Transaction
Valuation*
|
Amount of Filing
Fee**
|
$165,000,000
|
$6,484.50
|
*
|
Calculated
solely for purposes of determining the amount of the filing
fee. Pursuant to Rule 0-11(b)(1) of the Securities Exchange Act
of 1934, as amended, the Transaction Valuation was calculated assuming
that all of the 20,000,000 outstanding Series C Preference Ordinary
Shares, par value $0.01 per preference share, are being purchased at the
tender offer price of $8.25 per preference
share.
|
**
|
The
amount of the filing fee, calculated in accordance with Rule 0-11(b)(1) of
the Securities Exchange Act of 1934, as amended, and Fee Rate Advisory #6
for Fiscal Year 2008 issued by the Securities and Exchange Commission,
equals $39.30 per million of the value of the
transaction.
|
[ ]
|
Check
the box if any part of the fee is offset as provided by Rule 0-11(a)(2)
and identify the filing with which the offsetting fee was previously
paid. Identify the previous filing by registration statement
number, or the Form or Schedule and the date of its
filing.
|
Amount
Previously Paid: [N/A]
|
Filing
Party: [N/A]
|
Form
or Registration No.: [N/A]
|
Date
Filed: [N/A]
|
[ ]
|
Check
the box if the filing relates solely to preliminary communications made
before the commencement of a tender
offer.
|
Page
|
||
Item
1.
|
Summary
Term Sheet.
|
1
|
Item
2.
|
Subject
Company Information.
|
1
|
Item
3.
|
Identity
and Background of Filing Person.
|
1
|
Item
4.
|
Terms
of the Transaction.
|
2
|
Item
5.
|
Past
Contacts, Transactions, Negotiations and Agreements.
|
3
|
Item
6.
|
Purposes
of the Transaction and Plans or Proposals.
|
3
|
Item
7.
|
Source
and Amount of Funds or Other Consideration.
|
4
|
Item
8.
|
Interest
in Securities of the Subject Company.
|
4
|
Item
9.
|
Persons/Assets,
Retained, Employed, Compensated or Used.
|
4
|
Item
10.
|
Financial
Statements.
|
4
|
Item
11.
|
Additional
Information.
|
4
|
Item
12.
|
Exhibits.
|
4
|
Item
13.
|
Information
Required by Schedule 13E-3.
|
4
|
SIGNATURE
|
5
|
|
EXHIBIT
INDEX
|
6
|
Item
1.
|
Summary Term
Sheet.
|
Item
2.
|
Subject Company
Information.
|
Item
3.
|
Identity and
Background of Filing Person.
|
Name
|
Office
|
Michael
S. McGavick
|
Chief
Executive Officer & Director
|
Brian
Nocco
|
Executive
Vice President & Chief Financial Officer
|
James
H. Veghte
|
Executive
Vice President & Chief Executive of Reinsurance
Operations
|
Sarah
E. Street
|
Executive
Vice President & Chief Investment Officer for XL Capital Ltd and Chief
Executive Officer of XL Capital Investment Partners
Inc.
|
Kirstin
Romann Gould
|
Executive
Vice President, General Counsel & Secretary
|
David
Duclos
|
Executive
Vice President & Chief Executive of Insurance
Operations
|
Celia
R. Brown
|
Executive
Vice President, Head of Global Human Resources & Corporate
Relations
|
Susan
L. Cross
|
Executive
Vice President & Global Chief Actuary
|
Jacob
D. Rosengarten
|
Executive
Vice President & Chief Enterprise Risk Officer
|
Brian
M. O’Hara
|
Chairman
Board of Directors
|
Dale
R. Comey
|
Director
|
Robert
R. Glauber
|
Director
|
Herbert
Haag
|
Director
|
G.
Thompson Hutton
|
Director
|
Joseph
Mauriello
|
Director
|
Eugene
M. McQuade
|
Director
|
Robert
S. Parker
|
Director
|
Alan
Z. Senter
|
Director
|
John
T. Thornton
|
Director
|
Ellen
E. Thrower
|
Director
|
Sir
John M. Vereker, KCB
|
Director
|
Item
4.
|
Terms of the
Transaction.
|
Item
5.
|
Past Contacts,
Transactions, Negotiations and
Agreements.
|
Item
6.
|
Purposes of the
Transaction and Plans or
Proposals.
|
·
|
any
extraordinary transaction, such as a merger, reorganization or
liquidation, involving the Company or any of its
subsidiaries;
|
·
|
any
purchase, sale or transfer of a material amount of assets of the Company
or any of its subsidiaries;
|
·
|
any
material change in the present dividend rate or policy, or indebtedness or
capitalization of the Company;
|
·
|
any
change in the present Board of Directors or management of the Company,
including, but not limited to, any plans or proposals to change the number
or the term of directors or to fill any existing vacancies on the Board or
to change any material term of the employment contract of any executive
officer;
|
·
|
any
other material change in the Company’s corporate structure or
business;
|
·
|
any
class of equity securities of the Company to be delisted from the New York
Stock Exchange;
|
·
|
any
class of equity securities of the Company becoming eligible for
termination of registration under Section 12(g)(4) of the Exchange
Act;
|
·
|
the
suspension of the Company’s obligation to file reports under Section 15(d)
of the Exchange Act;
|
·
|
the
acquisition by any person of additional securities of the Company, or the
disposition of securities of the Company;
or
|
·
|
any
changes in the Company’s charter, bylaws or other governing instruments or
other actions that could impede the acquisition of control of the
Company.
|
Item
7.
|
Source and Amount of
Funds or Other
Consideration.
|
Item
8.
|
Interest in Securities
of the Subject Company.
|
Item
9.
|
Persons/Assets,
Retained, Employed, Compensated or
Used.
|
Item
10.
|
Financial
Statements.
|
Item
11.
|
Additional
Information.
|
Item
12.
|
Exhibits.
|
(a)(1)(A)
|
Offer
to Purchase, dated February 27, 2009.
|
(a)(1)(B)
|
Form
of Letter of Transmittal.
|
(a)(2)
|
None
|
(a)(3)
|
None
|
(a)(4)
|
None
|
(a)(5)(A)
|
Press
release, dated February 27, 2009.
|
(b)
|
None
|
(d)(1)
|
None
|
(d)(2)
|
None
|
(g)
|
None
|
(h)
|
None
|
Item
13.
|
Information Required
by Schedule 13E-3.
|
XL
CAPITAL LTD
|
By: /s/ Fiona
Muldoon
|
Name: Fiona
Muldoon
|
Title: Senior Vice President, Global
Treasurer
|
Exhibit No.
|
Description
|
(a)(1)(A)
|
Offer
to Purchase, dated February 27, 2009.
|
(a)(1)(B)
|
Form
of Letter of Transmittal.
|
(a)(2)
|
None
|
(a)(3)
|
None
|
(a)(4)
|
None
|
(a)(5)(A)
|
Press
release, dated February 27, 2009.
|
(b)
|
None
|
(d)(1)
|
None
|
(d)(2)
|
None
|
(g)
|
None
|
(h)
|
None
|
Page
|
||
SUMMARY
TERM SHEET
|
1
|
|
INTRODUCTION
|
5
|
|
THE
OFFER
|
6
|
|
Section
1.
|
Number of Preference
Shares.
|
6
|
Section
2.
|
Purpose of the
Offer.
|
6
|
Section
3.
|
Procedures for Tendering
Preference Shares.
|
6
|
Section
4.
|
Withdrawal
Rights.
|
9
|
Section
5.
|
Purchase of Preference Shares
and Payment of Purchase Price.
|
9
|
Section
6.
|
Conditions of the
Offer.
|
10
|
Section
7.
|
Historical Price Range of
Preference Shares.
|
11
|
Section
8.
|
Source and Amount of
Funds.
|
11
|
Section
9.
|
Certain Information Concerning
XL Capital.
|
11
|
Section
10.
|
Interests of Directors and
Executive Officers; Transactions and Arrangements Concerning Preference
Shares and Other Securities.
|
12
|
Section
11.
|
Effects of the Offer on the
Market for Preference Shares; Registration Under the Exchange
Act.
|
12
|
Section
12.
|
Legal Matters; Regulatory
Approvals.
|
13
|
Section
13.
|
Certain Material United States
Federal Income Tax Consequences.
|
13
|
Section 14. | Accounting Treatment |
17
|
Section
15.
|
Extension of the Offer;
Termination; Amendment.
|
17
|
Section 16. | Fees and Expenses |
17
|
Section
17.
|
Miscellaneous.
|
18
|
Who
is offering to purchase my
|
|
Preference
Shares?
|
XL
Capital is offering to purchase your Series C Preference Ordinary
Shares, par value $0.01 per share and liquidation preference $25.00 per
share and liquidation preference $25.00 per share (the “Preference Shares”).
|
What
will the purchase price for the
|
|
Preference Shares
be?
|
The
purchase price will be $8.25 per Preference Share, plus accrued but unpaid
dividends, if any, up to but not including, the date the Preference Shares
are purchased. We will pay this purchase price net to you in
cash, without interest, for all the Preference Shares we purchase under
the Offer upon the terms and subject to the conditions contained in the
Offer. See Section 1.
|
How many Preference
Shares
|
|
will
XL Capital purchase?
