Please wait
LETTER
OF TRANSMITTAL
to
Tender Shares of Common Stock (including Associated Preferred Share Purchase
Rights)
of
Aware,
Inc.
Pursuant
to the Offer to Purchase, dated March 5, 2009
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THE
TENDER OFFER, PRORATION PERIOD AND WITHDRAWAL RIGHTS WILL EXPIRE AT 5:00
P.M.,
NEW YORK CITY TIME, ON APRIL 2, 2009, UNLESS AWARE EXTENDS THE TENDER
OFFER.
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The
depositary for the tender offer is:
COMPUTERSHARE
TRUST COMPANY, N.A.
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By
First Class Mail:
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By Overnight Delivery:
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Computershare
Trust Co., Inc.
c/o
Corporate Actions – Aware, Inc.
P.O.
Box 859208
Braintree,
MA 02185-9208
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Computershare
Trust Co., Inc.
c/o
Corporate Actions – Aware, Inc.
161
Bay State Drive
Braintree,
MA 02184
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By
Facsimile:
For
Eligible Institutions Only
(781)
930-4942
Confirm
Facsimile Receipt
by
telephone:
(781)
930-4900
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DESCRIPTION
OF SHARES TENDERED
(See
Instructions 3 and 4)
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Name(s)
and Address(es) of Registered Holder(s)
(Please
fill in, if blank, exactly as name(s) appear(s) on
certificate(s))
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Certificate(s)
Tendered
(Attach
and sign additional list if necessary)
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Certificate
Number(s)*
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Number
of Shares Represented by Certificate(s)
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Number
of Shares Tendered**
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Total
Shares
Tendered*
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*** Indicate
in this box the order (by certificate number) in which shares are to be
purchased in event of proration (attach additional signed list if
necessary) (See Instruction 7):
1st: 2nd: 3rd: &
#160; 4th: 5th: 6th:
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* Need
not complete if shares are delivered by book-entry transfer.
** If
you desire to tender fewer than all shares evidenced by any certificate(s)
listed above, please indicate in this column the number of shares you wish
to tender. Otherwise, all shares evidenced by such certificate(s) will be
deemed to have been tendered. See Instruction 4.
*** If
you do not designate an order and Aware purchases less than all shares
tendered due to proration, the depositary will select the shares that
Aware will purchase. See Instruction
7.
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You should read this letter of
transmittal and the accompanying instructions before you complete
it. Delivery of this letter of transmittal to an address other than
one of those set forth above will not constitute a
valid delivery. YOU MUST DELIVER THIS LETTER OF TRANSMITTAL AND ANY
OTHER REQUIRED DOCUMENTS TO THE DEPOSITARY. Deliveries to Aware, Inc.
(“Aware”), Georgeson Securities Corporation (the dealer manager for the tender
offer), Georgeson Inc. (the information agent for the tender offer) or the
book-entry transfer facility will not be forwarded to the depositary and
therefore will not constitute valid delivery to the depositary.
WHEN
THIS LETTER OF TRANSMITTAL SHOULD BE USED
You
should complete this letter of transmittal only if:
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You
are including with this letter of transmittal certificates representing
shares that you are tendering (or the certificates will be delivered
pursuant to a notice of guaranteed delivery you have previously sent to
the depositary); or
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You
are concurrently tendering shares by book-entry transfer to the account
maintained by the depositary at The Depository Trust Company (the
“book-entry transfer facility”) pursuant to Section 3 of the offer to
purchase and you are not using an Agent’s Message (as defined in
Instruction 2). (Delivery
of the documents to the book-entry transfer facility will not constitute
delivery to the depositary.)
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If you want to tender your shares into
the tender offer but (1) your certificates are not immediately available, (2)
you cannot deliver all documents required by this letter of transmittal to the
depositary before the tender offer expires, or (3) you cannot comply with the
procedure for book-entry transfer on a timely basis, you can still tender your
shares if you comply with the guaranteed delivery procedure set forth in Section
3 of the offer to purchase. See Instruction
2.
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BEFORE
COMPLETING THIS LETTER OF TRANSMITTAL, YOU SHOULD READ THIS LETTER OF
TRANSMITTAL AND THE ACCOMPANYING INSTRUCTIONS
CAREFULLY.
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¨
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Check
here if you are delivering tendered shares pursuant to a notice of
guaranteed delivery that you previously sent to the
depositary. Enclose a photocopy of your notice of guaranteed
delivery and complete the
following:
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Name(s) of Tendering
Stockholder(s):
Date of Execution of Notice of
Guaranteed Delivery:
Name of Institution that Guaranteed
Delivery:
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¨
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Check
here if any certificates evidencing the shares you are tendering with this
letter of transmittal have been lost, stolen, destroyed or
mutilated. If you check this box, you must complete an
affidavit of loss and return it with your letter of
transmittal. You should call Computershare Trust Company, N.A.,
the transfer agent, at (877) 282-1169 to get information about the
requirements for replacement. You may be required to post a bond to secure
against the risk that certificates may be subsequently recirculated.
Please call Computershare Trust Company, N.A. immediately to obtain an
affidavit of loss, to receive further instructions on how to proceed, and
to determine whether you will need to post a bond, so that the timely
processing of this letter of transmittal will not be
impeded. See Instruction
16.
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¨
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Check
here if you are a financial institution that is a participant in the
book-entry transfer facility’s system and you are delivering the tendered
shares by book-entry transfer to an account maintained by the depositary
at the book-entry transfer facility, and complete the
following:
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Name(s) of Tendering
Institution(s):
Account Number: 
60;
Transaction Code Number:
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NOTE: SIGNATURES
MUST BE PROVIDED BELOW.
PLEASE
READ THE ACCOMPANYING INSTRUCTIONS CAREFULLY
CHECK
EXACTLY ONE BOX. IF YOU CHECK MORE THAN ONE BOX, OR IF YOU DO
NOT
CHECK
ANY BOX, YOU WILL HAVE FAILED TO VALIDLY TENDER ANY
SHARES.
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THE
PRICE AT WHICH YOU ARE TENDERING SHARES
(See
Instruction 5)
SHARES
TENDERED AT PRICE DETERMINED PURSUANT TO THE TENDER OFFER: (See
Instruction 5)
¨ The
undersigned wants to maximize the chance of having Aware purchase all
shares the undersigned is tendering (subject to the possibility of
proration). Accordingly,
by checking this ONE box INSTEAD OF ONE OF THE PRICE
BOXES BELOW, the undersigned hereby tenders shares
and is
willing to accept the purchase price determined by Aware pursuant to the
tender offer (the “Purchase Price”). This action could result in
receiving a
price per share as low as $1.80 per share.
–
OR –
SHARES
TENDERED AT PRICE DETERMINED BY STOCKHOLDER: (See Instruction
5)
By
checking ONE of
the boxes below INSTEAD
OF THE BOX ABOVE, the undersigned hereby tenders shares at the
price checked. This action could result in none of the shares being
purchased if the Purchase Price is less than the price checked below.
A stockholder who desires
to tender shares at more than one price must complete a separate letter of
transmittal for each price at which the stockholder tenders
shares. You cannot tender the same shares at more than
one price, unless you have previously validly withdrawn those shares
tendered at a different price in accordance with Section 4 of the offer to
purchase.
Price
(in Dollars) Per Share at Which Shares Are Being Tendered
¨ $1.80 ¨ $1.90 ¨ $2.00
¨ $2.10 ¨ $2.20 ¨ $2.30
¨ $2.40 ¨ $2.50 ¨ $2.60
You
WILL NOT have validly tendered your shares unless you check ONE AND ONLY
ONE BOX IN THIS
FRAME
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ODD
LOTS
(See
Instruction 6)
To
be completed only
if shares are being tendered by or on behalf of a person owning,
beneficially or of record, an aggregate of fewer than 100
shares.
On
the date hereof, the undersigned either (check ONE box):
¨
is
the beneficial or record owner of an aggregate of fewer than 100 shares
and is tendering all of those shares, or
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is
a broker, dealer, commercial bank, trust company or other nominee that (i)
is tendering, for the beneficial owner(s) thereof, shares with respect to
which it is the
record holder, and (ii) believes, based upon representations made to it by
such beneficial owner(s), that each such person was the beneficial owner
of an aggregate
of fewer than 100 shares and is tendering all of such shares.
In addition, the undersigned is
tendering shares (check ONE box):
¨
at
the Purchase Price, which will be determined by Aware in accordance with
the terms of the tender offer (persons checking this box should
check the
box under the heading “Shares Tendered at Price Determined Pursuant to the
Tender Offer” above), or
¨
at
the price per share indicated under the heading “Shares Tendered at Price
Determined by Stockholder.”
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CONDITIONAL
TENDER
(See
Instruction 11)
A tendering stockholder may
condition his, her or its tender of shares upon Aware purchasing a
specified minimum number of the shares tendered, as described in Section 6
of the offer to purchase. Unless Aware purchases at least the minimum
number of shares you indicate below pursuant to the terms of the tender
offer, Aware will not purchase any of the shares tendered below. It is the
tendering stockholder’s responsibility to calculate that minimum number
and each stockholder should consult his, her or its own tax advisor in
doing so. Unless you check the box immediately below and specify, in the
space provided, a minimum number of shares that Aware must purchase from
you if Aware purchases any shares from you, Aware will deem your tender
offer unconditional.
¨ The
minimum number of shares that Aware must purchase from me if Aware
purchases any shares from me, is:______________ shares.
If, because of proration,
Aware will not purchase the minimum number of shares from you that you
designate, Aware may accept conditional tenders by random lot, if
necessary. However, to be eligible for purchase by random lot, the
tendering stockholder must have tendered all of his, her or its shares. To
certify that you are tendering all of your shares, check the box
below.
¨
The tendered shares represent all shares held by the
undersigned.
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SPECIAL
PAYMENT INSTRUCTIONS
(See
Instructions 1 and 10)
Complete this box ONLY if the check for
the aggregate Purchase Price of shares purchased (less the amount of any
applicable U.S. withholding taxes) and any certificate for shares not
tendered or not purchased are to be issued in the name of someone other
than the undersigned.
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(Please
Print)
Address:
(Include
Zip Code)
______________________________
(Taxpayer
Identification or Social Security Number)
(See
Substitute Form W-9 and Substitute Form W-8BEN Included Herewith)
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SPECIAL
DELIVERY INSTRUCTIONS
(See
Instructions 1 and 10)
Complete this box ONLY if the check for
the aggregate Purchase Price of shares purchased (less the amount of any
federal income or backup withholding tax required to be withheld) and any
certificate for shares not tendered or not purchased are to be mailed to
someone other than the undersigned or to the undersigned at an address
other than that shown below the undersigned’s signature(s).
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(Please
Print)
Address:
(Include
Zip Code)
______________________________
(Taxpayer
Identification or Social Security Number)
(See
Substitute Form W-9 and Substitute Form W-8BEN Included Herewith)
Ladies
and Gentlemen:
The undersigned hereby tenders to
Aware, Inc., a Massachusetts corporation (“Aware”), the above-described shares
of Aware’s common stock, par value $0.01 per share, including the associated
preferred share purchase rights. Unless otherwise indicated, all
references to shares are to shares of Aware’s common stock, par value $0.01 per
share, and include the associated preferred share purchase rights, and a tender
of shares will include a tender of these associated rights.
