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  1. If you receive certain types of income, you must provide Form W-8BEN to: • eEstablish that you are not a U.S. person; and • Claim that you are the beneficial owner of the income for which Form W-8BEN is being provided or a foreign partner in a partnership subject to section 1446(a).

  2. Substitute Form W-8BEN Certificate of Foreign Status of Beneficial Owner for United States Tax Withholding and Reporting (Individuals)

  3. Submit Form W-8BEN when requested by the withholding agent, payer, or FFI whether or not you are claiming a reduced rate of, or exemption from, withholding. You should provide Form W-8BEN to a payment settlement entity (PSE) requesting this form if you are a foreign individual receiving payments subject to reporting

  4. Global Stock Plan Services Substitute Form W-8BEN (for use by Individuals only) Certificate of Foreign Status of Beneficial Owner for United States Tax Withholding and Reporting. General Instructions: Form. W-8BEN (Rev. October 2021) PLEASE PRINT OR TYPE ALL APPLICABLE INFORMATION IN ENGLISH

  5. SUBSTITUTE W-8BEN FORM. Certificate of Foreign Status of Beneficial Owner For United States Tax Withholding. 1. Please complete general information: Beneficial Owner _________________________________________ Country __________________ Business Name (if applicable) ____________________________________________________________

  6. INSTRUCTIONS. 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.

  7. Instructions on How to Complete the Substitute Form W-8BEN Signature and date for the “Affidavit” section 11. Title: W8 Instructions_22 Created Date:

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