rom W-8BEN| Certificate of Foreign Status of Beneficial Owner ‘Rv. Febuary 2006) for United States Tax Withholding ‘OM No, 1845-1821 Croacron othe reaury | Station retrencas are te the internal Revenue Code. > S00 separate insrucions, zi brerarReverue Sve Give tis form to the witiieldng agort or payer. Do net send Yo the IMS, Donets the fom or Tein, oe Foms +AU. ction or cher US. person, includhg a residentalen dvi 6 WO ‘A person claiming that income is sfectnel/ connected with tne conduct ae Ota ade cr business nthe United States 2 oi see eee + foreign partrershio, a torsion simple trust, ora forélan grantor tit (see insinictons Yor exceptions) |< |<.“ W8EOH or W-EIMY foreign ax-exemot venation 1 ovelgn government, Irtematonal organisation, foreign cartel bark of ‘Sroign pivate foundaton, or govermart of & U.S. possess tha recahnd effectively cormectas Income Or that is ‘icing the epplnnity of sxotons) 1150, s0'(6 802,605, or 14496) fore stuctons) MISE oF W-8EXP Note: These enttes should use Form W-BBEN i thy are clining weaty Benet er are providing the form ony Siam they ee a foreign persen exert ron bachup witihosarg. * & person acting as an intermediary. : Ti a tage ce MesINY Note: S22 insinctons for aidtonal exceptions. [EEMEI__lentification of Beneficial Owner ery Natal tb pte 2 Coup a rae or egaiaton goes hekastols Elorez Veaer ed, a Tate aA cio ctw) rant C) oop nat OD cantor euet D compen trast D extme OF @overrmment 1 International organization So cane Oo ermoe opeetes D ret siecle Seber eara tbe cen et iene ‘lah avrrba Seefor 93 nero calle U3-B yo doc-31 ene Boon aera aie we ee ry 00 at prov) Le "a Zulta oo, enenve te 4 Malta eis oan Ya sor ‘iy & town Hate oF oe, Pde posal cade whee anpronate Geary a ror anora) TUS wopayer eniealon aber requ eo WaGion 7 Faron tax ering rambo, Wan iene D saver 1 ew. @ Reterance numbers) ese Frstuctions) [EMI] ciaim of Tax Treaty Benefits (7 appicabi) 9 cra that (shek al that app: a ; 2 [2 Tetent one sarsint et VENEZUELA... trim nner tty vor i Sean tc. » C1 trrequired, tne U.S. taxpayer Menttication number Is stated cn line 6 (See instructions, © C1 The benficial owner is not an individual, derives the Item (or ites) of inccme for which the treaty benefits {plein meta eglarents ote tay proloan Seaing wih inaton en beri eoinecns d (1 The bensticial owner is net an incividuel, is claiming treaty benefits for dividends received from a foreign corperation or interest from a Utada or anos s' rtgncerorton, and mata ale air sth ae rebut © C1 The beneficial owner related to the person objigated to pay the income within the maenhig of section 267ib) or 7O7Ib), and wit fle Form aha tear! sje fo ald recoved dun clase yot nud, he sggmost, S000 10. Special rates and conitions &splcable—se nts: Te benef cuna is dain the prvsons of Ate ote tty Woritledonee Be sve f ll sn 4 laf wold on peat yp of nome nnn Explain th reson fe barca me moet te ors fe eat AMI ee [AME _ Notional Principal Contracts. 11 C1 | have povided or wit provide a statement that dentfestraee nctional orncipal contacts from which tre income is not eectively ‘comectad wih the conduct ofa trade or business in the Untied State. | agree to updata ths stator as required. EMME Certification = Under patie of pera, | scare at fave xand He ornaen an ths Yarn and Ha best lm mrewaebe ard Dalal ts ue, covet. and aril T Lure arty unr oonais of perry ta {ar te natal owner bra auttorzed son forthe beratcil cane of the oom to whieh this rm tes, 2 Tho benidal ounar' 8! AUS. pean 5 Th comet nen fva form ltr a ot tectalycomecte wih he conto ae o tunes the Unite Sts, (3) eectnalyconectd bts balsas fax ura’ an came ately o (hasan sare ofa oarrenho's otctey comecta nome, and orto reach ba Sas ext ergs oes os deradin tho auctor Fun euthorae thr 1 roen tat sonra een. etn ete naomi whch | ae banal owner or Emunccng agent he fre of wn |am he bonefea ownr 2009 id tii sian x banal ownai_“tala NDB YY” Gacy inch ea or Paverwork Reatgr of Notice, aee seperate neirctons. (at No. are Form W-BBEN pr, 22005 claimed, and,