Name of individual or organization that is the beneficial owner
ad soyad

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

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

Country (do not abbreviate)
ülke

Mailing address (if different from above)
mail adresi

Foreign tax identifying number, if any (optional)
kimlik numaran

I have provided or will provide a statement that identifies those notional principal contracts from which the income is not effectively
connected with the conduct of a trade or business in the United States. I agree to update this statement as required.
İşaretleyin.

Capacity in which acting
üstüne isminizi yazın.