The tender of the shares is being made
at the price per share indicated in this letter of transmittal, net to the
seller in cash, less applicable withholding taxes and without interest, on the
terms and subject to the conditions set forth in this letter of transmittal and
in Aware’s offer to purchase, dated March 5, 2009, receipt of which is hereby
acknowledged.
Subject to and effective upon
acceptance for payment of, and payment for, shares tendered with this letter of
transmittal in accordance with the terms of the tender offer, the undersigned
hereby (1) sells, assigns and transfers to or upon the order of Aware all right,
title and interest in and to all of the shares tendered hereby which are so
accepted and paid for; (2) orders the registration of any shares tendered by
book-entry transfer that are purchased under the tender offer to or upon the
order of Aware; and (3) appoints the depositary as attorney-in-fact of the
undersigned with respect to such shares, with the full knowledge that the
depositary also acts as the agent of Aware, with full power of substitution
(such power of attorney being an irrevocable power coupled with an interest), to
perform the following functions:
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(a)
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deliver
certificates representing the shares or transfer ownership of such shares
on the account books maintained by the book-entry transfer facility,
together in either such case with all accompanying evidence of transfer
and authenticity, to or upon the order of Aware, upon receipt by the
depositary, as the undersigned’s agent, of the Purchase Price with respect
to such shares;
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(b)
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present
certificates representing such shares for cancellation and transfer on
Aware’s books; and
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(c)
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receive
all benefits and otherwise exercise all rights of beneficial ownership of
such shares, subject to the next paragraph, all in accordance with the
terms of the tender offer.
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The undersigned understands that Aware
will, upon the terms and subject to the conditions of the tender offer,
determine a single per share price, not greater than $2.60 nor less than $1.80
per share (the “Purchase Price”), which it will pay for shares validly tendered
and not validly withdrawn pursuant to the tender offer, after taking into
account the number of shares so tendered and the prices specified by tendering
stockholders. The undersigned understands that Aware will select the
lowest purchase price that will allow it to purchase 3,500,000 shares or, if a
lesser number of shares is validly tendered and not validly withdrawn, all such
shares that are validly tendered and not validly withdrawn. The
undersigned further understands that Aware reserves the right to purchase more
than 3,500,000 shares pursuant to the tender offer, subject to certain
limitations and legal requirements as set forth in the tender
offer. Aware will purchase all shares validly tendered and not
validly withdrawn at or below the Purchase Price, subject to the conditions of
the tender offer and the “odd lot” priority, proration and conditional tender
provisions described in the offer to purchase. The undersigned
understands that all stockholders whose shares are purchased by Aware will
receive the same purchase price for each share purchased in the tender
offer.
The undersigned hereby covenants,
represents and warrants to Aware that:
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(a)
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the
undersigned has a “net long position” in the shares, within the meaning of
Rule 14e-4 under the Securities Exchange Act of 1934, as amended (the
“Exchange Act”), at least equal to the number of shares being tendered and
is tendering the shares in compliance with Rule 14e-4 under the Exchange
Act;
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(b)
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has
full power of authority to tender, sell, assign and transfer the shares
tendered hereby;
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(c)
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when
and to the extent Aware accepts the shares for purchase, Aware will
acquire good and marketable title to them, free and clear of all security
interests, liens, restrictions, claims, charges, encumbrances, conditional
sales agreements or other obligations relating to their sale or transfer,
and the shares will not be subject to any adverse claims or
rights;
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(d)
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the
undersigned will, upon request, execute and deliver any additional
documents deemed by the depositary or Aware to be necessary or desirable
to complete the sale, assignment and transfer of the shares tendered
hereby and accepted for purchase;
and
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(e)
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the
undersigned has read and agrees to all of the terms of the tender
offer.
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The undersigned understands that
tendering of shares under any one of the procedures described in Section 3 of
the offer to purchase and in the Instructions to this letter of transmittal will
constitute an agreement between the undersigned and Aware upon the terms and
subject to the conditions of the tender offer. The undersigned
acknowledges that under no circumstances will Aware pay interest on the Purchase
Price.
The undersigned recognizes that under
certain circumstances set forth in the offer to purchase, Aware may terminate or
amend the tender offer, or may postpone the acceptance for payment of, or the
payment for, shares tendered, or may accept for payment fewer than all the
shares tendered hereby. The undersigned understands that
certificate(s) for any shares not tendered or not purchased will be returned to
the undersigned at the address indicated above.
The names and addresses of the
registered holders should be printed, if they are not already printed above,
exactly as they appear on the certificates representing shares tendered
hereby. The certificate numbers, the number of shares represented by
such certificates, and the number of shares that the undersigned wishes to
tender, should be set forth in the appropriate boxes above.
Unless otherwise indicated under
“Special Payment Instructions”, please issue the check for the aggregate
Purchase Price of any shares purchased (less the amount of any federal income or
backup withholding tax required to be withheld), and return any shares not
tendered or not purchased, in the name(s) of the
undersigned. Similarly, unless otherwise indicated under “Special
Delivery Instructions”, please mail the check for the aggregate Purchase Price
of any shares purchased (less the amount of any federal income or backup
withholding tax required to be withheld), and any certificates for shares not
tendered or not purchased (and accompanying documents as appropriate) to the
undersigned at the address shown below the undersigned’s
signature(s). In the event that both the “Special Payment
Instructions” and the “Special Delivery Instructions” are completed, please
issue the check for the aggregate Purchase Price of any shares purchased (less
the amount of any federal income or backup withholding tax required to be
withheld) and return any shares not tendered or not purchased in the name(s) of,
and mail said check and any certificates to, the person(s) so
indicated.
The undersigned recognizes that Aware
has no obligation, under the Special Payment Instructions, to transfer any
certificate for shares from the name of its registered holder, or to order the
registration or transfer of shares tendered by book-entry transfer.
All authority conferred or agreed to be
conferred in this letter of transmittal shall survive the death or incapacity of
the undersigned and any obligations or duties of the undersigned under this
letter of transmittal shall be binding upon the heirs, personal representatives,
successors and assigns of the undersigned. Except as stated in the
offer to purchase, this tender offer is irrevocable.
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STOCKHOLDER(S)
SIGN HERE
(See
Instructions 1 and 8)
(Please
Complete Substitute Form W-9, Substitute Form W-8BEN or other IRS Form
W-8)
Must
be signed by registered holder(s) exactly as name(s) appear(s) on share
certificate(s) or on a security position listing or by person(s)
authorized to become registered holder(s) by share certificates and
documents transmitted herewith. If a signature is by an officer
on behalf of a corporation or by an executor, administrator, trustee,
guardian, attorney-in-fact, agent or other person acting in a fiduciary or
representative capacity, please provide full title and see Instruction
8.
Signature(s)
of Stockholder(s)
Dated:
Name(s):
(Please
Print)
Capacity
(full
title):
Address:
(Please
Include Zip Code)
(Area
Code) Telephone Number:
Taxpayer
Identification or Social Security No.:
GUARANTEE
OF SIGNATURE(S)
(If
Required, See Instruction 1 and 8)
Authorized
Signature:
Name(s):
Name
of Firm:
Address:
Address
Line 2:
(Area
Code) Telephone No.:
Dated:
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INSTRUCTIONS TO
LETTER OF TRANSMITTAL
Forming
Part of The Terms of The Tender Offer
1. Guarantee of
Signatures. Except as otherwise provided in this
Instruction, all signatures on this letter of transmittal must be guaranteed by
a financial institution that is a participant in the Securities Transfer Agents
Medallion Program or a bank, broker, dealer, credit union, savings association
or other entity that is an “eligible guarantor institution” as such term is
defined in Rule 17Ad-15 under the Exchange Act (an “Eligible Institution”).
Signatures on this letter of transmittal need not be guaranteed if either
(a) this letter of transmittal is signed by the registered holder(s) of the
shares (which term, for purposes of this letter of transmittal, shall include
any participant in the book-entry transfer facility whose name appears on a
security position listing as the owner of shares) tendered herewith and such
holder(s) have not completed either the box entitled “Special Payment
Instructions” or “Special Delivery Instructions” in this letter of transmittal,
or (b) such shares are tendered for the account of an Eligible Institution.
See Instruction 8. You may also need to have any certificates you deliver
endorsed or accompanied by a stock power, and the signatures on these documents
may also need to be guaranteed. See Instruction 8
.
2. Delivery of Letter of Transmittal
and Certificates; Guaranteed Delivery Procedures. You should use
this letter of transmittal only if you are (a) forwarding certificates with
this letter of transmittal, (b) causing the shares to be delivered by
book-entry transfer pursuant to the procedures set forth in Section 3 of
the offer to purchase, or (c) delivering certificates or causing shares to
be delivered by book-entry transfer procedures under a notice of guaranteed
delivery previously sent to the depositary. For your shares to be properly
tendered, EITHER (1) OR (2) below must happen:
(1) The depositary must
receive all of
the following at one of its addresses set forth above in this letter of
transmittal before or on the date the tender offer expires:
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either
(a) the certificate(s) for the shares or (b) a confirmation of
receipt of the shares pursuant to the procedure for book-entry transfer
described in Section 3 of the offer to
purchase,
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either
(a) a properly completed and executed letter of transmittal or a
manually executed facsimile of it, including any required signature
guarantees, or (b) an “Agent’s Message” (as defined in this
Instruction 2) in the case of a book-entry transfer,
and
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any
other documents required by this letter of
transmittal.
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(2) You must comply with the
guaranteed delivery procedure set forth below.
The term “Agent’s Message” means a
message transmitted by the book-entry transfer facility to, and received by, the
depositary, which states that the book-entry transfer facility has received an
express acknowledgment from the participant in the book-entry transfer facility
tendering the shares, that the participant has received and agrees to be bound
by the terms of the letter of transmittal, and that Aware may enforce this
agreement against the participant.
Guaranteed Delivery. If
you cannot deliver your shares and all other required documents to the
depositary by the expiration of the tender offer, or the procedure for
book-entry transfer cannot be completed on a timely basis, you may tender your
shares, pursuant to the guaranteed delivery procedure described in
Section 3 of the offer to purchase, by or through any Eligible Institution.
To comply with the guaranteed delivery procedure, you must (1) properly
complete and duly execute a notice of guaranteed delivery substantially in the
form provided to you by Aware, specifying the price at which you are tendering
your shares, including (where required) a Signature Guarantee by an Eligible
Institution in the form set forth in the notice of guaranteed delivery,
(2) arrange for the depositary to receive the notice of guaranteed delivery
by the expiration of the tender offer, and (3) ensure that the depositary
receives the certificates for all physically tendered shares or book-entry
confirmation of electronic delivery of shares, as the case may be, together with
a properly completed and duly executed letter of transmittal with any required
signature guarantees or an Agent’s Message, and all other documents required by
this letter of transmittal, within three NASDAQ trading days after receipt by
the depositary of such notice of guaranteed delivery, all as provided in Section
3 of the offer to purchase.
The notice of guaranteed delivery may
be delivered by hand, facsimile transmission or mail to the depositary and must
include, if necessary, a guarantee by an eligible guarantor institution in the
form set forth in such notice. For shares to be tendered validly under the
guaranteed delivery procedure, the depositary must receive the notice of
guaranteed delivery before the expiration date.
