Tax Interview
Tax Interview
Tax Interview
City or town, state or province. Include postal code where appropriate. Country
Peshawar Peshwar 24840 Pakistan
7 Mailing address (if different from above)
City or town, state or province. Include postal code where appropriate. Country
e To the extent that the entity identified in Part I of this form is providing an alternative withholding statement described in Regulations
section 1.1441-1(e)(3)(iv)(C)(3) for any payments associated with the form, the entity represents that the information on all of the
withholding statements associated with this withholding certificate have been (or will be) verified for inconsistency with any other account
information the entity has for the beneficial owners for determining the rate of withholding with respect to each payee (applying the
standards of knowledge under section 1441 or section 1471, as applicable).
Part XXIX 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. Furthermore, I authorize this form to be provided to any withholding agent that has control, receipt, or custody of the income or proceeds for
which I am providing this form or any withholding agent that can disburse or make payments of the amounts for which I am providing this form.
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 authorized official Print Name Date (MM-DD-YYYY)
For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 25402Q Form W-8IMY (Rev. 10-2021)