700 North Fairfax Street
Suite 601

Alexandria , VA 22314

Phone: (703) 535-8101

FAX: (703) 535-8105
www.aarcroyalties.com

 

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 US Earning Entities (including resident aliens) must complete this form.  If the US Earning Entity does not complete this form, AARC will be forced to withhold a significant portion of its royalties pursuant to federal tax requirements.

 

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: 
Individual/Sole Proprietor
Corporation
Partnership

                                          

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 United States person (including a US resident alien).

            If you are not a United States Earning Entity, you must complete IRS form W-8BEN,

            W-8IMY or W-8ECI.

 

Name of Earning Entity:  

 

FORM COMPLETED BY:

AFFILIATION WITH REGISTRANT:

TELEPHONE:   DATE:  

SIGNATURE REQUIRED
FORM COMPLETED BY

X ______________________



* Earning Entity is the Featured Artist or Sound Recording Copyright Owner that has earned the royalties.

THIS FORM IS NOT SUBMITTED ELECTRONICALLY, YOU MUST PRINT THIS PAGE PRIOR TO CLOSING THE WINDOW