The entity identified on line 1 of this form is the beneficial owner of all the income to which this form relates, is using this form to certify its status for chapter 4 purposes, or is a merchant submitting this form for purposes of section 6050W,
The entity identified on line 1 of this form is not a U.S. person,
The income to which this form relates is (a) not effectively connected with the conduct of a trade or business in the United States, (b) effectively connected but is not subject to tax under an income tax treaty, or (c) the partner's share of a partnership's effectively connected income,
For broker transactions or barter exchanges, the beneficial owner is an exempt foreign person as defined in the instructions, and
I agree that I will submit a new form within 30 days if any certification on this form becomes incorrect.