Form RevisionExtract the form revision date (e.g., Rev. October...
NameExtract the individual name as shown on Line 1....
Country of CitizenshipExtract the country of citizenship from Line 2....
Permanent AddressExtract the permanent residence address (street, c...
Mailing AddressExtract the mailing address if different from perm...
US TINExtract the US taxpayer identification number (SSN...
Foreign TINExtract the foreign tax identifying number from Li...
FTIN Not Required ReasonIf FTIN not legally required, extract the reason. ...
Reference NumbersExtract any reference numbers from Line 7. Return ...
Date of BirthExtract date of birth from Line 8. Return in YYYY-...
Treaty CountryExtract the country claiming treaty benefits from ...
Treaty ArticleExtract the treaty article number from Line 10. Re...
Withholding Rate ClaimedExtract the reduced withholding rate claimed (e.g....
Income TypeExtract the type of income for treaty benefits (e....
Treaty ConditionsExtract any additional conditions or explanations ...
SignatureIs the certification signature present? Yes or No...
Signature DateExtract the signature date. Return in YYYY-MM-DD f...
CapacityIf signed by agent, extract the capacity. Return I...
Print NameExtract the printed name of signer if different fr...