The method of delivery of all
documents, including the letter of transmittal and certificates for shares, is
at the option and risk of the tendering stockholder. If you choose to deliver
the documents by mail, we recommend that you use registered mail with return
receipt requested, properly insured. In all cases, please allow sufficient time
to assure delivery.
Except as specifically permitted by
Section 6 of the offer to purchase, Aware will not accept any alternative,
conditional or contingent tenders, nor will it purchase any fractional shares.
By executing this letter of transmittal, you waive any right to receive any
notice of the acceptance for payment of your tendered shares.
3. Inadequate Space. If the
space provided in the box captioned “Description of Shares Tendered” is
inadequate, then you should list the certificate numbers, the number of shares
represented by the certificate(s) and the number of shares tendered with respect
to each certificate on a separate signed schedule attached to this letter of
transmittal.
4. Partial Tenders and Unpurchased
Shares. (Not
applicable to stockholders who tender by book-entry
transfer.) If you wish to tender fewer than all of the shares
evidenced by any certificate(s) that you deliver to the depositary, fill in the
number of shares that you wish to tender in the column entitled “Number of
Shares Tendered.” In this case, if Aware purchases some but not all of the
shares that you tender, Aware will issue to you a new certificate for the
unpurchased shares. The new certificate will be sent to the registered holder(s)
as promptly as practicable after the expiration of the tender offer. Unless you
indicate otherwise, all shares represented by the certificate(s) listed and
delivered to the depositary will be deemed to have been tendered. In the case of
shares tendered by book-entry transfer at the book-entry transfer facility, any
tendered but unpurchased shares will be credited to the appropriate account
maintained by the tendering stockholder at the book-entry transfer
facility. In each case, shares will be returned or credited without
expense to the stockholder.
5. Indication of Price at Which Shares
are Being Tendered. In order to validly tender your shares,
you must complete the pricing section of this letter of transmittal by checking
either:
(a) the box under “SHARES
TENDERED AT PRICE DETERMINED PURSUANT TO THE TENDER OFFER” in order to maximize
the chance of having Aware purchase all of the shares that you tender (subject
to the possibility of proration); OR
(b) one of the boxes
indicating the price per share at which you are tendering shares in the section
entitled “SHARES TENDERED AT PRICE DETERMINED BY
STOCKHOLDER.”
YOU MUST CHECK ONE, AND ONLY ONE,
BOX. If you check more than one box or no boxes, then you will be
deemed not to have validly tendered your shares. If you wish to tender portions
of your different share holdings at different prices, you must complete a
separate letter of transmittal for each price at which you wish to tender each
such portion of your share holdings. You cannot tender the same shares at
more than one price (unless, prior to tendering previously tendered shares at a
new price, you validly withdrew those shares in accordance with Section 4 of the
offer to purchase).
By checking the box under “Shares
Tendered at Price Determined Pursuant to the Tender Offer,” you agree to accept
the Purchase Price resulting from the tender offer process, which may be as low
as $1.80 and as high as $2.60 per share. By checking a box under “Shares
Tendered at Price Determined by Stockholder,” you acknowledge that doing so
could result in none of the shares you tender being purchased if the Purchase
Price for the shares turns out to be less than the price you
selected.
6. Odd Lots. As
described in Section 1 of the offer to purchase, if Aware purchases fewer than
all shares properly tendered before the expiration of the tender offer and not
properly withdrawn, Aware will first purchase all shares tendered by any
stockholder who (a) owns, beneficially or of record, an aggregate of fewer than
100 shares, and (b) tenders all of his, her or its shares at or below the
Purchase Price. You will only receive this preferential treatment if you own
fewer than 100 shares and tender ALL of the shares you own at or below the
Purchase Price. Even if you otherwise qualify for “odd lot” preferential
treatment, you will not receive such preference unless you complete the section
entitled “Odd Lots” in this letter of transmittal.
7. Order of Purchase in the Event of
Proration. As described in Section 1 of the offer to purchase,
stockholders may specify the order in which their shares are to be purchased in
the event that, as a result of proration or otherwise, Aware purchases some but
not all of the tendered shares pursuant to the terms of the tender offer. The
order of purchase may have an effect on the federal income tax treatment of any
gain or loss on the shares that Aware purchases. See Sections 1, 6 and 14 of the
offer to purchase.
8. Signatures
on Letter of Transmittal, Stock Powers and Endorsements.
(a) Exact
Signatures. If this letter of transmittal is signed by the
registered holder(s) of the shares tendered hereby, the signature(s) must
correspond exactly with the name(s) as written on the face of the certificate(s)
without any change whatsoever.
(b) Joint Holders. If
the shares tendered hereby are registered in the names of two or more persons,
ALL such persons must sign this letter of transmittal.
(c) Different Names on
Certificates. If any tendered shares are registered in
different names on several certificates, you must complete, sign and submit as
many separate letters of transmittal as there are different registrations of
certificates.
(d) Endorsements. If this letter of
transmittal is signed by the registered holder(s) of the shares tendered hereby,
no endorsements of certificate(s) representing such shares or separate stock
powers are required unless payment of the Purchase Price is to be made, or the
certificates for shares not tendered or tendered but not purchased are to be
issued, to a person other than the registered holder(s). Signature(s) on any
such certificate(s) or stock powers must be guaranteed by an Eligible
Institution.
If this letter of transmittal is signed
by a person other than the registered holder(s) of the shares tendered hereby,
or if payment is to be made to a person other than the registered holder(s), the
certificate(s) for the shares must be endorsed or accompanied by appropriate
stock powers, in either case, signed exactly as the name(s) of the registered
holder(s) appear(s) on the certificate(s) for such shares, and the signature(s)
on such certificates or stock power(s) must be guaranteed by an Eligible
Institution. See Instruction 1.
If this letter of transmittal or any
certificate or stock power is signed by a trustee, executor, administrator,
guardian, attorney-in-fact, officer of a corporation or any other person acting
in a fiduciary or representative capacity, such person should so indicate when
signing and must submit to the depositary evidence satisfactory to Aware that
such person has authority so to act.
9. Stock Transfer
Taxes. Except as provided in this Instruction 9, no stock
transfer tax stamps or funds to cover such stamps need to accompany this letter
of transmittal. Aware will pay or cause to be paid any stock transfer taxes
payable on the transfer to it of shares purchased under the tender offer. If,
however:
(a) payment of the Purchase
Price is to be made to any person other than the registered
holder(s);
(b) certificate(s) for
shares not tendered or tendered but not purchased are to be returned in the name
of and to any person other than the registered holder(s) of such shares;
OR
(c) tendered certificates
are registered in the name of any person(s) other than the person(s) signing
this letter of transmittal, then the depositary will deduct from the Purchase
Price the amount of any stock transfer taxes (whether imposed on the registered
holder(s), such other person(s) or otherwise) payable on account of the transfer
of cash or stock thereby made to such person, unless satisfactory evidence of
the payment of such taxes or an exemption from them is submitted with this
letter of transmittal.
10. Special Payment and Delivery
Instructions. If any of the following
conditions holds:
(a) check(s) for the
Purchase Price of any shares purchased pursuant to the tender offer are to be
issued to a person other than the person(s) signing this letter of
transmittal;
(b) check(s) for the
Purchase Price are to be sent to any person other than the person signing this
letter of transmittal, or to the person signing this letter of transmittal, but
at a different address; or
(c) certificates for any
shares not tendered, or tendered but not purchased, are to be returned to and in
the name of a person other than the person(s) signing this letter of
transmittal, then, in each such case, you must complete the boxes captioned
“Special Payment Instructions” and/or “Special Delivery Instructions” as
applicable in this letter of transmittal and make sure that the signatures
herein are guaranteed as described in Instructions 1 and 8.
11. Conditional Tenders. As
described in Sections 1 and 6 of the offer to purchase, stockholders may
condition their tenders on Aware purchasing all of their shares, or specify a
minimum number of shares that Aware must purchase for the tender of any of their
shares to be effective. If you wish to make a conditional tender, you must
indicate this choice in the box entitled “Conditional Tender” in this letter of
transmittal or, if applicable, the notice of guaranteed delivery; and you must
calculate and appropriately indicate, in the space provided, the minimum number
of shares that Aware must purchase if Aware purchases any shares.
As discussed in Sections 1 and 6 of the
offer to purchase, proration may affect whether Aware accepts conditional
tenders. Proration may result in all of the shares tendered pursuant to a
conditional tender being deemed to have been withdrawn, if Aware could not
purchase the minimum number of shares required to be purchased by the tendering
stockholder due to proration. If, because of proration, Aware will not purchase
the minimum number of shares that you designate, Aware may accept conditional
tenders by random lot, if necessary. However, to be eligible for purchase by
random lot, you must have tendered all of your shares and must have checked the
box so indicating. Upon selection by random lot, if any, Aware will limit its
purchase in each case to the designated minimum number of
shares.
If you are an “odd lot” holder and you
tender all of your shares, you cannot conditionally tender, since your shares
will not be subject to proration.
All tendered shares will be deemed
unconditionally tendered unless the “Conditional Tender” box is checked and
appropriately completed. When deciding whether to tender shares conditionally,
each stockholder should consult his, her or its own tax advisor.
12. Taxpayer Identification Number and
Certain U.S. Withholding Taxes. Under U.S. federal income tax
laws, the depositary will be required to withhold 28% of the amount of any
payments made to certain stockholders or other payees pursuant to the tender
offer. In order to avoid such backup withholding, each tendering stockholder
that is a U.S. person must provide the depositary with such stockholder’s
correct taxpayer identification number (“TIN”) and certify that the stockholder
is not subject to backup withholding by completing the Substitute Form W-9 set
forth below. In certain circumstances, a person acting on behalf of a
stockholder that is a U.S. person may be required to file an IRS Form W-8IMY or
other applicable IRS Form and all required attachments to establish that a
payment to the stockholder is not subject to backup withholding.
A stockholder is a U.S. person if the
stockholder is, for U.S. federal income tax purposes, a citizen or a resident of
the United States (including a U.S. resident alien), a partnership, corporation,
company, or association created or organized in the United States or under the
laws of the United States, an estate whose income is subject to U.S. federal
income tax regardless of its source, or a trust if a U.S. court can exercise
primary supervision over the trust’s administration and one or more U.S. persons
are authorized to control all substantial decisions of the trust.
If the depositary is not provided with
correct information on the Substitute Form W-9, the stockholder may be subject
to penalties imposed by the Internal Revenue Service and payments that are made
to such stockholder pursuant to the tender offer may be subject to backup
withholding.
In order to satisfy the depositary that
a Non-U.S. Holder (as defined in Section 14 of the offer to purchase) is not
subject to backup withholding, such stockholder must submit an appropriate IRS
Form W-8, signed under penalties of perjury, establishing that such Non-U.S.
Holder is not a U.S. person. A Substitute Form W-8BEN is set forth below for
your convenience, but please read the further information below in this section
with regard to the 30% U.S. withholding tax that can apply to Non-U.S.
Holders.
For further information concerning
backup withholding and instructions for completing the Substitute Form W-9
(including how to obtain a TIN if you do not have one and how to complete the
Substitute Form W-9 if shares are held in more than one name), consult the
enclosed Guidelines for
Certification of Taxpayer Identification Number on Substitute Form
W-9.
