This document is the Form W-8BEN, which is used by individuals to certify their foreign status for U.S. tax withholding and reporting purposes. The form provides instructions on who should and should not use the form, including that entities must use Form W-8BEN-E instead. It collects identification information about the beneficial owner such as name, address, citizenship, and tax identification numbers. The form also allows individuals to claim tax treaty benefits by certifying their country of residence and which income types and rates the treaty applies to. It concludes by certifying the accuracy of the information provided and authorizing the form to be shared with withholding agents.