Fillable Form W-14 2016 Certificate of Foreign Contracting Party

Fill Online, Printable, Fillable, Blank Form W-14 2016 Certificate of Foreign Contracting Party Form

Use Fill to complete blank online IRS pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Form W-14 2016 Certificate of Foreign Contracting Party

On average this form takes 6 minutes to complete

The Form W-14 2016 Certificate of Foreign Contracting Party form is 2 pages long and contains:

  • 0 signatures
  • 2 check-boxes
  • 23 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your IRS forms online.

The Internal Revenue Service (IRS) is a government agency responsible for collecting taxes and administering the federal statutory tax laws of the United States. The IRS provide tax assistance to taxpayers and pursue and resolve fraudulent tax filings.

BROWSE IRS FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Form W-14
(August 2016)
Department of the Treasury
Internal Revenue Service
Certificate of Foreign Contracting Party
Receiving Federal Procurement Payments
▶
Information about Form W-14 and its separate instructions is at www.irs.gov/w14.
▶
Give this form to the acquiring agency. Do not send to the IRS.
OMB No. 1545-2263
Part I
Identification of Foreign Contracting Party and Acquiring Agency
1 Name of foreign contracting party 2 Country of incorporation or organization, if applicable
(do not abbreviate the name of the country)
3 Permanent residence address (street, apt. or suite no., or rural route). Do not use a P.O. box or in-care-of address.
City or town, state or province. Include postal code where appropriate. Country (do not abbreviate)
4 Mailing address (if different from above)
City or town, state or province. Include postal code where appropriate. Country (do not abbreviate)
5 U.S. taxpayer identification number (TIN), if any
6 Contract/reference number (if known)
7 Name and address of the acquiring agency
Country (do not abbreviate)City or town, state or province. Include postal code where appropriate.
Part II
Exemption Based on an International Agreement (if applicable)
8
Check this box if claiming relief from the tax under section 5000C pursuant to an international agreement with the United
States (such as a qualified income tax treaty). Also complete Part IV.
Part III
Exemption Based on an International Procurement Agreement
or Because Goods/Services Produced/Performed in the United States
9
Check this box if identifying specific exempt and nonexempt
amounts (for example, by contract line item number). Skip lines 10
through 14 and complete Part IV, line 15.
10 Total contract price or estimated total contract price
11 Nonexempt amount or estimated nonexempt amount 12 Contract ratio (line 11 divided by line 10)
Part IV
Explanation (Complete if Part II or Part III is applicable)
13 If you checked the box in Part II, state the name of the agreement and specific provision relied upon (for example, the nondiscrimination article
of a qualified income tax treaty); and the basis on which you are entitled to the benefits of that provision (for example, because you are a corporation
organized in a foreign country with which the United States has a qualified income tax treaty that covers all nationals). (Use additional sheets as
necessary.)
For Paperwork Reduction Act Notice, see separate instructions.
Cat. No. 67553M
Form W-14 (8-2016)
Form W-14 (8-2016)
Page 2
Part IV
Explanation (Complete if Part II or Part III is applicable) (continued)
14 If you completed Part III, but did not check the box on line 9, state the relevant countries where the goods are manufactured or produced or
services are provided and the international procurement agreements relied upon, if relevant. If applicable, explain the method relied upon to allocate
the total contract price between exempt and nonexempt amounts. (Use additional sheets as necessary.)
15 If you checked the box on line 9, provide an explanation for each item by stating the relevant countries where the goods are manufactured or
produced or services are provided and the international procurement agreements relied upon, if relevant. If applicable, explain the method relied
upon to allocate the total contract price between exempt and nonexempt amounts. For example, you may attach a spreadsheet listing the various
contract line items with an explanation for the treatment of each line item as exempt or nonexempt. If the contract includes details necessary to
complete this section (such as exempt or nonexempt amounts by contract line item), you may incorporate by reference the relevant information in the
explanation. (Use additional sheets as necessary.)
Part V
Certificate
Under penalties of perjury, I declare that I have examined the information on this certificate (and in the contract, if relevant) 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 foreign person (or am authorized to sign on behalf of the foreign person) identified in line 1 above,
2
I am not acting as an agent or nominee for another foreign person,
3
I agree to pay an amount equal to any tax due under section 5000C that the acquiring agency does not withhold under section 5000C and pay any applicable
penalties and interest,
4
I acknowledge and understand the rules in Regulations section 1.5000C-4 relating to procedural obligations under section 5000C, and
5
I have not engaged in any transaction (or series of transactions) with a principal purpose of avoiding the tax imposed under section 5000C as defined in
Regulations section 1.5000C-5.
Sign
Here
▲
Signature of Foreign Person (or Authorized Representative)
Date
/ /
▲
Capacity to Act
Form W-14 (8-2016)
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Form W-14 2016 Certificate of Foreign Contracting Party

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 16 March 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document