Failure to complete the Substitute Form
W-9 will not, by itself, cause shares to be deemed invalidly tendered, but may
require the depositary to withhold 28% of the amount of any payments made
pursuant to the tender offer. Backup withholding is not an additional federal
income tax. Rather, the federal income tax liability of a person subject to
backup withholding will be reduced by the amount of tax withheld. If withholding
results in an overpayment of taxes, the taxpayer may obtain a refund, provided
that the required information is furnished to the Internal Revenue
Service.
NOTE: FAILURE TO COMPLETE AND RETURN
THE SUBSTITUTE FORM W-9 MAY RESULT IN BACKUP WITHHOLDING OF 28% OF ANY PAYMENTS
MADE TO YOU PURSUANT TO THE TENDER OFFER. PLEASE REVIEW THE ENCLOSED GUIDELINES FOR CERTIFICATION OF
TAXPAYER IDENTIFICATION NUMBER ON SUBSTITUTE FORM W-9 FOR ADDITIONAL
DETAILS.
In addition, as described in Section 3
of the offer to purchase, unless a reduced rate of withholding tax is applicable
pursuant to an income tax treaty, or an exemption from withholding is applicable
because gross proceeds paid pursuant to the tender offer are effectively
connected with the conduct of a trade or business within the United States (and,
if an income tax treaty applies, the gross proceeds are attributable to a United
States permanent establishment maintained by such Non-U.S. Holder), Aware will
be required to withhold the U.S. federal withholding tax at a rate of 30% from
any gross proceeds paid to a Non-U.S. Holder or his, her or its agent. A
Non-U.S. Holder may be eligible to file for a refund of such tax or a portion of
such tax if such stockholder meets the “complete termination,” “substantially
disproportionate” or “not essentially equivalent to a dividend” tests described
in Section 14 of the offer to purchase or if such stockholder is entitled to a
reduced rate of withholding pursuant to a tax treaty and Aware withheld at a
higher rate.
In order to obtain a reduced rate of
withholding under an income tax treaty or an exemption, a Non-U.S. Holder must
deliver to the depositary, before the payment, a properly completed and executed
IRS Form W-8BEN (with respect to income tax treaty benefits) or W-8ECI (with
respect to amounts effectively connected with the conduct of a trade or business
within the United States) claiming such a reduction or exemption. As noted
above, a Substitute Form W-8BEN is included with this letter for your
convenience; a stockholder can obtain other applicable IRS Forms W-8, if
necessary, from the depositary. For further information regarding the Form W-8,
consult the enclosed Substitute Form W-8BEN and the Instructions for Form W-8BEN.
Non-U.S. Holders should consult their own tax advisors regarding the application
of the U.S. federal withholding tax, including their potential eligibility for a
withholding tax reduction or exemption, and the refund procedure.
CIRCULAR 230 NOTICE: TO ENSURE
COMPLIANCE WITH REQUIREMENTS IMPOSED BY U.S. TREASURY REGULATIONS, YOU ARE
HEREBY INFORMED THAT: (1) ANY UNITED STATES FEDERAL TAX ADVICE CONTAINED IN THIS
LETTER OF TRANSMITTAL IS NOT INTENDED OR WRITTEN TO BE USED, AND CANNOT BE USED,
BY ANY TAXPAYER FOR THE PURPOSE OF AVOIDING U.S. FEDERAL TAX PENALTIES THAT MAY
BE IMPOSED ON THE TAXPAYER; (2) ANY SUCH ADVICE IS WRITTEN TO SUPPORT THE
PROMOTION OR MARKETING OF THE TRANSACTIONS OR MATTERS DESCRIBED IN THIS LETTER
OF TRANSMITTAL; AND (3) EACH TAXPAYER SHOULD SEEK ADVICE BASED ON THE TAXPAYER’S
PARTICULAR CIRCUMSTANCES FROM AN INDEPENDENT TAX ADVISOR.
13. Irregularities. Aware
will determine in its sole discretion all questions as to the Purchase Price,
the number of shares to accept, and the validity, eligibility (including time of
receipt), and acceptance for payment of any tender of shares. Any such
determinations will be final and binding on all parties. Aware reserves the
absolute right to reject any or all tenders of shares it determines not to be in
proper form or the acceptance of which or payment for which may, in the opinion
of Aware, be unlawful. Aware also reserves the absolute right to waive any of
the conditions of the tender offer and any defect or irregularity in the tender
of any particular shares, and Aware’s interpretation of the terms of the tender
offer, including these instructions, will be final and binding on all parties.
No tender of shares will be deemed to be properly made until all defects and
irregularities have been cured or waived. Unless waived, any defects or
irregularities in connection with tenders must be cured within such time as
Aware shall determine. None of Aware, the depositary, the information agent, the
dealer manager or any other person is or will be obligated to give notice of any
defects or irregularities in tenders and none of them will incur any liability
for failure to give any such notice.
14. Questions; Requests for Assistance
and Additional Copies. Please direct any questions or requests
for assistance or for additional copies of the offer to purchase, the letter of
transmittal or the notice of guaranteed delivery to the information agent at the
telephone number and address set forth below. You may also contact your broker,
dealer, commercial bank or trust company for assistance concerning the tender
offer.
15. Stock Option
Plans. If you hold vested options in Aware’s stock option
plans, then you may exercise such vested options by paying the cash exercise
price and receiving shares which you may then tender in accordance with the
terms of the tender offer. You must exercise any stock option(s) at least five
(5) business days before the expiration date (which, unless the tender offer is
extended, will require you to exercise such option(s) no later than 5:00 p.m.,
New York City time, on March 26, 2009) in order to obtain shares to tender
before the expiration date.
16. Lost, Stolen, Destroyed or Mutilated
Certificates. If any certificate representing any shares
has been lost, stolen, destroyed or mutilated, you should notify Computershare
Trust Company, N.A. (“Computershare”), the transfer agent for the shares, by
calling (877) 282-1169 and ask for instructions on obtaining replacement
certificate(s) at the address specified on the cover of this letter of
transmittal. Computershare will require you to complete an affidavit of loss and
return it to Computershare. You will then be instructed by Computershare as to
the steps you must take in order to replace the certificate. You may be required
to post a bond to secure against the risk that the original certificate may be
subsequently recirculated.
We cannot
process this letter of transmittal and related documents until you have followed
the procedures for replacing lost, stolen, destroyed or mutilated certificates.
We urge you to contact the transfer agent, Computershare, immediately, in order
to receive further instructions, for a determination as to whether you will need
to post a bond, and to permit timely processing of this
documentation.
Important:
The depositary must receive this letter of transmittal (together with
certificate(s) for shares or confirmation of book-entry transfer and all other
required documents) or, if applicable, the notice of guaranteed delivery, before
the expiration of the tender offer.
|
SUBSTITUTE
Form
W-9
|
Part 1 – PLEASE PROVIDE
YOUR TIN IN THE BOX AT THE RIGHT AND CERTIFY BY SIGNING AND DATING
BELOW. For further instructions, see “Guidelines for
Certification of Taxpayer Identification Number on Substitute Form
W-9.”
|
_____________________
Social
Security Number
OR
_____________________
Employer
Identification
Number
|
|
Department
of the
Treasury
Internal
Revenue
Service
Payer’s
Request for
Taxpayer
Identification
Number
(“TIN”) and
Certification
|
Part
2 –
Certification – Under
penalties of perjury, I certify that: (1) The number shown on this form is
my correct Taxpayer Identification Number (or I am waiting for a number to
be issued to me); (2) I am not subject to backup withholding because (a) I
am exempt from backup withholding, or (b) I have not been notified by the
Internal Revenue Service (the “IRS”) that I am subject
to backup withholding as a result of a failure to report all interest or
dividends, or (c) the IRS has notified me that I am no longer subject to
backup withholding; and (3) I am a U.S. person (including a U.S. resident
alien).
Certification Instructions
- You must cross out item (2) of the above certification if you
have been notified by the IRS that you are currently subject to backup
withholding because of underreporting of interest or dividends on your tax
return and you have not received another notification from the IRS that
you are no longer subject to backup withholding. The IRS does
not require your consent to any provision of this Substitute Form W-9
other than the certifications required to avoid backup
withholding.
Signature:
_________________________________________
Name:
____________________________________________
Business
Name: ____________________________________
Date:
_____________________________________________
Address:
__________________________________________
City,
State, Zip Code: ________________________________
Please
check appropriate category:
[ ] Individual/Sole
Proprietor
[ ] Corporation
[ ]
Partnership
[ ] LLC
[ ]
Other: ____________________
Enter
the Tax Classification (D=disregarded entity; C=corporation;
P=partnership):
___________
|
Part
3 –
Awaiting
TIN o
(If
you check the box in Part 3, also complete the “Certificate of Awaiting
Taxpayer Identification Number” below.)
Part 4 – For payees
exempt from backup withholding, see the enclosed “Guidelines for
Certification of Taxpayer Identification Number on Substitute Form
W-9.”
Exempt
Payee o
|
NOTE: FAILURE
TO COMPLETE AND RETURN THE SUBSTITUTE FORM W-9 MAY RESULT IN BACKUP WITHHOLDING
OF 28% OF ANY PAYMENTS MADE TO YOU PURSUANT TO THE TENDER OFFER. IN
ADDITION, FAILURE TO PROVIDE SUCH INFORMATION MAY RESULT IN PENALTIES IMPOSED BY
THE IRS. PLEASE REVIEW THE ENCLOSED GUIDELINES FOR CERTIFICATION OF TAXPAYER
IDENTIFICATION NUMBER ON SUBSTITUTE FORM W-9 FOR ADDITIONAL
DETAILS.
YOU
MUST COMPLETE THE FOLLOWING CERTIFICATE IF YOU CHECKED THE BOX IN PART 3 OF
SUBSTITUTE
FORM W-9.
|
CERTIFICATE
OF AWAITING TAXPAYER IDENTIFICATION NUMBER
I
certify under penalties of perjury that a taxpayer identification number
has not been issued to me, and either (a) I have mailed or delivered an
application to receive a taxpayer identification number to the appropriate
IRS Center or Social Security Administration Office, or (b) I intend to
mail or deliver an application in the near future. I understand
that if I do not provide a taxpayer identification number by the time of
payment, 28% of all reportable
payments made to me will be withheld.
