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Form Instructions W-8BEN for New Jersey: What You Should Know

It cannot be signed by any person or entity. The following instructions are given to the individual or entity whose Form must complete. 1. For Employee, The signature and date must match. The name and address should be written in full right down the right margin. 2. Fill in the boxes below based on the facts of the form: Type of Entity Name (full name and a first and last name) Employer (or other business name) Employer Entity Name (full name and a first and last name) Employer The full name of any business entity is required. The name of the company. The employer must state whether the business entity is exempt from U.S. federal tax under Section 501(c)(3) of the Internal Revenue Code or whether it is a tax-exempt private association under Section 501(c)(9) or 501(c)(11). 3. When applicable, the employer is providing information about the business entity. The type of the business entity, the location of the business, whether the business entity is owned directly or indirectly by the employer, and other general information are noted next to the box. In many instances, this information will be indicated in a check-box. The type, location and type of business entity are indicated in the chart below. Example — Tax Form 990, Employer Return For Tax Year 2010, Business Type is:  Business Type:  Business Ownership Type For each employee(s) to whom you provide employer-provided benefits (benefits paid for by the employer), the type of business entity that the payer is providing employer-provided benefits is noted below as follows: For each individual provided benefits with Employer's Group Life Insurance — In the “Business Type” box, type of business entity providing: 1) Business Entity Name (full name/a first and last name) 2) Payer's Group Life Insurance ID Number (no space between Group and ID number) For each individual with Group Life Insurance — In the “Business Type” box, type of business entity providing: 1) Business Entity Name (full name/a first and last name) 2) Payer's Group Life Insurance ID Number (no space between Group and ID number) The full name of the employer must be given as the name and address of the business entity. This does not apply to certain tax-exempt private associations referred to below.

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