|
We
will purchase any and all of the outstanding Preference
Shares. As of February 26, 2009, there were 20,000,000
Preference Shares outstanding. See
Section 1.
|
The
Offer is not conditioned on any minimum number of Preference Shares being
tendered or the availability of any financing. See
Section 6.
|
|
How
will XL Capital pay for
|
|
the
Preference Shares?
|
We
intend to use cash on hand to pay the purchase price for the Preference
Shares validly tendered pursuant to the Offer.
|
How
long do I have to tender my
|
|
Preference
Shares?
|
You
may tender your Preference Shares until the Offer expires. The
Offer will expire on March 26, 2009, at 11:59 P.M., New York City time,
unless we extend it (such time and date, as the same may be extended, the
“Expiration
Date”). See Section 1.
|
We
may choose to extend the Offer for any reason, subject to applicable
laws. We cannot assure you that we will extend the Offer or, if
we do, of the length of any extension that we may provide. See
Section 15.
|
|
If
a broker, dealer, commercial bank, trust company or other nominee holds
your Preference Shares, it is likely that it has an earlier deadline for
you to act to instruct it to accept the Offer on your
behalf. We recommend that you contact the broker, dealer,
commercial bank, trust company or other nominee to determine its
deadline.
|
Can
the Offer be extended, amended or
|
|
terminated,
and under what circumstances?
|
We
can extend or amend the Offer. If we extend the Offer, we will
delay the acceptance of any Preference Shares that have been
tendered. We can terminate the Offer under certain
circumstances. See Sections 6 and 15.
|
How
will I be notified if XL Capital extends
|
|
the
Offer or amends the terms of the Offer?
|
We
will issue a press release by 9:00 A.M., New York City time, on the
business day after the scheduled Expiration Date if we decide to extend
the Offer. We will announce any amendment to the Offer by
making a public announcement of the amendment. See
Section 15.
|
What
is the purpose of the Offer?
|
The
purpose of the Offer is to repurchase Preference
Shares.
|
Are
there any conditions to the Offer?
|
The
Offer is not conditioned upon any minimum number of Preference Shares
being tendered or the availability of any financing. However,
other conditions exist, including, among others, the absence of court and
governmental action prohibiting, challenging or restricting the
Offer. See Section 6.
|
Following
the Offer, will XL Capital
|
|
continue
to make SEC filings?
|
Yes. We
will continue to be subject to the periodic reporting requirements of the
Securities Exchange Act of 1934, as amended (the “Exchange Act”), so long
as our common stock that is traded on the New York Stock Exchange remains
outstanding. See Section 11.
|
How do I tender my
Preference Shares?
|
The
Offer will expire at 11:59 P.M., New York City time, on March 26, 2009,
unless XL Capital extends the Offer. To tender your Preference
Shares prior to the expiration of the Offer:
|
|
· you
must electronically transmit your acceptance of the Offer through ATOP,
which is maintained by DTC, and by which you will agree to be bound by the
terms and conditions set forth in the Offer; or
|
|
· if
your Preference Shares are held by a custodial entity, such as a bank,
broker, dealer, trust company or other nominee, you must instruct that
custodial entity to tender your Preference Shares through
ATOP.
|
A
tender will be deemed to be received after you have expressly agreed to be
bound by the terms of the Offer, which is accomplished by the transmittal
of an agent’s message to the Depositary by the DTC in accordance with ATOP
procedures, or in the alternative can also be performed by delivery to the
Depositary of a duly executed Letter of Transmittal. You should contact
the Information Agent for assistance at the contact information listed on
the back cover of this Offer to Purchase. Please note that XL
Capital will not purchase your Preference Shares in the Offer unless the
Depositary receives the required confirmation prior to the Expiration
Date. If a broker, dealer, commercial bank, trust company or
other nominee holds your Preference Shares, it is likely it has an
ear-
|
lier
deadline for you to act to instruct it to accept the Offer on your
behalf. We recommend that you contact your broker, dealer,
commercial bank, trust company or other nominee to determine its
applicable deadline. See Section 3.
|
|
Once
I have tendered Preference Shares
|
|
in
the Offer, can I withdraw my tender?
|
You
may withdraw any Preference Shares you have tendered at any time before
the Expiration Date, which will occur at 11:59 P.M., New York City
time, on March 26, 2009, unless we extend the Offer. We cannot
assure you that we will extend the Offer or, if we do, of the length of
any extension we may provide. In addition, if we have not
accepted for payment the Preference Shares you have tendered to us by
11:59 P.M., New York City time, on April 23, 2009, you may also withdraw
your Preference Shares. See Section 4.
|
How
do I withdraw Preference Shares
|
|
I
previously tendered?
|
You
must deliver, on a timely basis prior to the Expiration Date, a written
notice of your withdrawal to the Depositary at the address appearing on
the back cover page of this Offer to Purchase. Your notice of
withdrawal must specify your name, the number of Preference Shares to be
withdrawn and the name of the registered holder of those Preference
Shares. Some additional requirements apply for Preference
Shares that have been tendered under the procedure for book-entry transfer
set forth in Section 3. In addition, if we have not
accepted for payment the Preference Shares you have tendered to us by
11:59 P.M., New York City time, on April 23, 2009, you may also withdraw
your Preference Shares. See
Section 4.
|
Has
XL Capital or its Board of Directors
|
|
adopted
a position on the Offer?
|
The
Board of Directors of the Company has approved the
Offer. However, neither the Company nor its Board of Directors
makes any recommendation to holders of Preference Shares as to whether to
tender or refrain from tendering their Preference Shares. You
should read carefully the information in this Offer to Purchase, including
our reasons for making the Offer, before making your decision whether to
tender your Preference Shares.
|
If
I decide not to tender, how will the
|
|
Offer affect my
Preference Shares?
|
Preference
Shares that are not tendered will remain outstanding. To the
extent that any of the Preference Shares are purchased pursuant to the
Offer, any existing trading market for the Preference Shares may become
more limited.
|
What
is the market value of my
|
|
Preference Shares as of a recent
date?
|
There
is no established public trading market for the Preference Shares;
however, the liquidation preference of the Preference Shares is $25.00 per
Preference Share. We advise you to consult your own advisors as
to the value of the Preference
Shares.
|
When
will XL Capital pay for the
|
|
Preference
Shares I tender?
|
We
will pay the purchase price, plus accrued but unpaid dividends,
up to but not including the date the Preference Shares are purchased, net
to you in cash, without interest, for the Preference Shares we purchase
promptly after the Expiration Date and the acceptance of the Preference
Shares for payment. We refer to the date on which such payment
is made as the “Payment Date.” See Section 5.
|
Will
I have to pay brokerage commissions
|
|
if
I tender my Preference Shares?
|
If
you are a registered holder of Preference Shares and you tender your
Preference Shares directly to the Depositary, you will not incur any
brokerage commissions. If you hold Preference Shares through a
broker, dealer, commercial bank, trust company or other nominee, we
recommend that you consult your broker, dealer, commercial bank, trust
company or other nominee to determine whether transaction costs are
applicable. See Section 3.
|
What
are the United States federal income
|
|
tax
consequences if I tender my
|
|
Preference Shares?
|
The
cash received in exchange for tendered Preference Shares from “U.S.
Holders” generally will be treated for United States federal income tax
purposes either as (1) consideration received with respect to a sale
or exchange of the tendered Preference Shares or (2) a distribution
from XL Capital in respect of its stock, depending on the particular
circumstances of each holder of Preference Shares. See Section
13 for a more detailed discussion.
|
We
recommend that holders of the Preference Shares consult their own tax
advisors to determine the particular tax consequences to them of
participating in the Offer, including the applicability and effect of any
state, local or non-U.S. tax laws.
|
|
Will
I have to pay any stock transfer
|
|
tax
if I tender my Preference Shares?
|
If
you are the registered holder and you instruct the Depositary to make the
payment for the Preference Shares directly to you, then generally you will
not incur any stock transfer tax. See
Section 5.
|
To
whom can I talk if I have questions?
|
You
may call the Dealer Manager with questions regarding the terms of the
Offer or the Information Agent with questions regarding how to tender
and/or request additional copies of the Offer to Purchase, the Letter of
Transmittal or other documents related to the Offer.
|
Goldman,
Sachs & Co. is acting as the dealer manager (the “Dealer Manager”) for
the Offer and Global Bondholder Services Corporation is acting as the
information agent (the “Information Agent”) and
as the depositary (the “Depositary”) for the
Offer. See the back cover of this Offer to Purchase for
additional information about the Dealer Manager, Information Agent and
Depositary.
|
·
|
the
Letter of Transmittal is signed by the registered holder (which term, for
purposes of this Section 3, shall include any participant in DTC
whose name appears on a security position listing as the owner of the
Preference Shares) of the Preference Shares tendered therewith and the
holder has not completed either of the boxes under “Special Payment and
Delivery Instructions” within the Letter of Transmittal;
or
|
·
|
Preference
Shares are tendered for the account of a bank, broker, dealer, credit
union, savings association or other entity which is a member in good
standing of the Securities Transfer Agents Medallion Program or a bank,
broker, dealer, credit union, savings association or other entity which is
an “eligible guarantor institution,” as such term is defined in Rule
17Ad-15 under the Exchange Act. See Instruction 1 of the Letter
of Transmittal.