Signature:
____________________________________________________ Date:
__________________________________________
|
GUIDELINES
FOR CERTIFICATION OF TAXPAYER IDENTIFICATION
NUMBER
ON SUBSTITUTE FORM W-9
GUIDELINES FOR DETERMINING THE PROPER
IDENTIFICATION NUMBER TO GIVE THE PAYER. Social Security
numbers have nine digits separated by two hyphens: i.e., 000-00-0000. Employer
identification numbers have nine digits separated by only one hyphen: i.e.,
00-0000000. The table below will help you determine the number to give the
payer.
|
For
this type of account:
|
Give
the SOCIAL SECURITY number of –
|
|
1. Individual
|
The
individual
|
|
2. Two
or more individuals (joint account)
|
The
actual owner of the account or, if combined funds, the first individual on
the account(1)
|
|
3. Custodian
account of a minor (Uniform Gift to Minors Act)
|
The
minor(2)
|
|
4. a. The
usual revocable savings trust account (grantor is also
trustee)
|
The
grantor-trustee(1)
|
|
b. So-called
trust account that is not a legal or valid trust under state
law
|
The
actual owner(1)
|
|
5. Sole
proprietorship or disregarded entity owned by an individual
|
The
owner(3)(5)
|
|
For
this type of account:
|
Give
the EMPLOYER IDENTIFICATION number of –
|
|
6. Disregarded
entity not owned by an individual
|
The
owner(5)
|
|
7. A
valid trust, estate, or pension trust
|
The
legal entity(4)
|
|
8. Corporate
or LLC electing corporate status on Form 8832
|
The
corporation
|
|
9. Association,
club, religious, charitable, educational or other tax-exempt
organization
|
The
organization
|
|
10. Partnership
or multi-member LLC
|
The
partnership
|
|
11. A
broker or registered nominee
|
The
broker or nominee
|
|
12. Account
with the Department of Agriculture in the name of a public entity (such as
a state or local government, school district, or prison) that receives
agricultural program payments
|
The
public entity
|
|
(1)
|
List
first and circle the name of the person whose number you furnish. If only
one person on a joint account has a Social Security number, that person's
number must be furnished.
|
|
(2)
|
Circle
the minor's name and furnish the minor's Social Security
number.
|
|
(3)
|
You
must show your individual name, but you may also enter your business or
“doing business as” name. You may use either your Social
Security number or Employer Identification number (if you have
one). Do not enter the disregarded entity’s Employer
Identification Number.
|
|
(4)
|
List
first and circle the name of the legal trust, estate, or pension trust. Do
not furnish the identifying number of the personal representative or
trustee unless the legal entity itself is not designated in the account
title.
|
|
(5)
|
Caution: A
disregarded domestic entity that has a non-U.S. owner must use the
appropriate Form W-8. A disregarded foreign entity that has a
U.S. owner must use the Substitute Form
W-9.
|
NOTE: If
no name is circled when there is more than one name listed, the number will be
considered to be that of the first name listed.
GUIDELINES
FOR CERTIFICATION OF TAXPAYER IDENTIFICATION
NUMBER
ON SUBSTITUTE FORM W-9 (continued)
Obtaining
a Taxpayer Identification Number
If you do
not have a Taxpayer Identification Number, you should apply for one immediately.
To apply for a Social Security number, obtain Form SS-5, Application for a
Social Security Card, from your local Social Security Administration Office or
on-line at www.ssa.gov. You may
also obtain this form by calling 1-800-772-1213. Use Form W-7, Application for
an IRS Individual Taxpayer Identification Number, to apply for an ITIN, or Form
SS-4, Application for Employer Identification Number, to apply for an EIN. You
can apply for an EIN online by accessing the IRS Web Site at
www.irs.gov/businesses and clicking on Employer Identification Number (EIN)
under Starting a Business. You can obtain Forms W-7 and SS-4 from the IRS by
calling 1-800-TAX-FORM (1-800-829-3676) or from the IRS Web Site at
www.irs.gov.
Payees
Exempt from Backup Withholding
If you
are an exempt payee, enter your name and check the appropriate box for your
status, then check the “Exempt payee” box in Part 4, sign and date the
form.
Payees
specifically exempted from backup withholding on ALL payments include the
following:
|
·
|
An
organization exempt from tax under Section 501(a) of the Internal Revenue
Code of 1986, as amended (the “Code”), or an individual
retirement account, or a custodial account under Section 403(b)(7) of the
Code, if the account satisfies the requirements of Section 401(f)(2) of
the Code.
|
|
·
|
The
United States or any of its agencies or
instrumentalities.
|
|
·
|
A
state, the District of Columbia, a possession of the United States, or any
political subdivision or instrumentality
thereof.
|
|
·
|
A
foreign government, a political subdivision of a foreign government, or
any agency or instrumentality
thereof.
|
|
·
|
An
international organization or any agency or instrumentality
thereof.
|
Other
payees that may be exempt from backup withholding include:
| |
|
|
·
|
A
financial institution.
|
| |
|
|
·
|
A
trust exempt from tax under Section 664 of the Code or described in
Section 4947 of the Code.
|
| |
|
|
·
|
A
futures commission merchant registered with the Commodity Futures Trading
Commission.
|
| |
|
|
·
|
A
middleman known in the investment community as a nominee or
custodian.
|
| |
|
|
·
|
A
dealer in securities or commodities required to register in the United
States, the District of Columbia or a possession of the United
States.
|
| |
|
|
·
|
A
real estate investment trust.
|
| |
|
|
·
|
A
common trust fund operated by a bank under Section 584(a) of the
Code.
|
| |
|
|
·
|
An
entity registered at all times during the tax year under the Investment
Company Act of 1940.
|
| |
|
|
·
|
A
foreign central bank of issue.
|
Payments
of dividends and patronage dividends not generally subject to backup withholding
include the following:
|
·
|
Payments
to nonresident aliens subject to withholding under Section 1441 of the
Code.
|
| |
|
|
·
|
Payments
to partnerships not engaged in a trade or business in the United States
and which have at least one nonresident partner.
|
| |
|
|
·
|
Payments
made by certain foreign
organizations.
|
| |
|
|
·
|
Section
404(k) distributions made by an employee stock option
plan.
|
| |
|
|
·
|
Payments
of patronage dividends where the amount received is not paid in
money.
|
Exempt
payees described above should file the Substitute Form W-9 to avoid possible
erroneous backup withholding. IF YOU ARE AN EXEMPT PAYEE, FURNISH YOUR TAXPAYER
IDENTIFICATION NUMBER ON THE FORM, CHECK THE BOX IN PART 4 OF THE FORM, SIGN AND
DATE THE FORM AND RETURN IT TO THE PAYER. IF YOU ARE A NONRESIDENT
ALIEN OR A FOREIGN ENTITY NOT SUBJECT TO BACKUP WITHHOLDING, FILE WITH THE PAYER
THE APPROPRIATE IRS FORM W-8.
Certain
payments other than interest, dividends, and patronage dividends that are not
subject to information reporting are also not subject to backup withholding. For
details, see the regulations under Sections 6041, 6041A, 6042, 6044, 6045, 6049,
6050A, and 6050N of the Code and the regulations promulgated
thereunder.
Privacy Act Notice.
– Section 6109 of the Code
requires you to give your correct TIN to persons who must file information
returns with the IRS to report interest, dividends, and certain other income
paid to you, mortgage interest you paid, the acquisition or abandonment of
secured property, cancellation of debt, or contributions you made to an IRA, or
Archer MSA or HSA. The IRS uses the numbers for identification purposes and to
help verify the accuracy of your tax return. The IRS may also provide this
information to the Department of Justice for civil and criminal litigation, and
to cities, states, and the District of Columbia to carry out their tax laws. The
IRS may also disclose this information to other countries under a tax treaty, or
to Federal and state agencies to enforce Federal non-tax criminal laws and to
combat terrorism.
You must
provide your TIN whether or not you are required to file a tax return. Payers
must generally withhold applicable rates of taxable interest, dividend, and
certain other payments to a payee who does not give a TIN to a payer. Certain
penalties may also apply.
Penalties
(1) Penalty for Failure to
Furnish Taxpayer Identification Number. - If you fail to
furnish your correct TIN to a payer, you are subject to a penalty of $50 for
each such failure unless your failure is due to reasonable cause and not to
willful neglect.
(2) Civil Penalty for
False Information with Respect to Withholding. - If you make a false
statement with no reasonable basis that results in no imposition of backup
withholding, you are subject to a penalty of $500.
(3) Criminal Penalty for Falsifying
Information. - Willfully falsifying certifications or affirmations may
subject you to criminal
penalties
including fines and/or imprisonment.
(4) Misuse of TINs. - If the
requester discloses or uses TINs in violation of federal law, the requester may
be subject to civil and criminal penalties.
FOR
ADDITIONAL INFORMATION CONTACT YOUR TAX CONSULTANT OR THE INTERNAL REVENUE
SERVICE.
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SUBSTITUTE
FORM W-8BEN
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Form W-8BEN
(Rev.
February 2006)
Department
of the Treasury
Internal
Revenue Service
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Certificate
of Foreign Status of Beneficial Owner
for
United States Tax Withholding
Ø
Section references are to the Internal Revenue Code.
Ø
See separate instructions. Ø
Give this form to the
withholding
agent or payer. Do not send to the IRS.
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OMB
No.
1545-1621
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Do
not use this form for:
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Instead, use Form:
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• A
U.S. citizen or other U.S. person, including a resident alien
individual
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W-9
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• A
person claiming that income is effectively connected with the conduct of a
trade or business in the United States
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W-8ECI
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• A
foreign partnership, a foreign simple trust, or a foreign grantor trust
(see instructions for exceptions)
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W-8ECI
or W-8IMY
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• A
foreign government, international organization, foreign central bank of
issue, foreign tax-exempt organization, foreign private foundation, or
government of a U.S. possession that received effectively connected income
or that is claiming the applicability of section(s) 115(2), 501(c), 892,
895, or 1443(b) (see instructions)
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W-8ECI
or W-8EXP
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Note: These entities should use Form
W-8BEN if they are claiming treaty benefits or are providing the form only
to claim they are a foreign person exempt from backup
withholding.
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• A
person acting as an intermediary
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W-8IMY
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Note: See instructions for
additional exceptions.
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Part I
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Identification of Beneficial
Owner (See instructions.)
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1
Name of individual or organization that is
the beneficial owner
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2
Country of incorporation or
organization
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3
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Type
of beneficial owner:
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¨
Individual
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¨
Corporation
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¨ Disregarded
entity
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¨
Partnership
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¨ Simple
trust
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¨ Grantor
trust
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¨ Complex
trust
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¨
Estate
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¨
Government
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¨ International
organization
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¨ Central
bank
of
issue
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¨
Tax-exempt
organization
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¨ Private
foundation
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4
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Permanent
residence address (street, apt. or suite no., or rural route). Do not use a P.O. box or
in-care-of address.
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City
or town, state or province. Include postal code where
appropriate.
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Country (do not abbreviate)
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5
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Mailing
address (if different from above)
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City
or town, state or province. Include postal code where
appropriate.
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Country
(do not abbreviate)
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6
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U.S.
taxpayer identification number, if required (see
instructions)
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7
Foreign tax identifying number, if any (optional)
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¨
SSN or ITIN ¨
EIN
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8
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Reference
number(s) (see instructions)
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Part II
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Claim of Tax Treaty Benefits
(if applicable)
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9
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I
certify that (check all that apply):
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a
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¨ The
beneficial owner is a resident of ______________________________ within
the meaning of the income tax treaty between the United States and that
country.
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b
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¨ If
required, the U.S. taxpayer identification number is stated on line 6 (see
instructions).
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c
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¨ The
beneficial owner is not an individual, derives the item (or items) of
income for which the treaty benefits are claimed, and, if applicable,
meets the requirements of the treaty provision dealing with limitation on
benefits (see instructions).
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d
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¨ The
beneficial owner is not an individual, is claiming treaty benefits for
dividends received from a foreign corporation or interest from a U.S.
trade or business of a foreign corporation, and meets qualified resident
status (see instructions).
