organization, foreign private foundation, or government of a U.S. possession that received effectively connected income or that is claiming the applicability of section(s) 115(2), 501(c), 892, 895, or 1443(b) (see instructions) W-8ECI or W-8EXP
外国政府、国际机构、外国指定银行、外国免税机构、外国私人基金会、或获得相关收入或宣称适用于第115（2），501（c），892，
895或1443（b）条规定（见说明）的美国所属政府
Note: These entities should use Form W-8BEN if they are claiming treaty benefits or are providing the form only to claim they are a foreign person exempt from backup withholding.
备注：如以上实体要求获得协定优惠待遇，或只是提供表格宣称其为不受预扣税的外国居民，应使用表格
W-8BEN。
● A person acting as an intermediary W-8IMY
作为一个中间人的个人
Note: See instructions for additional exceptions.
备注：参见说明中给出的其它例外情况。
Part I
Identification of Beneficial Owner (See instructions.) 收益方身份（见说明）
1 Name of individual or organization that is the beneficial owner 2 Country of incorporation or organization
个人或机构收益方名称
3 Type of beneficial owner:
收益方类型：
Individual Corporation
个人 股份公司
Disregarded entity
非独立实体
公司或组织所在国
Partnership Simple trust
合伙制公司 简单信托
Grantor trust
授予人信托
Complex trust
复合信托
Estate
房地
产
Government International organizatio n
政府 国际组织
Central bank of issue Tax-exempt organization
国外指定银行 免税机构
Private foundation
私人基金
4 Permanent residence address (street, apt. or suite no., or rural route). Do not use a P.O. box or in-care-of address.
永久居住地址（街道、室号或邮道）。不要填写邮政信箱或转交地址
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