|
·
|
a
message that has been transmitted to the Depositary through the facilities
of DTC or (“agent’s message”), or
|
·
|
a
properly completed and duly executed Letter of Transmittal, including any
other required documents, that has been transmitted to and received by the
Depositary at its address set forth on the back cover page of this Offer
to Purchase before the Expiration
Date.
|
·
|
payment
of the purchase price is to be made to any person other than the
registered holder, or
|
·
|
tendered
Preference Shares are registered in the name of any person other than the
person signing the Letter of
Transmittal,
|
·
|
there
shall have been threatened, instituted or pending any action or proceeding
by any government or governmental, regulatory or administrative agency,
authority or tribunal or any other person, domestic or foreign, before any
court, authority, agency or tribunal that directly or indirectly
challenges the making of the Offer, the acquisition of some or all of the
Preference Shares under the Offer or otherwise relates in any manner to
the Offer; or
|
·
|
there
shall have been any action threatened, instituted, pending or taken, or
approval withheld, or any statute, rule, regulation, judgment, order or
injunction threatened, proposed, sought, promulgated, enacted, entered,
amended, enforced or deemed to be applicable to the Offer or XL Capital or
any of its subsidiaries, by any court or any authority, agency or tribunal
that, in XL Capital’s reasonable judgment, would or might, directly or
indirectly:
|
·
|
make
the acceptance for payment of, or payment for, some or all of the
Preference Shares illegal or otherwise restrict or prohibit completion of
the Offer; or
|
·
|
delay
or restrict the ability of XL Capital, or render XL Capital unable, to
accept for payment or pay for some or all of the Preference
Shares.
|
·
|
Our
annual report on Form 10-K for the year ended December 31, 2007, filed on
February 29, 2008 and Form 10-K/A filed on March 17,
2008;
|
·
|
the
definitive proxy statement relating to our 2008 Annual General Meeting of
Shareholders, filed on March 17,
2008;
|
·
|
our
quarterly reports on Form 10-Q for the quarterly periods ended March 31,
2008, June 30, 2008 and September 30, 2008, filed on May 7, 2008, July 28,
2008 and November 3, 2008, respectively;
and
|
·
|
our
current reports on Form 8-K and Form 8-K/A filed on March, 20 2008, April
22, 2008, April 29, 2008, June 19, 2008, July 28, 2008, July 29, 2008,
July 31, 2008, August 6, 2008, September 8, 2008, September 29, 2008,
October 10, 2008, October 14, 2008, December 23, 2008, January 23, 2009,
February 4, 2009, February 11, 2009 and February 17,
2009.
|
Section
10.
|
Interests of Directors and
Executive Officers; Transactions and Arrangements Concerning Preference
Shares and Other Securities.
|
Section
11.
|
Effects of the Offer on the
Market for Preference Shares; Registration Under the Exchange
Act.
|
·
|
results
in a “complete termination” of such U.S. Holder’s equity interest in us,
or
|
·
|
is
“not essentially equivalent to a dividend” with respect to the U.S.
Holder.
|
·
|
XL
Capital increases or decreases the price to be paid for Preference Shares
or decreases the number of Preference Shares being sought in the Offer,
and
|
·
|
the
Offer is scheduled to expire at any time earlier than the expiration of a
period ending on the tenth business day from, and including, the date that
the notice of an increase or decrease is first published, sent or given to
security holders in the manner specified in this
Section 15,
|
By
Mail:
|
By
Overnight Courier:
|
By
Hand:
|
||
65
Broadway—Suite 723
|
65
Broadway—Suite 723
|
65
Broadway—Suite 723
|
||
New
York, NY 10006
|
New
York, NY 10006
|
New
York, NY 10006
|
By
Mail:
|
By
Overnight Courier:
|
By
Hand:
|
||
65
Broadway—Suite 723
|
65
Broadway—Suite 723
|
65
Broadway—Suite 723
|
||
New
York, NY 10006
|
New
York, NY 10006
|
New
York, NY 10006
|
DESCRIPTION
OF PREFERENCE SHARES TENDERED
|
||
Name(s)
and Address(es) of Holder(s) or Name(s) of
DTC
Participants and Each Participant’s
DTC
Account Number in which Preference Shares are Held
(Please
fill in, if blank)
|
Preference
Shares Tendered
(Attach
and sign additional list if necessary)
|
|
Liquidation
Preference
Amount Represented*
|
Liquidation
Preference
Amount Tendered |
|
*Unless
otherwise indicated in the column labeled “Liquidation Preference Amount
Tendered” and subject to the terms and conditions of the Offer to
Purchase, a holder will be deemed to have tendered the
entire liquidation preference amount represented by the
Preference Shares indicated in the column labeled “Liquidation Preference
Amount Represented.” See Instruction
4.
|
¨
|
Check
here if you are a financial institution that is a participating
institution in the book-entry transfer facility’s system and you are
delivering the tendered Preference Shares by book-entry transfer to an
account maintained by the Depositary at the book-entry transfer facility,
and complete the following:
|
Names(s)
of Tendering Institution:
|
|
Account
Number:
|
|
Transaction
Code Number:
|
|
Signature(s)
of Shareholder(s)
|
Dated: ____________, 2009
|
Name(s):
|
Please
Print
|
Capacity (full title):
|
Address:
|
Address
Line 2:
|
Address Line 3:
|
Please
Include Zip/Postal Code
|
(Country
Code/Area Code) Telephone Number:
|
Taxpayer
Identification or Social Security No. (if
applicable):
|
GUARANTEE
OF SIGNATURE(S)
|
(If
Required, See Instructions 1 and 5)
|
Authorized Signature:
|
Name(s):
|
Please
Print
|
Name of Firm:
|
Address:
|
Address Line 2:
|
Address Line 3:
|
Please
Include Zip/Postal Code
|
(Country
Code/Area
Code) Telephone Number:
|
Dated: _____________, 2009
|
Name(s):
|
Address:
|
DTC
Account Number:
|
Number
of Account Party:
|
Form W-9
(Rev.
October 2007)
Department
of the Treasury
Internal
Revenue Service
|
Request
for Taxpayer
Identification
Number and Certification
|
Give
form to the
requester. Do
not
send
to the IRS.
|
|||||
Print
or type
See
Specific
Instructions on page 2.
|
Name
(as shown on your income tax return)
|
||||||
Business
name, if different from above
|
|||||||
Check
appropriate box: o Individual/Sole proprietor o Corporation o Partnership
o Limited
liability company. Enter the tax classification (D =
disregarded entity), C = corporation, P = partnership)
►.......
o Other
(see instructions)
|
oExempt payee
|
||||||
Address
(number, street, and apt. or suite no.)
|
Requester’s
name and address (optional)
|
||||||
City,
state, and ZIP code
|
|||||||
List
account number(s) here (optional)
|
|||||||
Part
I
|
Taxpayer
Identification Number (TIN)
|
||||||
Enter
your TIN in the appropriate box. The TIN provided must match
the name given on Line 1 to avoid backup withholding. For
individuals, this is your social security number
(SSN). However, for a resident alien, sole proprietor, or
disregarded entity, see the Part I instructions on
page 3. For other entities, it is your employer
identification number (EIN). If you do not have a number, see
How to get a TIN
on page 3.
Note. If the
account is in more than one name, see the chart on page 4 for
guidelines on whose number to enter.
|
Social Security number | |
or
|
|
Employer identification number |
General
Instructions
Section
references are to the Internal Revenue Code unless otherwise
noted.
Purpose
of Form
A
person who is required to file an information return with the IRS must
obtain your correct taxpayer identification number (TIN) to report, for
example, income paid to you, real estate transactions, mortgage interest
you paid, acquisition or abandonment of secured property, cancellation of
debt, or contributions you made to an IRA.
Use
Form W-9 only if you are a U.S. person (including a resident alien), to
provide your correct TIN to the person requesting it (the requester) and,
when applicable, to:
1. Certify
that the TIN you are giving is correct (or you are waiting for a number to
be issued),
2. Certify
that you are not subject to backup withholding, or
3. Claim
exemption from backup withholding if you are a U.S. exempt
payee. If applicable, you are also certifying that as a U.S.
person, your allocable share of any partnership income from a U.S. trade
or business is not subject to the withholding tax on foreign partners’
share of effectively connected income.
|
Note. If a
requester give you a form other than Form W-9 to request your TIN,
you must use the requester’s form if it is substantially similar to this
Form W-9.
Definition
of a U.S. person
For
federal tax purposes, you are considered a person if you are:
Special rules for
partnerships. Partnerships that conduct a trade or
business in the United States are generally required to pay a withholding
tax on any foreign partners’ share of income from such
business. Further, in certain cases where a Form W-9 has
not been received, a partnership is required to presume that a partner is
a foreign person, and pay the withholding tax. Therefore, if
you are a U.S. person that is a partner in a partnership conducting a
trade or business in the United States, provide Form W-9 to the
partnership to establish your U.S. status and avoid withholding on your
share of partnership income.
|
The
person who gives Form W-9 to the partnership for purposes of
establishing its U.S. status and avoiding withholding on its allocable
share of net income from the partnership conducting a trade or business in
the United States is in the following cases:
Foreign
person. If you are a foreign person, do not use
Form
W-9. Instead,
use the appropriate Form W-8 (see Publication 515, Withholding of Tax on
Nonresident Aliens and Foreign Entities).