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e
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¨ The
beneficial owner is related to the person obligated to pay the income
within the meaning of section 267(b) or 707(b), and will file Form 8833 if
the amount subject to withholding received during a calendar year exceeds,
in the aggregate, $500,000.
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10
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Special rates and conditions
(if applicable—see instructions): The beneficial owner is claiming
the provisions of Article _________ of the treaty identified on line 9a
above to claim a _____% rate of withholding on (specify type of income):
_______________________________.
Explain
the reason the beneficial owner meets the terms of the treaty
article:
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Part III
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Notional
Principal Contracts
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11
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¨
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.
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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:
1
I am the beneficial owner (or am authorized to sign for the
beneficial owner) of all the income to which this form
relates,
2
The beneficial owner is not a U.S.
person,
3
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 income tax treaty, or (c) the partner’s share
of a partnership’s effectively connected income, and
4
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.
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Sign Here
Ø
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Signature
of beneficial owner (or individual authorized to sign for beneficial
owner)
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Date (MM-DD-YYYY)
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Capacity in which acting
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Instructions
for Form W-8BEN
(Rev.
February 2006)
Certificate
of Foreign Status of Beneficial Owner for United States Tax Withholding
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Department of the Treasury
Internal Revenue
Service
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General
Instructions
Section
references are to the Internal Revenue Code unless otherwise noted.
For
definitions of terms used throughout these instructions, see Definitions on pages 3 and
4.
Purpose of form. Foreign
persons are subject to U.S. tax at a 30% rate on income they receive from U.S.
sources that consists of:
● Interest
(including certain original issue discount (OID));
●
Dividends;
●
Rents;
●
Royalties;
●
Premiums;
●
Annuities;
●
Compensation for, or in expectation of, services performed;
●
Substitute payments in a securities lending transaction; or
● Other
fixed or determinable annual or periodical gains, profits, or
income.
This
tax is imposed on the gross amount paid and is generally collected by
withholding under section 1441 or 1442 on that amount. A payment is considered
to have been made whether it is made directly to the beneficial owner or to
another person, such as an intermediary, agent, or partnership, for the benefit
of the beneficial owner.
In
addition, section 1446 requires a partnership conducting a trade or business in
the United States to withhold tax on a foreign partner’s distributive share of
the partnership’s effectively connected taxable income. Generally, a foreign
person that is a partner in a partnership that submits a Form W-8 for purposes
of section 1441 or 1442 will satisfy the documentation requirements under
section 1446 as well. However, in some cases the documentation requirements of
sections 1441 and 1442 do not match the documentation requirements of section
1446. See Regulations sections 1.1446-1 through 1.1446-6. Further, the owner of
a disregarded entity, rather than the disregarded entity itself, shall submit
the appropriate Form W-8 for purposes of section 1446.
If
you receive certain types of income, you must provide Form W-8BEN
to:
●
Establish that you are not a U.S. person;
● Claim
that you are the beneficial owner of the income for which Form W-8BEN is being
provided or a partner in a partnership subject to section 1446; and
● If
applicable, claim a reduced rate of, or exemption from, withholding as a
resident of a foreign country with which the United States has an income tax
treaty.
You
may also be required to submit Form W-8BEN to claim an exception from domestic
information reporting and backup withholding for certain types of income that
are not subject to foreign-person withholding. Such income
includes:
● Broker
proceeds.
●
Short-term (183 days or less) original issue discount (OID).
● Bank
deposit interest.
● Foreign
source interest, dividends, rents, or royalties.
●
Proceeds from a wager placed by a nonresident alien individual in the games of
blackjack, baccarat, craps, roulette, or big-6 wheel.
You
may also use Form W-8BEN to certify that income from a notional principal
contract is not effectively connected with the conduct of a trade or business in
the United States.
A
withholding agent or payer of the income may rely on a properly completed Form
W-8BEN to treat a payment associated with the Form W-8BEN as a payment to a
foreign person who beneficially owns the amounts paid. If applicable, the
withholding agent may rely on the Form W-8BEN to apply a reduced rate of
withholding at source.
Provide
Form W-8BEN to the withholding agent or payer before income is paid or credited
to you. Failure to provide a Form W-8BEN when requested may lead to withholding
at a 30% rate (foreign-person withholding) or the backup withholding
rate.
Additional information. For
additional information and instructions for the withholding agent, see the
Instructions for the Requester of Forms W-8BEN, W-8ECI, W-8EXP, and
W-8IMY.
Who must file. You must give
Form W-8BEN to the withholding agent or payer if you are a foreign person and
you are the beneficial owner of an amount subject to withholding. Submit Form
W-8BEN when requested by the withholding agent or payer whether or not you are
claiming a reduced rate of, or exemption from, withholding.
Do
not use Form W-8BEN if:
● You are
a U.S. citizen (even if you reside outside the United States) or other U.S.
person (including a resident alien individual). Instead, use Form W-9, Request
for Taxpayer Identification Number and Certification.
● You are
a disregarded entity with a single owner that is a U.S. person and you are not a
hybrid entity claiming treaty benefits. Instead, provide Form W-9.
Cat. No.
25576H
● You are
a nonresident alien individual who claims exemption from withholding on
compensation for independent or dependent personal services performed in the
United States. Instead, provide Form 8233, Exemption from Withholding on
Compensation for Independent (and Certain Dependent) Personal Services of a
Nonresident Alien Individual, or Form W-4, Employee’s Withholding Allowance
Certificate.
● You are
receiving income that is effectively connected with the conduct of a trade or
business in the United States, unless it is allocable to you through a
partnership. Instead, provide Form W-8ECI, Certificate of Foreign Person’s Claim
That Income Is Effectively Connected With the Conduct of a Trade or Business in
the United States. If any of the income for which you have provided a Form
W-8BEN becomes effectively connected, this is a change in circumstances and Form
W-8BEN is no longer valid. You must file Form W-8ECI. See Change in circumstances on
this page.
● You are
filing for a foreign government, international organization, foreign central
bank of issue, foreign tax-exempt organization, foreign private foundation, or
government of a U.S. possession claiming the applicability of section 115(2),
501(c), 892, 895, or 1443(b). Instead, provide Form W-8EXP, Certificate of
Foreign Government or Other Foreign Organization for United States Tax
Withholding. However, you should use Form W-8BEN if you are claiming treaty
benefits or are providing the form only to claim you are a foreign person exempt
from backup withholding. You should use Form W-8ECI if you received effectively
connected income (for example, income from commercial activities).
● You are
a foreign flow-through entity, other than a hybrid entity, claiming treaty
benefits. Instead, provide Form W-8IMY, Certificate of Foreign Intermediary,
Foreign Flow-Through Entity, or Certain U.S. Branches for United States Tax
Withholding. However, if you are a partner, beneficiary, or owner of a
flow-through entity and you are not yourself a flow-through entity, you may be
required to furnish a Form W-8BEN to the flow-through entity.
● You are
a disregarded entity for purposes of section 1446. Instead, the owner of the
entity must submit the form.
● You are
a reverse hybrid entity transmitting beneficial owner documentation provided by
your interest holders to claim treaty benefits on their behalf. Instead, provide
Form W-8IMY.
● You are
a withholding foreign partnership or a withholding foreign trust within the
meaning of sections 1441 and 1442 and the accompanying regulations. A
withholding foreign partnership or a withholding foreign trust is a foreign
partnership or trust that has entered into a withholding agreement with the IRS
under which it agrees to assume primary withholding responsibility for each
partner’s, beneficiary’s, or owner’s distributive share of income subject to
withholding that is paid to the partnership or trust. Instead, provide Form
W-8IMY.
● You are
acting as an intermediary (that is, acting not for your own account, but for the
account of others as an agent, nominee, or custodian). Instead, provide Form
W-8IMY.
● You are
a foreign partnership or foreign grantor trust for purposes of section 1446.
Instead, provide Form W-8IMY and accompanying documentation. See Regulations
sections 1.1446-1 through 1.1446-6.
Giving Form W-8BEN to the withholding
agent. Do not send Form W-8BEN to the IRS. Instead, give it to the person
who is requesting it from you. Generally, this will be the person from whom you
receive the payment, who credits your account, or a partnership that allocates
income to you. Give Form W-8BEN to the person requesting it before the payment
is made to you, credited to your account or allocated. If you do not provide
this form, the withholding agent may have to withhold at the 30% rate, backup
withholding rate, or the rate applicable under section 1446. If you receive more
than one type of income from a single withholding agent for which you claim
different benefits, the withholding agent may, at its option, require you to
submit a Form W-8BEN for each different type of income. Generally, a separate
Form W-8BEN must be given to each withholding agent.
Note. If
you own the income or account jointly with one or more other persons, the income
or account will be treated by the withholding agent as owned by a foreign person
if Forms W-8BEN are provided by all of the owners. If the withholding agent
receives a Form W-9 from any of the joint owners, the payment must be treated as
made to a U.S. person.
Change in circumstances. If a
change in circumstances makes any information on the Form W-8BEN you have
submitted incorrect, you must notify the withholding agent or payer within 30
days of the change in circumstances and you must file a new Form W-8BEN or other
appropriate form.
If
you use Form W-8BEN to certify that you are a foreign person, a change of
address to an address in the United States is a change in circumstances.
Generally, a change of address within the same foreign country or to another
foreign country is not a change in circumstances. However, if you use Form
W-8BEN to claim treaty benefits, a move to the United States or outside the
country where you have been claiming treaty benefits is a change in
circumstances. In that case, you must notify the withholding agent or payer
within 30 days of the move.
If
you become a U.S. citizen or resident alien after you submit Form W-8BEN, you
are no longer subject to the 30% withholding rate or the withholding tax on a
foreign partner’s share of effectively connected income. You must notify the
withholding agent or payer within 30 days of becoming a U.S. citizen or resident
alien. You may be required to provide a Form W-9. For more information, see Form
W-9 and instructions.
Expiration of Form W-8BEN.
Generally, a Form W-8BEN provided without a U.S. taxpayer identification
number (TIN) will remain in effect for a period starting on the date the form is
signed and ending on the last day of the third succeeding calendar year, unless
a change in circumstances makes any information on the form incorrect. For
example, a Form W-8BEN signed on September 30, 2005, remains valid through
December 31, 2008. A Form W-8BEN furnished with a U.S. TIN will remain in effect
until a change in circumstances makes any information on the form incorrect,
provided that the withholding agent reports on Form 1042-S at least one payment
annually to the beneficial owner who provided the Form W-8BEN. See the
instructions for line 6 beginning on page 4 for circumstances under which you
must provide a U.S. TIN.
Definitions
Beneficial owner. For payments
other than those for which a reduced rate of withholding is claimed under an
income tax treaty, the beneficial owner of income is generally the person who is
required under U.S. tax principles to include the income in gross income on a
tax return. A person is not a beneficial owner of income, however, to the extent
that person is receiving the income as a nominee, agent, or custodian, or to the
extent the person is a conduit whose participation in a transaction is
disregarded. In the case of amounts paid that do not constitute income,
beneficial ownership is determined as if the payment were income.
