STEP BY STEP completing a W-8BEN form for an individual

Please complete this form to buy shares listed in the United States, and to receive dividends and interest from US and Canadian
shares at reduced rates of tax.
This form is for investors who are not US persons. If you are classed as a US person, please see www.hl.co.uk/usshares for further
information.
Your W8-BEN form is valid for three calendar years after the year in which it is signed. We will contact you when your form nears
expiry.
If you are filling in this form in relation to a bare trust account, please complete in the name of the beneficiary of the trust, and submit
with form W-8IMY and a Withholding Statement, both in the name of the trust.
Please ensure you return the original form containing a “wet” signature – we cannot accept photocopies or computer-printed
signatures.
Please do not complete your details on the form shown below - complete the form overleaf.

Form W-8BEN Certificate of Foreign Status of Beneficial Owner for United

States Tax Withholding and Reporting (Individuals)
(Rev. July 2017) ▶ For use by individuals. Entities must use Form W-8BEN-E. OMB No. 1545-1621

Department of the Treasury Go to www.irs.gov/FormW8BEN for instructions and the latest information.
▶

Internal Revenue Service ▶ Give this form to the withholding agent or payer. Do not send to the IRS.

Do NOT use this form if: Instead, use Form:

• You are NOT an individual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W-8BEN-E
• You are a U.S. citizen or other U.S. person, including a resident alien individual . . . . . . . . . . . . . . . . . . . W-9
• You are a beneficial owner claiming that income is effectively connected with the conduct of trade or business within the U.S.
(other than personal services) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W-8ECI
• You are a beneficial owner who is receiving compensation for personal services performed in the United States . . . . . . . 8233 or W-4
• You are a person acting as an intermediary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W-8IMY
Note: If you are resident in a FATCA partner jurisdiction (i.e., a Model 1 IGA jurisdiction with reciprocity), certain tax account information may be
Part I provided to your jurisdiction of residence.
Enter your country of
Part I Identification of Beneficial Owner (see instructions)
Enter your full name (for 1 Name of individual who is the beneficial owner 2 Country of citizenship citzenship e.g. United
joint accounts, please 1 2 Kingdom.
3 Permanent residence address (street, apt. or suite no., or rural route). Do not use a P.O. box or in-care-of address.
enter both names).
City or town, state or province. Include postal code where appropriate. Country
3 Enter your residential
Enter your mailing 4 Mailing address (if different from above) address, including
address only if different 4 country. Do not enter
from your residential City or town, state or province. Include postal code where appropriate. Country
a PO Box, care-of or
address. 5 U.S. taxpayer identification number (SSN or ITIN), if required (see instructions) 6 Foreign tax identifying number (see instructions)
company address.
DO NOT COMPLETE DO NOT COMPLETE
7 8
Enter your HL Vantage 5
Reference number(s) (see instructions) Date of birth (MM-DD-YYYY) (see instructions)

client number(s) (can Part II Claim of Tax Treaty Benefits (for chapter 3 purposes only) (see instructions)
I certify that the beneficial owner is a resident of
Part II
9 within the meaning of the income tax
be found in the top right treaty between the United States and that country. 6 Enter your country of
hand corner of your 10 Special rates and conditions (if applicable—see instructions): The beneficial owner is claiming the provisions of Article and paragraph
residence eg. United
DO NOT COMPLETE SECTION 10
of the treaty identified on line 9 above to claim a % rate of withholding on (specify type of income):
online account). . Kingdom.
Explain the additional conditions in the Article and paragraph the beneficial owner meets to be eligible for the rate of withholding:
You do not need to
Part III Certification complete section 10.
Under penalties of perjury, I declare that I have examined the information on this form and to the best of my knowledge and belief it is true, correct, and complete. I further
certify under penalties of perjury that:

• I am the individual that is the beneficial owner (or am authorized to sign for the individual that is the beneficial owner) of all the income to which this form relates or
am using this form to document myself for chapter 4 purposes,
• The person named on line 1 of this form is not a U.S. person,
• The income to which this form relates is:
(a) not effectively connected with the conduct of a trade or business in the United States,
(b) effectively connected but is not subject to tax under an applicable income tax treaty, or

The person signing •

(c) the partner’s share of a partnership's effectively connected income,

The person named on line 1 of this form is a resident of the treaty country listed on line 9 of the form (if any) within the meaning of the income tax treaty between
Part III
the form must print the United States and that country, and Sign and date the form
their name below their (date should be entered
• For broker transactions or barter exchanges, the beneficial owner is an exempt foreign person as defined in the instructions.
Furthermore, I authorize this form to be provided to any withholding agent that has control, receipt, or custody of the income of which I am the beneficial owner or

signature. If different to any withholding agent that can disburse or make payments of the income of which I am the beneficial owner. I agree that I will submit a new form within 30 days
if any certification made on this form becomes incorrect. in US format MM/DD/
the person named in Part YYYY). If the person
▲