Nonresident alien who becomes a
resident alien. Generally, only a nonresident alien
individual may use the terms of a tax treaty to reduce or eliminate U.S.
tax on certain types of income. However, most tax treaties
contain a provision known as a “saving clause.” Exceptions
specified in the saving clause may permit an exemption from tax to
continue for certain types of income even after the payee has otherwise
become a U.S. resident alien for tax purposes.
If
you are a U.S. resident alien who is relying on an exception contained in
the saving clause of a tax treaty to claim an exemption from U.S. tax on
certain types of income, you must attach a statement to Form W-9 that
specifies the following five items:
1. The
treaty country. Generally, this must be the same treaty under
which you claimed exemption from tax as a nonresident alien.
2. The
treaty article addressing the income.
3. The
article number (or location) in the tax treaty that contains the saving
clause and its exceptions.
4. The
type and amount of income that qualifies for the exemption from
tax.
5. Sufficient
facts to justify the exemption from tax under the terms of the treaty
article.
Example. Article 20
of the U.S.-China income tax treaty allows an exemption from tax for
scholarship income received by a Chinese student temporarily present in
the United States. Under U.S. law, this student will become a
resident alien for tax purposes if his or her stay in the United States
exceeds 5 calendar years. However, paragraph 2 of the first
Protocol to the U.S.-China treaty (dated April 30, 1984) allows the
provisions of Article 20 to continue to apply even after the Chinese
student becomes a resident alien of the United States. A
Chinese student who qualifies for this exception (under paragraph 2 of the
first protocol) and is relying on this exception to claim an exemption
from tax on his or her scholarship or fellowship income would attach to
Form W-9 a statement that includes the information described above to
support that exemption.
If
you are a nonresident alien or a foreign entity not subject to backup
withholding, give the requester the appropriate completed Form
W-8.
What is backup
withholding? Persons making certain payments to you must
under certain conditions withhold and pay to the IRS 28% of such
payments. This is called “backup
withholding.” Payments that may be subject to backup
withholding include interest, tax-exempt interest, dividends, broker and
barter exchange transactions, rents, royalties, nonemployee pay, and
certain payments from fishing boat operators. Real estate
transactions are not subject to backup withholding.
You
will not be subject to backup withholding on payments you receive if you
give the requester your correct TIN, make the proper certifications, and
report all your taxable interest and dividends on your tax
return
|
Payments
you receive will be subject to backup withholding if:
1.
You do not furnish your TIN to the requester,
2. You
do not certify your TIN when required (see the Part II instructions on
page 3 for details),
3. The
IRS tells the requester that you furnished an incorrect TIN,
4. The
IRS tells you that you are subject to backup withholding because you did
not report all your interest and dividends on your tax return (for
reportable interest and dividends only), or
5. You
do not certify to the requester that you are not subject to backup
withholding under 4 above (for reportable interest and dividend accounts
opened after 1983 only).
Certain
payees and payments are exempt from backup withholding. See the
instructions below and the separate instructions for the Requester of Form
W-9.
Also
see Special rules for
partnerships on page 1.
Penalties
Failure to furnish
TIN. If you fail to furnish your correct TIN to a
requester, you are subject to a penalty of $50 for each such failure
unless your failure is due to reasonable cause and not to willful
neglect.
Civil penalty for false
information with respect to withholding. If you make a
false statement with no reasonable basis that results in no backup
withholding, you are subject to a $500 penalty.
Criminal penalty for falsifying
information. Willfully falsifying certifications or
affirmations may subject you to criminal penalties including fines and/or
imprisonment.
Misuse of
TINs. If the requester discloses or uses TINs in
violation of federal law, the requester may be subject to civil and
criminal penalties.
Specific
Instructions
Name
If
you are an individual, you must generally enter the name shown on your
income tax return. However, if you have changed your last name,
for instance, due to marriage without informing the Social Security
Administration of the name change, enter your first name, the last name
shown on your social security card, and your new last name.
If
the account is in joint names, list first, and then circle, the name of
the person or entity whose number you entered in Part I of the
form.
Sole
proprietor. Enter your individual name as shown on your
income tax return on the “Name” line. You may enter your
business, trade, or “doing business as (DBA)” name on the “Business name”
line.
Limited liability company
(LLC). Check the “Limited liability company” box only
and enter the appropriate code for the tax classification (“D” for
disregarded entity, “C” for corporation, “P” for partnership) in the space
provided.
For
a single-member LLC (including a foreign LLC with a domestic owner) that
is disregarded as an entity separate from its owner under Regulations
section 301.7701-3, enter the owner’s name on the “Name”
line. Enter the LLC’s name on the “Business name”
line.
For
an LLC classified as a partnership or a corporation, enter the LLC’s name
on the “Name” line and any business, trade, or DBA name on the “Business
name” line.
Other
entities. Enter your business name as shown on required
federal tax documents on the “Name” line. This name should
match the name shown on the charter or other legal document
|
creating
the entity. You may enter any business, trade, or DBA name on
the “Business name” line.
Note. You are
requested to check the appropriate box for your status (individual/sole
proprietor, corporation, etc.).
Exempt
Payee
If
you are exempt from backup withholding, enter you name as described above
and check the appropriate box for your status, then check the “Exempt
payee” box in the line following the business name, sign and date the
form.
Generally,
individuals (including sole proprietors) are not exempt from backup
withholding. Corporations are exempt from backup withholding
for certain payments, such as interest and dividends.
Note. If you
are exempt from backup withholding, you should still complete this form to
avoid possible erroneous backup withholding.
The
following payees are exempt from backup withholding:
1. An
organization exempt from tax under section 501(a), any IRA, or a custodial
account under section 403(b)(7) if the account satisfies the requirements
of section 401(f)(2),
2. The
United States or any of its agencies or instrumentalities,
3. A
state, the District of Columbia, a possession of the United States, or any
of their political subdivisions or instrumentalities,
4. A
foreign government or any of its political subdivisions, agencies, or
instrumentalities, or
5. An
international organization or any of its agencies or
instrumentalities.
Other
payees that may be exempt from backup withholding include:
6. A
corporation,
7. A
foreign central bank of issue,
8. A
dealer in securities or commodities required to register in the United
States, the District of Columbia, or a possession of the United
States,
9. A
futures commission merchant registered with the Commodity Futures Trading
Commission,
10. A
real estate investment trust,
11. An
entity registered at all times during the tax year under the Investment
Company Act of 1940,
12. A
common trust fund operated by a bank under section 584(a),
13. A
financial institution,
14. A
middleman known in the investment community as a nominee or custodian,
or
15. A
trust exempt from tax under section 664 or described in section
4947.
|
The
chart below shows types of payments that may be exempt from backup
withholding. The chart applies to the exempt payees listed
above, 1 though 15.
IF
the payment is for
. . . THEN
the payment is exempt
for
. . .
Interest
and dividend payments All exempt
payees except for 9
Broker
transactions Exempt
recipients 1 though 13. Also, a person registered under the
Investment Advisers Act of 1940 who regularly acts as a
broker
Barter
exchange transactions and Exempt payees
1 though 5
patronage
dividends
Payments
over $600 required to be Generally, exempt
recipients 1
reported
and direct sales over
though 72
$5,0001
1
See Form
1099-MISC, Miscellaneous Income, and its instructions.
2
However, the following payments made to a corporation (including
gross proceeds paid to an attorney under section 6045(f), even if the
attorney is a corporation) and reportable on Form 1099-MISC are not exempt
from backup withholding: medical and health care payments,
attorneys’ fees, and payments for services paid by a federal executive
agency.
Part
I. Taxpayer Identification
Number
(TIN)
Enter your TIN in the
appropriate box. If you are a resident alien and you do
not have and are not eligible to get an SSN, your TIN is your IRS
individual taxpayer identification number (ITIN). Enter it in
the social security number box. If you do not have an ITIN, see
How to get a TIN
below.
If
you are a sole proprietor and you have an EIN, you may enter either your
SSN or EIN. However, the IRS prefers that you use your
SSN.
If
you are a single-owner LLC that is disregarded as an entity separate from
its owner (see Limited
liability company (LLC) on page 2), enter your SSN (or EIN, if the
owner has one). If the LLC is classified as a corporation or
partnership, enter the entity’s EIN.
Note. See the
chart on page 4 for further clarification of name and TIN
combinations.
How to get a
TIN. If you do not have a TIN, apply for one
immediately. To apply for an SSN, get Form SS-5, Application
for a Social Security Card, from your local Social
Security Administration office or get this form online at
www.ssa.gov. You
may also get this form by calling
1-800-772-1213. Use Form W-7, Application for IRS Individual
Taxpayer Identification Number to apply for an ITIN, or Form SS-4,
Application for Employer Identification Number, to apply for an
EIN. You can apply for an EIN online by accessing the IRS
website at www.irs.gov/businesses
and clicking on Employer Identification Number (EIN) under Starting a
Business. You can get Forms W-7 and SS-4 from the IRS by
visiting www.irs.gov or by
calling 1-800-TAX-FORM (1-800-829-3676).