Foreign
partnerships, foreign simple trusts, and foreign grantor trusts are not the
beneficial owners of income paid to the partnership or trust. The beneficial
owners of income paid to a foreign partnership are generally the partners in the
partnership, provided that the partner is not itself a partnership, foreign
simple or grantor trust, nominee or other agent. The beneficial owners of income
paid to a foreign simple trust (that is, a foreign trust that is described in
section 651(a)) are generally the beneficiaries of the trust, if the beneficiary
is not a foreign partnership, foreign simple or grantor trust, nominee or other
agent. The beneficial owners of a foreign grantor trust (that is, a foreign
trust to the extent that all or a portion of the income of the trust is treated
as owned by the grantor or another person under sections 671 through 679) are
the persons treated as the owners of the trust. The beneficial owners of income
paid to a foreign complex trust (that is, a foreign trust that is not a foreign
simple trust or foreign grantor trust) is the trust itself.
For
purposes of section 1446, the same beneficial owner rules apply, except that
under section 1446 a foreign simple trust rather than the beneficiary provides
the form to the partnership.
The
beneficial owner of income paid to a foreign estate is the estate
itself.
Note. A payment to a U.S.
partnership, U.S. trust, or U.S. estate is treated as a payment to a U.S. payee
that is not subject to 30% withholding. A U.S. partnership, trust, or estate
should provide the withholding agent with a Form W-9. For purposes of section
1446, a U.S. grantor trust or disregarded entity shall not provide the
withholding agent a Form W-9 in its own right. Rather, the grantor or other
owner shall provide the withholding agent the appropriate form.
Foreign person. A foreign
person includes a nonresident alien individual, a foreign corporation, a foreign
partnership, a foreign trust, a foreign estate, and any other person that is not
a U.S. person. It also includes a foreign branch or office of a U.S. financial
institution or U.S. clearing organization if the foreign branch is a qualified
intermediary. Generally, a payment to a U.S. branch of a foreign person is a
payment to a foreign person.
Nonresident alien individual.
Any individual who is not a citizen or resident alien of the United
States is a nonresident alien individual. An alien individual meeting either the
“green card test” or the “substantial presence test” for the calendar year is a
resident alien. Any person not meeting either test is a nonresident alien
individual. Additionally, an alien individual who is a resident of a foreign
country under the residence article of an income tax treaty, or an alien
individual who is a bona fide resident of Puerto Rico, Guam, the Commonwealth of
the Northern Mariana Islands, the U.S. Virgin Islands, or American Samoa is a
nonresident alien individual. See Pub. 519, U.S. Tax Guide for Aliens, for more
information on resident and nonresident alien status.
Even though a nonresident alien
individual married
to a U.S. citizen or resident alien may choose to be treated as a resident
alien for certain purposes (for example, filing a joint income tax return), such
individual is still treated as a nonresident alien for withholding tax purposes
on all income except wages.
Flow-through entity. A
flow-through entity is a foreign partnership (other than a withholding foreign
partnership), a foreign simple or foreign grantor trust (other than a
withholding foreign trust), or, for payments for which a reduced rate of
withholding is claimed under an income tax treaty, any entity to the extent the
entity is considered to be fiscally transparent (see below) with respect to the
payment by an interest holder’s jurisdiction.
For
purposes of section 1446, a foreign partnership or foreign grantor trust must
submit Form W-8IMY to establish the partnership or grantor trust as a look
through entity. The Form W-8IMY may be accompanied by this form or another
version of Form W-8 or Form W-9 to establish the foreign or domestic status of a
partner or grantor or other owner. See Regulations section
1.1446-1.
Hybrid entity. A hybrid entity
is any person (other than an individual) that is treated as fiscally transparent
(see below) in the United States but is not treated as fiscally transparent by a
country with which the United States has an income tax treaty. Hybrid entity
status is relevant for claiming treaty benefits. See the instructions for line
9c on page 5.
Reverse hybrid entity. A
reverse hybrid entity is any person (other than an individual) that is not
fiscally transparent under U.S. tax law principles but that is fiscally
transparent under the laws of a jurisdiction with which the United States has an
income tax treaty. See the instructions for line 9c on page 5.
Fiscally transparent entity.
An entity is treated as fiscally transparent with respect to an item of
income for which treaty benefits are claimed to the extent that the interest
holders in the entity must, on a current basis, take into account separately
their shares of an item of income paid to the entity, whether or not
distributed, and must determine the character of the items of income as if they
were realized directly from the sources from which realized by the entity. For
example, partnerships, common trust funds, and simple trusts or grantor trusts
are generally considered to be fiscally transparent with respect to items of
income received by them.
Disregarded entity. A business
entity that has a single owner and is not a corporation under Regulations
section 301.7701-2(b) is disregarded as an entity separate from its
owner.
A
disregarded entity shall not submit this form to a partnership for purposes of
section 1446. Instead, the owner of such entity shall provide appropriate
documentation. See Regulations section 1.1446-1.
Amounts subject to withholding.
Generally, an amount subject to withholding is an amount from sources
within the United States that is fixed or determinable annual or periodical
(FDAP) income. FDAP income is all income included in gross income, including
interest (as well as OID), dividends, rents, royalties, and compensation. FDAP
income does not include most gains from the sale of property (including market
discount and option premiums).
For
purposes of section 1446, the amount subject to withholding is the foreign
partner’s share of the partnership’s effectively connected taxable
income.
Withholding agent. Any person,
U.S. or foreign, that has control, receipt, or custody of an amount subject to
withholding or who can disburse or make payments of an amount subject to
withholding is a withholding agent. The withholding agent may be an individual,
corporation, partnership, trust, association, or any other entity, including
(but not limited to) any foreign intermediary, foreign partnership, and U.S.
branches of certain foreign banks and insurance companies. Generally, the person
who pays (or causes to be paid) the amount subject to withholding to the foreign
person (or to its agent) must withhold.
For
purposes of section 1446, the withholding agent is the partnership conducting
the trade or business in the United States. For a publicly traded partnership,
the withholding agent may be the partnership, a nominee holding an interest on
behalf of a foreign person, or both. See Regulations sections 1.1446-1 through
1.1446-6.
Specific
Instructions
A hybrid entity should give Form W-8BEN to a withholding agent only for income
for which it is claiming a reduced rate of withholding under an income tax
treaty. A reverse hybrid entity should give Form W-8BEN to a withholding agent
only for income for which no treaty benefit is being
claimed.
Part
I
Line 1. Enter your name. If
you are a disregarded entity with a single owner who is a foreign person and you
are not claiming treaty benefits as a hybrid entity, this form should be
completed and signed by your foreign single owner. If the account to which a
payment is made or credited is in the name of the disregarded entity, the
foreign single owner should inform the withholding agent of this fact. This may
be done by including the name and account number of the disregarded entity on
line 8 (reference number) of the form. However, if you are a disregarded entity
that is claiming treaty benefits as a hybrid entity, this form should be
completed and signed by you.
Line 2. If you are a
corporation, enter the country of incorporation. If you are another type of
entity, enter the country under whose laws you are created, organized, or
governed. If you are an individual, enter N/A (for “not
applicable”).
Line 3. Check the one box that
applies. By checking a box, you are representing that you qualify for this
classification. You must check the box that represents your classification (for
example, corporation, partnership, trust, estate, etc.) under U.S. tax
principles. Do not check the box that describes your status under the law of the
treaty country. If you are a partnership or disregarded entity receiving a
payment for which treaty benefits are being claimed, you must check the
“Partnership” or “Disregarded entity” box. If you are a sole proprietor, check
the “Individual” box, not the “Disregarded entity” box.
Only entities that are tax-exempt under section 501
should check the “Tax-exempt organization” box. Such organizations should use
Form W-8BEN only if they are claiming a reduced rate of withholding under an
income tax treaty or some code exception other than section 501. Use Form W-8EXP
if you are claiming an exemption from withholding under section
501.
Line 4. Your permanent
residence address is the address in the country where you claim to be a resident
for purposes of that country’s income tax. If you are giving Form W-8BEN to
claim a reduced rate of withholding under an income tax treaty, you must
determine your residency in the manner required by the treaty. Do not show the
address of a financial institution, a post office box, or an address used solely
for mailing purposes. If you are an individual who does not have a tax residence
in any country, your permanent residence is where you normally reside. If you
are not an individual and you do not have a tax residence in any country, the
permanent residence address is where you maintain your principal
office.
Line 5. Enter your mailing
address only if it is different from the address you show on line
4.
Line 6. If you are an
individual, you are generally required to enter your social security number
(SSN). To apply for an SSN, get Form SS-5 from a Social Security Administration
(SSA) office or, if in the United States, you may call the SSA at
1-800-772-1213. Fill in Form SS-5 and return it to the SSA.
If
you do not have an SSN and are not eligible to get one, you must get an
individual taxpayer identification number (ITIN). To apply for an ITIN, file
Form W-7 with the IRS. It usually takes 4-6 weeks to get an ITIN.
An ITIN is for tax use only. It does not entitle
you to social
security benefits or change your employment or immigration status
under U.S. law.
If
you are not an individual or you are an individual who is an employer or you are
engaged in a U.S. trade or business as a sole proprietor, you must enter an
employer identification number (EIN). If you do not have an EIN, you should
apply for one on Form SS-4, Application for Employer Identification Number. If
you are a disregarded entity claiming treaty benefits as a hybrid entity, enter
your EIN.
A
partner in a partnership conducting a trade or business in the United States
will likely be allocated effectively connected taxable income. The partner is
required to file a U.S. federal income tax return and must have a U.S. taxpayer
identification number (TIN).
You
must provide a U.S. TIN if you are:
●
Claiming an exemption from withholding under section 871(f) for certain
annuities received under qualified plans,
● A
foreign grantor trust with 5 or fewer grantors,
●
Claiming benefits under an income tax treaty, or
●
Submitting the form to a partnership that conducts a trade or business in the
United States.
However,
a U.S. TIN is not required to be shown in order to claim treaty benefits on the
following items of income:
●
Dividends and interest from stocks and debt obligations that are actively
traded;
●
Dividends from any redeemable security issued by an investment company
registered under the Investment Company Act of 1940 (mutual fund);
●
Dividends, interest, or royalties from units of beneficial interest in a unit
investment trust that are (or were upon issuance) publicly offered and are
registered with the SEC under the Securities Act of 1933; and
● Income
related to loans of any of the above securities.
You may want to obtain and provide a U.S.
TIN on Form W-8BEN even though it is not
required. A Form W-8BEN containing a U.S. TIN remains valid for as long as your
status and the information relevant to the certifications you make on the form
remain unchanged provided at least one payment is reported to you annually on
Form 1042-S.
Line 7. If your country of
residence for tax purposes has issued you a tax identifying number, enter it
here. For example, if you are a resident of Canada, enter your Social Insurance
Number.
Line 8. This line may be used
by the filer of Form W-8BEN or by the withholding agent to whom it is provided
to include any referencing information that is useful to the withholding agent
in carrying out its obligations. For example, withholding agents who are
required to associate the Form W-8BEN with a particular Form W-8IMY may want to
use line 8 for a referencing number or code that will make the association
clear. A beneficial owner may use line 8 to include the number of the account
for which he or she is providing the form. A foreign single owner of a
disregarded entity may use line 8 to inform the withholding agent that the
account to which a payment is made or credited is in the name of the disregarded
entity (see instructions for line 1 on page 4).