Sign Here
I, please also enter your Signature of beneficial owner (or individual authorized to sign for beneficial owner) Date (MM-DD-YYYY)
7 named in Part I is a child
capacity (e.g. “Parent” 8 under the age of 18, a
if signing on behalf of a parent should sign the
Print name of signer Capacity in which acting (if form is not signed by beneficial owner)
For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 25047Z Form W-8BEN (Rev. 7-2017)
child). form on their behalf.

For guidance on completing this form for other types of accounts e.g. investment clubs, please go to www.hl.co.uk/usshares.
Please contact our helpdesk on 0117 900 9000 if you require any assistance.

Please return the form to:

Hargreaves Lansdown, 1 College Square South, Anchor Road, Bristol, BS1 5HL
Form W-8BEN Certificate of Foreign Status of Beneficial Owner for United
States Tax Withholding and Reporting (Individuals)
(Rev. July 2017) ▶ For use by individuals. Entities must use Form W-8BEN-E. OMB No. 1545-1621

Department of the Treasury Go to www.irs.gov/FormW8BEN for instructions and the latest information.
▶

Internal Revenue Service ▶ Give this form to the withholding agent or payer. Do not send to the IRS.

Do NOT use this form if: Instead, use Form:

• You are NOT an individual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W-8BEN-E
• You are a U.S. citizen or other U.S. person, including a resident alien individual . . . . . . . . . . . . . . . . . . . W-9
• You are a beneficial owner claiming that income is effectively connected with the conduct of trade or business within the U.S.
(other than personal services) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W-8ECI
• You are a beneficial owner who is receiving compensation for personal services performed in the United States . . . . . . . 8233 or W-4
• You are a person acting as an intermediary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W-8IMY
Note: If you are resident in a FATCA partner jurisdiction (i.e., a Model 1 IGA jurisdiction with reciprocity), certain tax account information may be
provided to your jurisdiction of residence.

Part I Identification of Beneficial Owner (see instructions)

1 Name of individual who is the beneficial owner 2 Country of citizenship

3 Permanent residence address (street, apt. or suite no., or rural route). Do not use a P.O. box or in-care-of address.

City or town, state or province. Include postal code where appropriate. Country

4 Mailing address (if different from above)

City or town, state or province. Include postal code where appropriate. Country

5 U.S. taxpayer identification number (SSN or ITIN), if required (see instructions) 6 Foreign tax identifying number (see instructions)

7 Reference number(s) (see instructions) 8 Date of birth (MM-DD-YYYY) (see instructions)

Part II Claim of Tax Treaty Benefits (for chapter 3 purposes only) (see instructions)
9 I certify that the beneficial owner is a resident of within the meaning of the income tax
treaty between the United States and that country.
10 Special rates and conditions (if applicable—see instructions): The beneficial owner is claiming the provisions of Article and paragraph
of the treaty identified on line 9 above to claim a % rate of withholding on (specify type of income):
.
Explain the additional conditions in the Article and paragraph the beneficial owner meets to be eligible for the rate of withholding:

Part III Certification

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

• I am the individual that is the beneficial owner (or am authorized to sign for the individual that is the beneficial owner) of all the income to which this form relates or
am using this form to document myself for chapter 4 purposes,
• The person named on line 1 of this form is not a U.S. person,
• The income to which this form relates is:
(a) not effectively connected with the conduct of a trade or business in the United States,
(b) effectively connected but is not subject to tax under an applicable income tax treaty, or
(c) the partner’s share of a partnership's effectively connected income,

• The person named on line 1 of this form is a resident of the treaty country listed on line 9 of the form (if any) within the meaning of the income tax treaty between
the United States and that country, and
• For broker transactions or barter exchanges, the beneficial owner is an exempt foreign person as defined in the instructions.
Furthermore, I authorize this form to be provided to any withholding agent that has control, receipt, or custody of the income of which I am the beneficial owner or
any withholding agent that can disburse or make payments of the income of which I am the beneficial owner. I agree that I will submit a new form within 30 days
if any certification made on this form becomes incorrect.
▲

Sign Here
Signature of beneficial owner (or individual authorized to sign for beneficial owner) Date (MM-DD-YYYY)

Print name of signer Capacity in which acting (if form is not signed by beneficial owner)
For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 25047Z Form W-8BEN (Rev. 7-2017)