Certification
 

  

Checks by Fax Platinum Pro Checks by Fax Platinum Pro offers unlimited support for demo users as well as product owners. You also may want to review the Frequently Asked Questions Page. Please use the following information to contact us: offers unlimited support for demo users as well as product owners. You also may want to review the Frequently Asked Questions Page. Please use the following information to contact us:

 
 
Certification Form

OfficePro.COM AFFILIATE NETWORK

Participation by FOREIGN PERSON RECEIVING AMOUNTS NOT EFFECTIVELY CONNECTED WITH THE CONDUCT OF A TRADE OR BUSINESS IN THE UNITED STATES

PART I. Identification of Beneficial Owner

1. Name of Individual or Organization that is the Beneficial Owner:
_______________________________________________________________

_______________________________________________________________

Country of Incorporation or Organization (if applicable):
_______________________________________________________________

2. Type of Beneficial Owner (check appropriate item):

Individual:___

Corporation:___

Partnership:___

Trust:___

Estate:___

Disregarded Entity:___

Foreign Tax Exempt Organization:___

Foreign Government:___

Foreign Central Bank of Issue:___

International Organization:___

Permanent Residence Address:
Street, Apt. or Suite No. or Rural Route (Do not use a P.O. Box):
_______________________________________________________________
City or Town: ____________________________________________________
State or Province (include postal code where appropriate):_________________
Country (do not abbreviate): ________________________________________

PART II. Certification

Under penalties of perjury, I declare that I have examined the information on this Certification Form and to the best of my knowledge and belief it is true, correct and complete. I further certify under penalties of perjury that:

(a) I am the beneficial owner (or I am authorized to sign for the beneficial owner) of the amounts referred to in (c) below;

(b) The beneficial owner is a foreign person;

(c) The amounts that are to be, or are expected to be, received by the beneficial owner in connection with the participation of the beneficial owner in the Officepro.com Affiliate Network are not effectively connected with the conduct of a trade or business in the United States; and

(d) If the amounts referred to in (c) above become effectively connected with the conduct of a trade or business in the United States, or if the beneficial owner is an individual and becomes a United States citizen or resident, I will notify Officepro.com of such change in status, including the date thereof, within 30 days of the change.

Signature__________________________ Date__________________________

If amounts to be received from participation in the Officepro.com Affiliate Network become effectively connected with the conduct of a trade or business in the United States, the beneficial owner of these amounts will immediately become ineligible for participation in the Program and must notify Officepro.com of this change in status within 30 days of the change. If no date of change is given in the notice, the change will be deemed to have occurred 30 days prior to receipt by Officepro.com of the notice.

If the beneficial owner of amounts to be received from participation in the Officepro.com Traffic Affiliate Program is an individual and becomes a United States citizen or resident, the beneficial owner of these amounts will immediately become ineligible for participation in the Program and must notify Officepro.com of this change in status within 30 days of the change. If no date of change is given in the notice, the change will be deemed to have occurred 30 days prior to receipt by Officepro.com of the notice. The beneficial owner will thereafter become entitled to re-participate in the Program upon receipt by Officepro.com of a Form W-9 (and any other tax forms determined to be necessary or appropriate by Officepro.com) completed by the beneficial owner.

PART III Definitions

Beneficial owner. The beneficial owner is the person who is the owner of the income for tax purposes and who beneficially owns the income. Thus, a person receiving income as a nominee, custodian, or agent for another person is not the beneficial owner of the income. Generally, a person is treated as the owner of the income to the extent it is required under U.S. tax principles to include the amount paid in gross income on a tax return. A person who is the owner of income is considered the beneficial owner of that income unless that person is a conduit entity whose participation in a transaction can be disregarded. Generally, the principles of section 7701(l) and Regulations section 1.881-3 apply to determine if a person is a conduit entity.

The beneficial owners of income paid to a partnership are those persons who, under the U.S. tax principles, are the owners of the income for tax purposes in their separate or individual capacity and who beneficially own the income. Generally, the beneficial owners of income paid to a partnership are the partners, other than a partner that is itself a partnership or a conduit. (If a partner is a partnership or conduit, the beneficial owner is the first person in the chain of ownership that is not itself a partnership or a conduit.)

Foreign person. A foreign person includes a nonresident alien individual, a foreign corporation, a foreign partnership, a foreign trust, a foreign estate, and any other person that is not a U.S. person. Generally, a payment to a U.S. branch of a foreign person is a payment to a foreign person.

Nonresident alien individual. Any individual who is not a citizen or resident of the United States is a nonresident alien individual. An alien individual meeting either the "green card test" or the "substantial presence test" for the calendar year is a resident alien. Any person not meeting either test is a nonresident alien individual. Additionally, an alien individual who is a resident of a foreign country under the residence article of an income tax treaty, or an alien individual who is a resident of Puerto Rico, Guam, the Commonwealth of the Northern Mariana Islands, the U.S. Virgin Islands, or American Samoa is a nonresident alien individual. See Pub. 519, U.S. Tax Guide for Aliens, for more information on resident and nonresident alien status.

 

Checks by Fax Software Company ~ Quick Pay Office Pro ~ Sales by MIS Since 1995
Checks by Fax Software Company owned and Operated by MIS
PO Box 3251 Holiday Island AR 72631
Voice 479-696-9401 ~ Fax 479-696-9400
MIS 1995, 2002