Part
II
Line 9a. Enter the country
where you claim to be a resident for income tax treaty purposes. For treaty
purposes, a person is a resident of a treaty country if the person is a resident
of that country under the terms of the treaty.
Line 9b. If you are claiming
benefits under an income tax treaty, you must have a U.S. TIN unless one of the
exceptions listed in the line 6 instructions above applies.
Line 9c. An entity (but not an
individual) that is claiming a reduced rate of withholding under an income tax
treaty must represent that it:
● Derives
the item of income for which the treaty benefit is claimed, and
● Meets
the limitation on benefits provisions contained in the treaty, if
any.
An
item of income may be derived by either the entity receiving the item of income
or by the interest holders in the entity or, in certain circumstances, both. An
item of income paid to an entity is considered to be derived by the entity only
if the entity is not fiscally transparent under the laws of the entity’s
jurisdiction with respect to the item of income. An item of income paid to an
entity shall be considered to be derived by the interest holder in the entity
only if:
● The
interest holder is not fiscally transparent in its jurisdiction with respect to
the item of income, and
● The
entity is considered to be fiscally transparent under the laws of the interest
holder’s jurisdiction with respect to the item of income. An item of income paid
directly to a type of entity specifically identified in a treaty as a resident
of a treaty jurisdiction is treated as derived by a resident of that treaty
jurisdiction.
If
an entity is claiming treaty benefits on its own behalf, it should complete Form
W-8BEN. If an interest holder in an entity that is considered fiscally
transparent in the interest holder’s jurisdiction is claiming a treaty benefit,
the interest holder should complete Form W-8BEN on its own behalf and the
fiscally transparent entity should associate the interest holder’s Form W-8BEN
with a Form W-8IMY completed by the entity.
An income tax treaty may not apply to reduce the
amount of any tax on an item of
income received by an entity that is treated as a domestic corporation for U.S.
tax purposes. Therefore, neither the domestic corporation nor its shareholders
are entitled to the benefits of a reduction of U.S. income tax on an item of
income received from U.S. sources by the corporation.
To
determine whether an entity meets the limitation on benefits provisions of a
treaty, you must consult the specific provisions or articles under the treaties.
Income tax treaties are available on the IRS website at www.irs.gov.
If you are an entity that derives the
income as a resident of a treaty country, you may check this box if the
applicable income tax treaty does not contain a “limitation on benefits”
provision.
Line 9d. If you are a foreign
corporation claiming treaty benefits under an income tax treaty that entered
into force before January 1, 1987 (and has not been renegotiated) on (a) U.S.
source dividends paid to you by another foreign corporation or (b) U.S. source
interest paid to you by a U.S. trade or business of another foreign corporation,
you must generally be a “qualified resident” of a treaty country. See section
884 for the definition of interest paid by a U.S. trade or business of a foreign
corporation (“branch interest”) and other applicable rules.
In
general, a foreign corporation is a qualified resident of a country if any of
the following apply.
● It
meets a 50% ownership and base erosion test.
● It is
primarily and regularly traded on an established securities market in its
country of residence or the United States.
● It
carries on an active trade or business in its country of residence.
● It gets
a ruling from the IRS that it is a qualified resident.
See
Regulations section 1.884-5 for the requirements that must be met to satisfy
each of these tests.
If you are claiming treaty benefits under
an income tax treaty entered into force
after December 31, 1986, do not check box 9d. Instead, check box
9c.
Line 9e. Check this box if you
are related to the withholding agent within the meaning of section 267(b) or
707(b) and the aggregate amount subject to withholding received during the
calendar year will exceed $500,000. Additionally, you must file Form 8833,
Treaty-Based Return Position Disclosure Under Section 6114 or
7701(b).
Line
10
Line 10
must be used only if you are claiming treaty benefits that require that you meet
conditions not covered by the representations you make in lines 9a through 9e.
However, this line should always be completed by foreign students and
researchers claiming treaty benefits. See Scholarship and fellowship
grants below for more information.
The
following are additional examples of persons who should complete this
line.
● Exempt
organizations claiming treaty benefits under the exempt organization articles of
the treaties with Canada, Mexico, Germany, and the Netherlands.
● Foreign
corporations that are claiming a preferential rate applicable to dividends based
on ownership of a specific percentage of stock.
● Persons
claiming treaty benefits on royalties if the treaty contains different
withholding rates for different types of royalties.
This
line is generally not applicable to claiming treaty benefits under an interest
or dividends (other than dividends subject to a preferential rate based on
ownership) article of a treaty.
Nonresident
alien who becomes a resident alien.
Generally,
only a nonresident alien individual may use the terms of a tax treaty to reduce
or eliminate U.S. tax on certain types of income. However, most tax treaties
contain a provision known as a “saving clause.” Exceptions specified in the
saving clause may permit an exemption from tax to continue for certain types of
income even after the recipient has otherwise become a U.S. resident alien for
tax purposes. The individual must use Form W-9 to claim the tax treaty benefit.
See the instructions for Form W-9 for more information. Also see Nonresident alien student or
researcher who becomes a resident alien later for an
example.
Scholarship and fellowship grants.
A nonresident alien student (including a trainee or business apprentice)
or researcher who receives noncompensatory scholarship or fellowship income may
use Form W-8BEN to claim benefits under a tax treaty that apply to reduce or
eliminate U.S. tax on such income. No Form W-8BEN is required unless a treaty
benefit is being claimed. A nonresident alien student or researcher who receives
compensatory scholarship or fellowship income must use Form 8233 to claim any
benefits of a tax treaty that apply to that income. The student or researcher
must use Form W-4 for any part of such income for which he or she is not
claiming a tax treaty withholding exemption. Do not use Form W-8BEN for
compensatory scholarship or fellowship income. See Compensation for Dependent Personal
Services in the Instructions for Form 8233.
If you are a nonresident alien
individual who received noncompensatory scholarship or fellowship income and
personal services income (including compensatory scholarship or fellowship
income) from the same withholding agent, you may use Form 8233 to claim a tax
treaty withholding exemption for part or all of both types of
income.
Completing lines
4 and 9a. Most tax treaties that contain an article exempting scholarship
or fellowship grant income from taxation require that the recipient be a
resident of the other treaty country at the time of, or immediately prior to,
entry into the United States. Thus, a student or researcher may claim the
exemption even if he or she no longer has a permanent address in the other
treaty country after entry into the United States. If this is the case, you may
provide a U.S. address on line 4 and still be eligible for the exemption if all
other conditions required by the tax treaty are met. You must also identify on
line 9a the tax treaty country of which you were a resident at the time of, or
immediately prior to, your entry into the United States.
Completing line
10. You must complete line 10 if you are a student or researcher claiming
an exemption from taxation on your scholarship or fellowship grant income under
a tax treaty.
Nonresident alien student or
researcher who becomes a resident alien. You must use Form W-9 to claim
an exception to a saving clause. See Nonresident alien who becomes a
resident alien on this page for a general explanation of saving clauses
and exceptions to them.
Example.
Article 20 of the U.S.-China income tax treaty allows an exemption from
tax for scholarship income received by a Chinese student temporarily present in
the United States. Under U.S. law, this student will become a resident alien for
tax purposes if his or her stay in the United States exceeds 5 calendar years.
However, paragraph 2 of the first protocol to the U.S.-China treaty (dated April
30, 1984) allows the provisions of Article 20 to continue to apply even after
the Chinese student becomes a resident alien of the United States. A Chinese
student who qualifies for this exception (under paragraph 2 of the first
protocol) and is relying on this exception to claim an exemption from tax on his
or her scholarship or fellowship income would complete Form W-9.
Part
III
If you
check this box, you must provide the withholding agent with the required
statement for income from a notional principal contract that is to be treated as
income not effectively connected with the conduct of a trade or business in the
United States. You should update this statement as often as necessary. A new
Form W-8BEN is not required for each update provided the form otherwise remains
valid.
Part
IV
Form
W-8BEN must be signed and dated by the beneficial owner of the income, or, if
the beneficial owner is not an individual, by an authorized representative or
officer of the beneficial owner. If Form W-8BEN is completed by an agent acting
under a duly authorized power of attorney, the form must be accompanied by the
power of attorney in proper form or a copy thereof specifically authorizing the
agent to represent the principal in making, executing, and presenting the form.
Form 2848, Power of Attorney and Declaration of Representative, may be used for
this purpose. The agent, as well as the beneficial owner, may incur liability
for the penalties provided for an erroneous, false, or fraudulent
form.
Broker transactions or barter
exchanges. Income from transactions with a broker or a barter exchange is
subject to reporting rules and backup withholding unless Form W-8BEN or a
substitute form is filed to notify the broker or barter exchange that you are an
exempt foreign person.
You
are an exempt foreign person for a calendar year in which:
● You are
a nonresident alien individual or a foreign corporation, partnership, estate, or
trust;
● You are
an individual who has not been, and does not plan to be, present in the United
States for a total of 183 days or more during the calendar year;
and
● You are
neither engaged, nor plan to be engaged during the year, in a U.S. trade or
business that has effectively connected gains from transactions with a broker or
barter exchange.
Paperwork
Reduction Act Notice. We ask for the information on this form to carry
out the Internal Revenue laws of the United States. You are required to provide
the information. We need it to ensure that you are complying with these laws and
to allow us to figure and collect the right amount of tax.
You
are not required to provide the information requested on a form that is subject
to the Paperwork Reduction Act unless the form displays a valid OMB control
number. Books or records relating to a form or its instructions must be retained
as long as their contents may become material in the administration of any
Internal Revenue law. Generally, tax returns and return information are
confidential, as required by section 6103.
The
time needed to complete and file this form will vary depending on individual
circumstances. The estimated average time is: Recordkeeping, 5 hr., 58 min.;
Learning about the law or the
form, 3 hr., 46 min.; Preparing and sending the form to
IRS, 4 hr., 2 min.
If
you have comments concerning the accuracy of these time estimates or suggestions
for making this form simpler, we would be happy to hear from you. You can email
us at *taxforms@irs.gov. Please put
“Forms Comment” on the subject line. Or you can write to Internal Revenue
Service, Tax Products Coordinating Committee, SE:W:CAR:MP:T:T:SP, 1111
Constitution Ave. NW, IR-6406, Washington, DC 20224. Do not send Form W-8BEN to
this office. Instead, give it to your withholding agent.
The
letter of transmittal and certificates for shares and any other required
documents should be sent or delivered by each tendering stockholder or its
broker, dealer, commercial bank, trust company or other nominee to the
depositary at one of its addresses set forth on the first page of this letter of
transmittal.
Any
questions or requests for assistance or for additional copies of the offer to
purchase, the letter of transmittal or the notice of guaranteed delivery may be
directed to the information agent, Georgeson Inc., at the telephone number and
address set forth below. You may also contact Georgeson Securities Corporation,
the dealer manager for the tender offer, or your broker, dealer, commercial bank
or trust company for assistance concerning the tender offer. To confirm delivery
of your shares, please contact the depositary.
The
information agent for the tender offer is:
199 Water
Street, 26th Floor
New York,
NY 10038-3560
Banks and
Brokers Call (212) 440-9800
All
Others Call Toll Free (800) 262-0158