Q1. The beneficial owner is a resident of
Spain within the meaning of the income tax treaty between the United States and that country.
Q2. If required, the U.S. taxpayer identification number is stated.
Please check the following 3 boxes to confirm the validity of the information supplied.
Under penalties of perjury, I declare that I have examined the information on this form and to the best of my knowledge and belief it is true, correct, and complete. I further certify under penalties of perjury that:
Q3. I am the beneficial owner (or am authorized to sign for the beneficial owner) of all the income to which this form relates
Q4. The beneficial owner is not a U.S. person
Q5. The income to which this form relates is (a) not effectively connected with the conduct of a trade or business in the United States or is (b) effectively connected but is not subject to tax under an income tax treaty, or (c) the partner's share of a partnership effectively connected income
Furthermore, I authorize this form to be provided to any withholding agent that has control, receipt, or custody of the income of which I am the beneficial owner or any withholding agent that can disburse or make payments of the income of which I am the beneficial owner.
Marcadores