Form RevisionExtract the form revision date (e.g., Rev. October...
Entity NameExtract the organization name from Line 1....
Country of IncorporationExtract the country of incorporation or organizati...
Entity TypeIdentify entity type from Line 4: Corporation, Par...
FATCA StatusExtract the Chapter 4 (FATCA) status from Part I L...
Permanent AddressExtract the permanent residence address from Line ...
Mailing AddressExtract the mailing address if different. Return S...
US TINExtract the US TIN (EIN) from Line 8. Return N/A i...
GIINExtract the Global Intermediary Identification Num...
Foreign TINExtract the foreign TIN from Line 10. Return N/A i...
Reference NumbersExtract any reference numbers from Line 11. Return...
Disregarded Entity NameIf disregarded entity, extract the name from Part ...
Hybrid Entity ClaimIs the entity claiming treaty benefits as a hybrid...
Treaty CountryExtract the treaty country from Part III Line 14. ...
Treaty ArticleExtract the treaty article from Part III Line 15. ...
Withholding RateExtract the claimed withholding rate percentage. R...
Income TypeExtract the income type for treaty claim. Return N...
LOB ProvisionExtract the Limitation on Benefits (LOB) provision...
Active NFFE CertificationFor Active NFFE, is the certification that less th...
Substantial US OwnersFor Passive NFFE, extract substantial US owner inf...
Authorized Signer NameExtract the printed name of the authorized signer ...
Signer TitleExtract the title of the authorized signer....
Signature DateExtract the signature date. Return in YYYY-MM-DD f...
Signature PresentIs the certification signature present? Yes or No...