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Country
Country...
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Telephone Number
*
Website Address
(if applicable)
Legal Business Name:
*
Employer Identification Number / Federal ID or Social Security Number
*
Type of Ownership
Individual/Sole Proprietor
Corporation
Partnership
Limited Liability Company
Government Entity
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Owner's Name
*
Name of 1st Partner
*
If you are a non-US resident or a corporation, partnership or other entity formed outside the US, and you are receiving payments as beneficial owner, IRS procedures require you to submit one of the following forms for use in determining the correct course of tax withholding on and information
reporting of payments made to you. These forms are available at
www.irs.gov:
IRS Form 8233 , Exemption From Withholding on Compensation for Independent (and Certain Dependant) Personal Services of a Non Resident Alien Individual OR
IRS Form W-8ECI, Certificate of Foreign Person's Claim for Exemption from Withholding on Income Effectively Connected with the Conduct
of a Trade or Business in the United States OR
IRS Form W-8BEN , Certification of Foreign Status of Beneficial Owner for United States Withholding.
These forms can be faxed to (406) 523-1837 or emailed to info@mtrail.com
Product/Service Delivery Area (check if applicable)
Montana
Idaho
Contact Information
Contact Name
*
Title
Phone
(
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) -
*
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*
FAX
(
) -
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Email
*
Name of the MRL employee with whom you have had prior contact
*
Validate and Submit
Email me a copy of this form to the address I provided above.
Verify code shown above
Under penalties of perjury by typing my name in the Signature field
below and clicking on the "submit" button below, I certify that:
The number shown on this form is my correct taxpayer
identification number (or I am waiting for a number to be issued to
me), and
I am not subject to backup withholding because: (a) I am exempt
from backup withholding, or (b) I have not been notified by the
Internal Revenue Service (IRS) that I am subject to backup withholding
as a result of a failure to report all interest or dividends, or (c)
the IRS has notified me that I am no longer subject to backup
withholding, and
I am a U.S. citizen or other U.S. person (See Right).
Certification instructions. You must cross out item 2
above if you have been notified by the IRS that you are currently subject
to backup withholding because you have failed to report all interest and
dividends on your tax return. For real estate transactions, item 2 does
not apply. For mortgage interest paid, acquisition or abandonment of
secured property, cancellation of debt, contributions to an individual
retirement arrangement (IRA), and generally, payments other than interest
and dividends, you are not required to sign the Certification, but you
must provide your correct TIN. (See the instructions at
www.irs.gov/pub/irs-pdf/fw9.pdf , page 4.)
Signature
*