If
you are asked to complete Form W-9 but do not have a TIN, write “Applied
For” in the space for the TIN, sign and date the form, and give it to the
requester. For interest and dividend payments, and certain
payments made with respect to readily tradable instruments, generally you
will have 60 days to get a TIN and give it to the requester before you are
subject to backup withholding on payments. The 60-day rule does
not apply to other types of payments. You will be subject to
backup withholding on all such payments until you provide your TIN to the
requester.
Note. Entering
“Applied For” means that you have already applied for a TIN or that you
intend to apply for one soon.
-
Caution: A disregarded domestic entity
that has a foreign owner must use the appropriate Form
W-8.
|
Part
II. Certification
To
establish to the withholding agent that you are a U.S. person, or resident
alien, sign Form W-9. You may be requested to sign by the
withholding agent even if items 1, 4, and 5 below indicate
otherwise.
For
a joint account, only the person whose TIN is shown in Part I should sign
(when required). Exempt recipients, see Exempt Payee on page
2.
Signature
requirements. Complete the certification as indicated in
1 through 5 below.
1. Interest,
dividend, and barter exchange accounts opened before 1984 and broker
accounts considered active during 1983. You must give
your correct TIN, but you do not have to sign the
certification.
2. Interest,
dividend, broker, and barter exchange accounts opened after 1983 and
broker accounts considered inactive during 1983. You
must sign the certification or backup withholding will
apply. If you are subject to backup withholding and you are
merely providing your correct TIN to the requester, you must cross out
item 2 in the certification before signing the form.
3. Real estate
transactions. You must sign the
certification. You may cross out item 2 of the
certification.
4. Other
payments. You must give your correct TIN, but you do not
have to sign the certification unless you have been notified that you have
previously given an incorrect TIN. “Other payments” include
payments made in the course of the requester’s trade or business for
rents, royalties, goods (other than bills for merchandise), medical and
health care services (including payments to corporations), payments to a
nonemployee for services, payments to certain fishing boat crew members
and fishermen, and gross proceeds paid to attorneys (including payments to
corporations).
5. Mortgage interest
paid by you, acquisition or abandonment of secured property, cancellation
of debt, qualified tuition program payments (under section 529), IRA,
Coverdell ESA, Archer MSA or HSA contributions or distributions, and
pension distributions. You must give your correct TIN,
but you do not have to sign the certification.
|
Agriculture
in the name of a
public
entity (such as a state or
local
government, school district,
or
prison) that receives
agricultural
program payments
1 List
first and circle the name of the person whose number you
furnish. If only one person on a joint account has an SSN, that
person’s number must be furnished.
2 Circule the
minor’s name and furnish the minor’s SSN.
3 You
must show your individual name and you may also enter your business or
“DBA” name on the second name line. You may use either your SSN
or EIN (if you have one), but the IRS encourages you to use your
SSN.
4 List first
and circle the name of the trust, estate, or pension trust. (Do
not furnish the TIN of the personal representative or trustee unless the
legal entity itself is not designated in the account
title.) Also see Special rules regarding
partnerships on page 1.
Note. If no
name is circled when more than one name is listed, the number will be
considered to be that of the first name listed.
|
For
this type of account:
|
Give
name and SSN of:
|
1.
Individual
|
The
individual
|
2.
Two or more individuals (joint account)
|
The
actual owner of the account or, if combined funds, the first individual on
the account1
|
3.
Custodian account of a minor (Uniform Gift to Minors Act)
|
The
minor2
|
4.
a. The usual revocable savings trust (grantor is also
trustee)
|
The
grantor-trustee1
|
b. So-called trust account
that is not a legal or valid trust under state law
|
The
actual owner1
|
5.
Sole proprietorship or disregarded entity owned by an
individual
|
The
owner3
|
For
this type of account:
|
Give
name and EIN of:
|
6.
Disregarded entity not owned by an individual
|
The
owner3
|
7.
A valid trust, estate, or pension trust
|
Legal
entity4
|
8.
Corporate or LLC electing corporate status on Form 8832
|
The
corporation
|
9.
Association, club, religious, charitable, educational, or other tax-exempt
organization
|
The
organization
|
10.
Partnership or multi-member LLC
|
The
partnership
|
11.
A broker or registered nominee
|
The
broker or nominee
|
12.
Account with the Department of
|
The
public entity
|
Secure
Your Tax Records from Identity Theft
Identity
theft occurs when someone uses your personal information such as your
name, social security number (SSN), or other identifying information,
without your permission, to commit fraud or other crimes. An identity
thief may use your SSN to get a job or may file a tax return using your
SSN to receive a refund.
To
reduce your risk:
Call
the IRS at 1-800-829-1040 if you think your identity has been used
inappropriately for tax purposes.
Victims
of identity theft who are experiencing economic harm or a system problem,
or are seeking help in resolving tax problems that have not been resolved
through normal channels, may be eligible for Taxpayer Advocate Service
(TAS) assistance. You can reach TAS by calling the TAS toll-free case
intake line at 1-877-777-4778 or TTY/TDD 1-800-829-4059.
|
Protect yourself from
suspicious emails or phishing schemes. Phishing is the creation and
use of email and websites designed to mimic legitimate business emails and
websites. The most common act is sending an email to a user falsely
claiming to be an established legitimate enterprise in an attempt to scam
the user into surrendering private information that will be used for
identity theft.
The
IRS does not initiate contacts with taxpayers via emails. Also, the IRS
does not request personal detailed information through email or ask
taxpayers for the PIN numbers, passwords, or similar secret access
information for their credit card, bank, or other financial
accounts.
If
you receive an unsolicited email claiming to be from the IRS, forward this
message to phishing@irs.gov. You
may also report misuse of the IRS name, logo, or other IRS personal
property to the Treasury Inspector General for Tax Administration at
1-800-366-4484. You can forward suspicious emails to the
Federal Trade Commission at: spam@uce.gov or contact
them at www.consumer.gov/idtheft
or 1-877-IDTHEFT(438-4338).
Visit
the IRS website at www.irs.gov to learn
more about identity theft and how to reduce your
risk.
|
Form W-8BEN
(Rev.
February 2006)
Department
of the Treasury
Internal
Revenue Service
|
Certificate
of Foreign Status of Beneficial Owner for United States Tax
Withholding
►
Section references are to the Internal Revenue code. See
separate instructions.
►
Give this form to the withholding agent or payer. Do not send
to the IRS.
|
OMB
No. 1545-1621
|
||||||||||||||||||||||
Do
not use this form for:
|
Instead,
use form:
|
|
W-9
|
|
W-8ECI
|
|
W-8ECI
or W-8IMY
|
|
W-8ECI
or W-8EXP
|
Note: These entities should use Form
W-8BEN if they are claiming treaty benefits or are providing the form only
to
claim they are a foreign
person exempt from backup withholding.
|
|
|
W-8IMY
|
Note: See instructions for
additional exceptions.
|
|||||||||||||||
Part
I
|
Identification of Beneficial
Owner (See instructions.)
|
||||||||||||||
1 Name
of individual or organization that is the beneficial owner
|
2 Country
of incorporation or organization
|
||||||||||||||
3 Type
of beneficial owner:
|
oIndividual
|
oCorporation
|
oDisregarded
entity
|
oPartnership
|
oSimple
trust
|
||||||||||
oGrantor
trust
|
oComplex
trust
|
oEstate
|
oGovernment
|
oInternational
organization
|
|||||||||||
oCentral bank of
issue
|
oTax-exempt
organization
|
oPrivate
foundation
|
|||||||||||||
4 Permanent
residence address (street, apt. or suite no., or rural rout). Do not use a P.O.
box or in-care-of address.
|
|||||||||||||||
City
or town, state or province. Include postal code where
appropriate.
|
Country
(do not abbreviate)
|
||||||||||||||
5 Mailing
address (if different from above)
|
|||||||||||||||
City
or town, state or province, Include postal code where
appropriate.
|
Country
(do not abbreviate)
|
||||||||||||||
6 U.S.
taxpayer identification number, if required (See
instructions)
|
7 Foreign
tax identifying number, if any (optional)
|
||||||||||||||
o SSN or
ITIN o
EIN
|
|||||||||||||||
8 Reference
number(s) (see instructions)
|
|||||||||||||||
Part
II
|
Claim of Tax Treaty Benefits
(if applicable)
|
||||||||||||||
9 I
certify that (check all that apply):
|
|||||||||||||||
a oThe beneficial
owner is a resident of
within the meaning of the income tax treaty between the United States and
that country.
|
|||||||||||||||
b oIf required, the
U.S. taxpayer identification number is stated on line 6 (see
instructions).
|
|||||||||||||||
c oThe beneficial
owner is not an individual, derives the item (or times) of income for
which the treaty benefits are claimed, and, if applicable, meets the
requirements of the treaty provision dealing with limitation on benefits
(see instructions).
|
|||||||||||||||
d othe beneficial
owner is not an individual, is claiming treaty benefits for dividends
received from a foreign corporation or interest from a U.S. trade or
business of a foreign corporation, and meets qualified resident status
(see instructions).
|
|||||||||||||||
e oThe beneficial
owner is related to the person obligated to pay the income within the
meaning of section 267(b) or 707(b), and will file form 8833 if the amount
subject to withholding received during a calendar year exceeds, in the
aggregate, $500,000.
|
|||||||||||||||
10 Special rates and
conditions (if applicable–see instructions): The
beneficial owner is claiming the provisions of Article of the treaty identified on line 9a
above to claim a % rate of
withholding on (specify type of income):
Explain
the reasons the beneficial owner meets the terms of the treaty
article:
|
|||||||||||||||
Part
III
|
Notional
Principal contracts
|
||||||||||||||
11 o I have
provided or will provide a statement that identifies those notional
principal contracts from which the income is not effectively
connected with the conduct for a trade or business in the United
States. I agree to update this statement as
required.
|
|||||||||||||||
Part
IV
|
Certification
|
||||||||||||||
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:
1 I am the
beneficial owner (or am authorized to sign for the beneficial
owner) of all the income to which this form relates,
2 The
beneficial owner is not a U.S person,
3 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, and
4 For broker
transactions or barter exchanges, the beneficial owner is an exempt
foreign person as defined in the 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.
