Phone:
(703) 535-8101
FAX: (703)
535-8105
Request for Earning Entity*
Taxpayer Identification Number and Certification
This form is to be used to satisfy the Internal
Revenue Service's (IRS) reporting requirements for US Earning Entities. Specifically, it is used: h To certify
the Earning Entity's taxpayer identification number (TIN) to the Alliance of
Artists and Recording Companies,
h To certify
that the Earning Entity is not subject to backup withholding because of
underreporting interest and dividends on the tax return, and
h To claim
an exemption from backup withholding if the Earning Entity is an exempt Earning
Entity.
Note: All
Part I:
Taxpayer Identification Number. Provide the US
Earning Entity's taxpayer identification number (if the Earning Entity is an
individual, fill in social security number).
Taxpayer
Identification No.:
Check
appropriate box:
Part
II: Certification. Under penalties of perjury, I certify that:
(1)
The number shown on this form is my correct taxpayer
identification (or I am waiting for a number to be issued to me), and
(2)
I am not subject to backup withholding because: (a) I am exempt from backup withholding, or
(b) the IRS has not notified me that I am subject to backup withholding taxes,
or (c) the IRS has notified me that I am no longer subject to backup
withholding.
(3)
I am a
If you are not a
W-8IMY
or W-8ECI.
Name of
Earning Entity:
FORM COMPLETED BY: AFFILIATION WITH REGISTRANT: TELEPHONE: DATE:
THIS FORM IS NOT SUBMITTED ELECTRONICALLY, YOU MUST PRINT THIS PAGE PRIOR TO CLOSING THE WINDOW
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