Fw8ben-Luciana Signed
Fw8ben-Luciana Signed
Fw8ben-Luciana Signed
Department of the Treasury Go to www.irs.gov/FormW8BEN for instructions and the latest information.
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Internal Revenue Service ▶ Give this form to the withholding agent or payer. Do not send to the IRS.
City or town, state or province. Include postal code where appropriate. Country
6a Foreign tax identifying number (see instructions) 6b Check if FTIN not legally required . . . . . . . . . . .
27-41738048-0
7 Reference number(s) (see instructions) 8 Date of birth (MM-DD-YYYY) (see instructions)
02/27/1999
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 Argentina 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:
✔ I certify that I have the capacity to sign for the person identified on line 1 of this form.
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Sign Here
1/02/2024
Signature of beneficial owner (or individual authorized to sign for beneficial owner) Date (MM-DD-YYYY)
Luciana Pucharella
Print name of signer
For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 25047Z Form W-8BEN (Rev. 10-2021)