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Instructions
for Form
W-8BEN |
Department
of the Treasury
Internal Revenue
Service
|
General Instructions | ||
Section
references are to the Internal Revenue Code unless otherwise
noted.
For
definitions of terms used throughout these instructions, see Definitions on pages 3
and 4.
Purpose of form. Foreign
persons are subject to U.S. tax at a 30% rate on income they receive from
U.S. sources that consists of:
●
Interest (including certain original issue discount (OID));
●
Dividends;
●
Rents;
●
Royalties;
●
Premiums;
●
Annuities;
●
Compensation for, or in expectation of, services performed;
●
Substitute payments in a securities lending transaction;
or
●
Other fixed or determinable annual or periodical gains, profits,
or income.
This
tax is imposed on the gross amount paid and is generally collected by
withholding under section 1441 or 1442 on that amount. A payment is
considered to have been made whether it is made directly to the beneficial
owner or to another person, such as an intermediary, agent, or
partnership, for the benefit of the beneficial owner.
In
addition, section 1446 requires a partnership conducting a trade or
business in the United States to withhold tax on a foreign partner’s
distributive share of the partnership’s effectively connected taxable
income. Generally, a foreign person that is a partner in a partnership
that submits a Form W-8 for purposes of section 1441 or 1442 will satisfy
the documentation requirements under section 1446 as well. However,
in some
cases the documentation requirements of sections 1441 and 1442 do not
match the documentation requirements of section 1446. See Regulations
sections 1.1446-1 through 1.1446-6. Further, the owner of a disregarded
entity, rather than the disregarded entity itself, shall submit the
appropriate Form W-8 for purposes of
section 1446.
If
you receive certain types of income, you must provide Form W-8BEN
to:
● Establish that you
are not a U.S. person
● Claim that you are the beneficial owner of the
income for which Form W-8BEN is being provided or a partner in a
partnership subject to section 1446; and
●
If applicable, claim a reduced rate of, or exemption from,
withholding as a resident of a foreign country with which the United
States has an income tax treaty.
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You may
also be required to submit Form W-8BEN to claim an exception from domestic
information reporting and backup withholding for certain types of income
that are not subject to foreign-person withholding. Such income
includes:
● Broker
proceeds.
●
Short-term (183 days or less) original issue discount
(OID).
● Bank
deposit interest.
●
Foreign source interest, dividends, rents, or
royalties.
●
Proceeds from a wager placed by a nonresident alien individual in the
games
of blackjack, baccarat, craps, roulette, or big-6 wheel.
You
may also use Form W-8BEN to certify that income from a notional principal
contract is not effectively connected with the conduct of a trade or
business in the United States.
A
withholding agent or payer of the income may rely on a properly completed
Form W-8BEN to treat a payment associated with the Form W-8BEN as a
payment to a foreign person who beneficially owns the amounts paid. If
applicable, the withholding agent may rely on the Form W-8BEN to apply a
reduced rate of withholding at source.
Provide
Form W-8BEN to the withholding agent or payer before income is paid or
credited to you. Failure to provide a Form W-8BEN when requested may lead
to withholding at a 30% rate (foreign-person withholding) or the backup
withholding rate.
Additional information.
For additional information and instructions for the withholding
agent, see the Instructions for the Requester of Forms W-8BEN, W-8ECI,
W-8EXP, and W-8IMY.
Who must file. You must
give Form W-8BEN to the withholding agent or payer if you are a foreign
person and you are the beneficial owner of an amount subject to
withholding. Submit Form W-8BEN when requested by the withholding agent or
payer whether or not you are claiming a reduced rate of, or exemption
from, withholding.
Do
not use Form W-8BEN if:
● You are a U.S. citizen
(even if you reside outside the United States) or other U.S. person
(including a resident alien individual). Instead, use Form W-9, Request
for Taxpayer Identification Number and Certification.
● You are a
disregarded entity with a single owner that is a U.S. person and you are
not a hybrid entity claiming treaty benefits. Instead, provide Form
W-9.
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Giving Form W-8BEN to the
withholding agent. Do not send Form
W-8BEN to the IRS. Instead, give it to the person who is requesting it
from you. Generally, this will be the person from whom you receive the
payment, who credits your account, or a partnership that allocates income
to you. Give Form W-8BEN to the person requesting it before the payment is
made to you, credited to your account or allocated. If you do not provide
this form, the withholding agent may have to withhold at the 30% rate,
backup withholding rate, or the rate applicable under section 1446. If you
receive more than one type of income from a single withholding agent for
which you claim different benefits, the withholding agent may, at its
option, require you to submit a Form W-8BEN for each different type of
income. Generally, a separate Form W-8BEN must be given to each
withholding agent.
Note.
If you own the income or account jointly with one or more other
persons, the income or account will be treated by the withholding agent as
owned by a foreign person if Forms W-8BEN are provided by all of the
owners. If the withholding agent receives a Form W-9 from any of the joint
owners, the payment must be treated as made to a U.S. person.
Change in circumstances.
If a change in circumstances makes any information on the Form
W-8BEN you have submitted incorrect, you must notify the withholding agent
or payer within 30 days of the change in circumstances and you must file a
new Form W-8BEN or other appropriate form.
If
you use Form W-8BEN to certify that you are a foreign person, a change of
address to an address in the United States is a change in circumstances.
Generally, a change of address within the same foreign country or to
another foreign country is not a change in circumstances. However, if you
use Form W-8BEN to claim treaty benefits, a move to the United States or
outside the country where you have been claiming treaty benefits is a
change in circumstances. In that case, you must notify the withholding
agent or payer within 30 days of the move.
If
you become a U.S. citizen or resident alien after you submit Form W-8BEN,
you are no longer subject to the 30% withholding rate or the withholding
tax on a foreign partner’s share of effectively connected income. You must
notify the withholding agent or payer within 30 days of becoming a U.S.
citizen or resident alien. You may be required to provide a Form W-9. For
more information, see Form W-9 and instructions.
Expiration of Form W-8BEN.
Generally, a Form W-8BEN provided without a U.S. taxpayer
identification number (TIN) will remain in effect for a period starting on
the date the form is signed and ending on the last day of the third
succeeding calendar year, unless a change in circumstances makes any
information on the form incorrect. For example, a Form W-8BEN signed on
September 30, 2005, remains valid through December 31, 2008. A Form W-8BEN
furnished with a U.S. TIN will remain in effect until a change in
circumstances makes any information on the form incorrect, provided that
the withholding agent reports on Form 1042-S at least one payment annually
to the beneficial owner who provided the Form W-8BEN. See the instructions
for line 6
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beginning on
page 4 for circumstances under which you must provide a U.S.
TIN.
|
test” for the calendar year is a resident alien. Any person not meeting either test is a nonresident alien individual. Additionally, an | |
Definitions
Beneficial owner. For
payments other than those for which a reduced rate of withholding is
claimed under an income tax treaty, the beneficial owner of income is
generally the person who is required under U.S. tax principles to include
the income in gross income on a tax return. A person is not a beneficial
owner of income, however, to the extent that person is receiving the
income as a nominee, agent, or custodian, or to the extent the person is a
conduit whose participation in a transaction is disregarded. In the case
of amounts paid that do not constitute income, beneficial ownership is
determined as if the payment were income.
Foreign
partnerships, foreign simple trusts, and foreign grantor trusts are not
the beneficial owners of income paid to the partnership or trust. The
beneficial owners of income paid to a foreign partnership are generally
the partners in the partnership, provided that the partner is not itself a
partnership, foreign simple or grantor trust, nominee or other agent. The
beneficial owners of income paid to a foreign simple trust (that is, a
foreign trust that is described in section 651(a)) are generally the
beneficiaries of the trust, if the beneficiary is not a foreign
partnership, foreign simple or grantor trust, nominee or other agent. The
beneficial owners of a foreign grantor trust (that is, a foreign trust to
the extent that all or a portion of the income of the trust is treated as
owned by the grantor or another person under sections 671 through 679) are
the persons treated as the owners of the trust. The beneficial owners of
income paid to a foreign complex trust (that is, a foreign trust that is
not a foreign simple trust or foreign grantor trust) is the trust
itself.
For
purposes of section 1446, the same beneficial owner rules apply, except
that under section 1446 a foreign simple trust rather than the beneficiary
provides the form to the partnership.
The
beneficial owner of income paid to a foreign estate is the estate
itself.
Note. A payment to a
U.S. partnership, U.S. trust, or U.S. estate is treated as a payment to a
U.S. payee that is not subject to 30% withholding. A U.S. partnership,
trust, or estate should provide the withholding agent with a Form W-9. For
purposes of section 1446, a U.S. grantor trust or disregarded entity shall
not provide the withholding agent a Form W-9 in its own right. Rather, the
grantor or other owner shall provide the withholding agent the appropriate
form.
Foreign person. A
foreign person includes a nonresident alien individual, a foreign
corporation, a foreign partnership, a foreign trust, a foreign estate, and
any other person that is not a U.S. person. It also includes a foreign
branch or office of a U.S. financial institution or U.S. clearing
organization if the foreign branch is a qualified intermediary. Generally,
a payment to a U.S. branch of a foreign person is a payment to a foreign
person.
Nonresident alien individual.
Any individual who is not a citizen or resident alien of the United
States is a nonresident alien individual. An alien individual meeting
either the “green card test” or the “substantial presence
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alien
individual who is a resident of a foreign country under the residence
article of an income tax treaty, or an alien individual who is a bona fide
resident of Puerto Rico, Guam, the Commonwealth of the Northern Mariana
Islands, the U.S. Virgin Islands, or American Samoa is a nonresident alien
individual. See Pub. 519, U.S. Tax Guide for Aliens, for more information
on resident and nonresident alien status.
Even though a nonresident alien individual
married to a U.S. citizen or resident alien may choose to be treated as a
resident alien for certain purposes (for example, filing a joint income
tax return), such individual is still treated as a nonresident alien for
withholding tax purposes on all income except wages.
Flow-through entity. A
flow-through entity is a foreign partnership (other than a withholding
foreign partnership), a foreign simple or foreign grantor trust (other
than a withholding foreign trust), or, for payments for which a reduced
rate of withholding is claimed under an income tax treaty, any entity to
the extent the entity is considered to be fiscally transparent (see below)
with respect to the payment by an interest holder’s
jurisdiction.
For
purposes of section 1446, a foreign partnership or foreign grantor trust
must submit Form W-8IMY to establish the partnership or grantor trust as a
look through entity. The Form W-8IMY may be accompanied by this form or
another version of Form W-8 or Form W-9 to establish the foreign or
domestic status of a partner or grantor or other owner. See Regulations
section 1.1446-1.
Hybrid entity. A hybrid
entity is any person (other than an individual) that is treated as
fiscally transparent (see below) in the United States but is not treated
as fiscally transparent by a country with which the United States has an
income tax treaty. Hybrid entity status is relevant for claiming treaty
benefits. See the instructions for line 9c on page 5.
Reverse hybrid entity. A
reverse hybrid entity is any person (other than an individual) that is not
fiscally transparent under U.S. tax law principles but that is fiscally
transparent under the laws of a jurisdiction with which the United States
has an income tax treaty. See the instructions for line 9c on page
5.
Fiscally transparent entity.
An entity is treated as fiscally transparent with respect to an
item of income for which treaty benefits are claimed to the extent that
the interest holders in the entity must, on a current basis, take into
account separately their shares of an item of income paid to the entity,
whether or not distributed, and must determine the character of the items
of income as if they were realized directly from the sources from which
realized by the entity. For example, partnerships, common trust funds, and
simple trusts or grantor trusts are generally considered to be fiscally
transparent with respect to items of income received by them.
Disregarded entity. A
business entity that has a single owner and is not a corporation under
Regulations section 301.7701-2(b) is disregarded as an entity separate
from its owner.
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A
disregarded entity shall not submit this form to a partnership for
purposes of section 1446. Instead, the owner of such entity shall provide
appropriate documentation. See Regulations section 1.1446-1.
Amounts subject to withholding.
Generally, an amount subject to withholding is an amount from
sources within the United States that is fixed or determinable annual or
periodical (FDAP) income. FDAP income is all income included in gross
income, including interest (as well as OID), dividends, rents, royalties,
and compensation. FDAP income does not include most gains from the sale of
property (including market discount and option premiums).
For
purposes of section 1446, the amount subject to withholding is the foreign
partner’s share of the partnership’s effectively connected taxable
income.
Withholding agent. Any
person, U.S. or foreign, that has control, receipt, or custody of an
amount subject to withholding or who can disburse or make payments of an
amount subject to withholding is a withholding agent. The withholding
agent may be an individual, corporation, partnership, trust, association,
or any other entity, including (but not limited to) any foreign
intermediary, foreign partnership, and U.S. branches of certain foreign
banks and insurance companies. Generally, the person who pays (or causes
to be paid) the amount subject to withholding to the foreign person (or to
its agent) must withhold.
For
purposes of section 1446, the withholding agent is the partnership
conducting the trade or business in the United States. For a publicly
traded partnership, the withholding agent may be the partnership, a
nominee holding an interest on behalf of a foreign person, or both. See
Regulations sections 1.1446-1 through 1.1446-6.
Specific
Instructions
A
hybrid entity should give Form W-8BEN to a withholding agent only for
income for which it is claiming a reduced rate of withholding under
an
income
tax treaty. A reverse hybrid entity should give Form W-8BEN to a
withholding agent only for income for which no treaty benefit is being
claimed.
Part
I
Line 1. Enter your name.
If you are a disregarded entity with a single owner who is a foreign
person and you are not claiming treaty benefits as a hybrid entity, this
form should be completed and signed by your foreign single owner. If the
account to which a payment is made or credited is in the name of the
disregarded entity, the foreign single owner should inform the withholding
agent of this fact. This may be done by including the name and account
number of the disregarded entity on line 8 (reference number) of the form.
However, if you are a disregarded entity that is claiming treaty benefits
as a hybrid entity, this form should be completed and signed by
you.
Line 2. If you are a
corporation, enter the country of incorporation. If you are another type
of entity, enter the country under whose laws you are created, organized,
or
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governed.
If you are an individual, enter N/A (for “not applicable”).
Line 3. Check the one
box that applies. By checking a box, you are representing that you qualify
for this classification. You must check the box that represents your
classification (for example, corporation, partnership, trust, estate,
etc.) under U.S. tax principles. Do not check the box that describes your
status under the law of the treaty country. If you are a partnership or
disregarded entity receiving a payment for which treaty benefits are being
claimed, you must check the “Partnership” or “Disregarded entity” box. If
you are a sole proprietor, check the “Individual” box, not the
“Disregarded entity” box.
Only entities that are tax-exempt under section
501 should check the “Tax-exempt organization” box. Such organizations
should use Form
W-8BEN only if they are
claiming a reduced rate of withholding under an income tax treaty or some
code exception other than section 501. Use Form W-8EXP if you are claiming an
exemption from withholding under section 501.
Line 4. Your permanent
residence address is the address in the country where you claim to be a
resident for purposes of that country’s income tax. If you are giving Form
W-8BEN to claim a reduced rate of withholding under an income tax treaty,
you must determine your residency in the manner required by the treaty. Do
not show the address of a financial institution, a post office box, or an
address used solely for mailing purposes. If you are an individual who
does not have a tax residence in any country, your permanent residence is
where you normally reside. If you are not an individual and you do not
have a tax residence in any country, the permanent residence address is
where you maintain your principal office.
Line 5. Enter your
mailing address only if it is different from the address you show on line
4.
Line 6. If you are an
individual, you are generally required to enter your social security
number (SSN). To apply for an SSN, get Form SS-5 from a Social Security
Administration (SSA) office or, if in the United States, you may call the
SSA at 1-800-772-1213. Fill in Form SS-5 and return it to the
SSA.
If
you do not have an SSN and are not eligible to get one, you must get an
individual taxpayer identification number (ITIN). To apply for an ITIN,
file Form W-7 with the IRS. It usually takes 4-6 weeks to get an
ITIN.
An ITIN is for tax use only. It does not entitle
you to social security benefits or change your employment or immigration
status under U.S. law.
If
you are not an individual or you are an individual who is an employer or
you are engaged in a U.S. trade or business as a sole proprietor, you must
enter an employer identification number (EIN). If you do not have an EIN,
you should apply for one on Form SS-4, Application for Employer
Identification Number. If you are a disregarded entity claiming treaty
benefits as a hybrid entity, enter your EIN.
A
partner in a partnership conducting a trade or business in the United
States will likely be allocated effectively connected taxable income. The
partner is
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required
to file a U.S. federal income tax return and must have a U.S. taxpayer
identification number (TIN).
You
must provide a U.S. TIN if you are:
● Claiming
an exemption from withholding under section 871(f) for certain annuities
received under qualified plans,
●
A
foreign grantor trust with 5 or fewer grantors,
●
Claiming benefits under an income tax treaty, or
●
Submitting the form to a partnership that conducts a trade or
business in the United States.
However,
a U.S. TIN is not required to be shown in order to claim treaty benefits
on the following items of income:
● Dividends
and interest from stocks and debt obligations that are actively
traded;
●
Dividends from any redeemable security issued by an investment company
registered under the Investment Company Act of 1940 (mutual
fund);
●
Dividends, interest, or royalties from units of beneficial interest
in a unit investment trust that are (or were upon issuance) publicly
offered and are registered with the SEC under the Securities Act of 1933;
and
●
Income related to loans of any of the above securities.
You may want to obtain and provide a U.S. TIN on Form
W-8BEN even though it is not required. A Form W-8BEN containing a U.S. TIN
remains
valid
for as long as your status and the information relevant to the
certifications you make on the form remain unchanged provided at least one
payment is reported to you annually on Form 1042-S.
Line 7. If your country
of residence for tax purposes has issued you a tax identifying number,
enter it here. For example, if you are a resident of Canada, enter your
Social Insurance Number.
Line 8. This line may be
used by the filer of Form W-8BEN or by the withholding agent to whom it is
provided to include any referencing information that is useful to the
withholding agent in carrying out its obligations. For example,
withholding agents who are required to associate the Form W-8BEN with a
particular Form W-8IMY may want to use line 8 for a referencing number or
code that will make the association clear. A beneficial owner may use line
8 to include the number of the account for which he or she is providing
the form. A foreign single owner of a disregarded entity may use line 8 to
inform the withholding agent that the account to which a payment is made
or credited is in the name of the disregarded entity (see instructions for
line 1 on page 4)
Part
II
Line 9a. Enter the
country where you claim to be a resident for income tax treaty purposes.
For treaty purposes, a person is a resident of a treaty country if the
person is a resident of that country under the terms of the
treaty.
Line 9b. If you are
claiming benefits under an income tax treaty, you must have a U.S. TIN
unless one of the exceptions listed in the line 6 instructions above
applies.
Line 9c. An entity (but
not an individual) that is claiming a reduced rate of withholding under an
income tax treaty must represent that it:
●
Derives the item of income for which the treaty benefit is claimed,
and
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●
Meets
the limitation on benefits provisions contained in the treaty, if
any.
An
item of income may be derived by either the entity receiving the item of
income or by the interest holders in the entity or, in certain
circumstances, both. An item of income paid to an entity is considered to
be derived by the entity only if the entity is not fiscally transparent
under the laws of the entity’s jurisdiction with respect to the item of
income. An item of income paid to an entity shall be considered to be
derived by the interest holder in the entity only if:
●
The interest holder is not fiscally transparent in its jurisdiction with
respect to the item of income, and
●
The entity is considered to be fiscally transparent under the laws of the
interest holder’s jurisdiction with respect to the item of income. An item
of income paid directly to a type of entity specifically identified in a
treaty as a resident of a treaty jurisdiction is treated as derived by a
resident of that treaty jurisdiction.
If
an entity is claiming treaty benefits on its own behalf, it should
complete Form W-8BEN. If an interest holder in an entity that is
considered fiscally transparent in the interest holder’s jurisdiction is
claiming a treaty benefit, the interest holder should complete Form W-8BEN
on its own behalf and the fiscally transparent entity should associate the
interest holder’s Form W-8BEN with a Form W-8IMY completed by the
entity.
An income tax treaty may not apply to reduce the
amount of any tax on an item of income received by an entity that is
treated as a domestic
corporation for U.S. tax
purposes. Therefore, neither the domestic corporation nor its shareholders
are entitled to the benefits of a reduction of U.S. income tax on an item
of income received from U.S. sources by the
corporation.
To
determine whether an entity meets the limitation on benefits provisions of
a treaty, you must consult the specific provisions or articles under the
treaties. Income tax treaties are available on the IRS website at www.irs.gov.
If you are an entity that derives the income as a
resident of a treaty country, you may check this box if the applicable
income tax treaty does not
contain
a “limitation on benefits” provision.
Line 9d. If you are a
foreign corporation claiming treaty benefits under an income tax treaty
that entered into force before January 1, 1987 (and has not been
renegotiated) on (a) U.S. source dividends paid to you by another foreign
corporation or (b) U.S. source interest paid to you by a U.S. trade or
business of another foreign corporation, you must generally be a
“qualified resident” of a treaty country. See section 884 for the
definition of interest paid by a U.S. trade or business of a foreign
corporation (“branch interest”) and other applicable rules.
In
general, a foreign corporation is a qualified resident of a country if any
of the following apply.
●
It meets a 50% ownership and base erosion test.
●
It is primarily and regularly traded on an established securities market
in its country of residence or the United States.
●
It carries on an active trade or business in its country of
residence.
●
It gets a ruling from the IRS that it is a qualified
resident.
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See
Regulations section 1.884-5 for the requirements that must be met to
satisfy each of these tests.
If you are claiming treaty benefits under an
income tax treaty entered into force after December 31, 1986, do not check
box 9d. Instead, check box 9c.
Line 9e. Check this box
if you are related to the withholding agent within the meaning of section
267(b) or 707(b) and the aggregate amount subject to withholding received
during the calendar year will exceed $500,000. Additionally, you must file
Form 8833, Treaty-Based Return Position Disclosure Under Section 6114 or
7701(b).
Line
10
Line
10 must be used only if you are claiming treaty benefits that require that
you meet conditions not covered by the representations you make in lines
9a through 9e. However, this line should always be completed by foreign
students and researchers claiming treaty benefits. See Scholarship and fellowship
grants below for more information.
The
following are additional examples of persons who should complete this
line.
● Exempt organizations
claiming treaty benefits under the exempt organization articles of the
treaties with Canada, Mexico, Germany, and the Netherlands.
● Foreign
corporations that are claiming a preferential rate applicable to dividends
based on ownership of a specific percentage of stock.
● Persons claiming
treaty benefits on royalties if the treaty contains different withholding
rates for different types of royalties.
This
line is generally not applicable to claiming treaty benefits under an
interest or dividends (other than dividends subject to a preferential rate
based on ownership) article of a treaty.
Nonresident alien who becomes a
resident alien. Generally, only a nonresident alien individual may
use the terms of a tax treaty to reduce or eliminate U.S. tax on certain
types of income. However, most tax treaties contain a provision known as a
“saving clause.” Exceptions specified in the saving clause may permit an
exemption from tax to continue for certain types of income even after the
recipient has otherwise become a U.S. resident alien for tax purposes. The
individual must use Form W-9 to claim the tax treaty benefit. See the
instructions for Form W-9 for more information. Also see Nonresident alien student or
researcher who becomes a resident alien later for an
example.
Scholarship and fellowship
grants. A nonresident alien student (including a trainee or
business apprentice) or researcher who receives noncompensatory
scholarship or fellowship income may use Form W-8BEN to claim benefits
under a tax treaty that apply to reduce or eliminate U.S. tax on such
income. No Form W-8BEN is required unless a treaty benefit is being
claimed. A nonresident alien student or researcher who receives
compensatory scholarship or fellowship income must use Form 8233 to claim
any benefits of a tax treaty that apply to that income. The student or
researcher must use Form W-4 for any part of such income for which he or
she is not claiming a tax treaty withholding exemption. Do not use Form
W-8BEN for compensatory scholarship or
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fellowship
income. See Compensation
for Dependent Personal Services in the Instructions for Form
8233.
If you are a nonresident alien individual who
received noncompensatory scholarship or fellowship income and personal
services income (including
compensatory scholarship or fellowship income) from the same withholding
agent, you may use Form 8233 to claim a tax treaty withholding exemption
for part or all of both types of income.
Completing
lines 4 and 9a. Most tax treaties that contain an article exempting
scholarship or fellowship grant income from taxation require that the
recipient be a resident of the other treaty country at the time of, or
immediately prior to, entry into the United States. Thus, a student or
researcher may claim the exemption even if he or she no longer has a
permanent address in the other treaty country after entry into the United
States. If this is the case, you may provide a U.S. address on line 4 and
still be eligible for the exemption if all other conditions required by
the tax treaty are met. You must also identify on line 9a the tax treaty
country of which you were a resident at the time of, or immediately prior
to, your entry into the United States.
Completing
line 10. You must complete line 10 if you are a student or
researcher claiming an exemption from taxation on your scholarship or
fellowship grant income under a tax treaty.
Nonresident alien student or
researcher who becomes a resident alien. You must use Form W-9 to
claim an exception to a saving clause. See Nonresident alien who becomes
a resident alien on this page for a general explanation of saving
clauses and exceptions to them.
Example.
Article 20 of the U.S.-China income tax treaty allows an exemption
from tax for scholarship income received by a Chinese student temporarily
present in the United States. Under U.S. law, this student will become a
resident alien for tax purposes if his or her stay in the United States
exceeds 5 calendar years. However, paragraph 2 of the first protocol to
the U.S.-China treaty (dated April 30, 1984) allows the provisions of
Article 20 to continue to apply even after the Chinese student becomes a
resident alien of the United States. A Chinese student who qualifies for
this exception (under paragraph 2 of the first protocol) and is relying on
this exception to claim an exemption from tax on his or her scholarship or
fellowship income would complete Form W-9.
Part
III
If
you check this box, you must provide the withholding agent with the
required statement for income from a notional principal contract that is
to be treated as income not effectively connected with the conduct of a
trade or business in the United States. You should update this statement
as often as necessary. A new Form W-8BEN is not required for each update
provided the form otherwise remains valid.
Part
IV
Form
W-8BEN must be signed and dated by the beneficial owner of the income, or,
if the beneficial owner is not an individual, by an authorized
representative or
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XL
Capital Ltd
XL
House
One
Bermudiana Road
P.
O. Box HM 2245
Hamilton
HM JX
Bermuda
Phone: (441)
292-8515
Fax: (441)
292-5280
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