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             and each intermediary or flow-through en-  holding rate pool is a payment of a single type   not assume primary Chapters 3 and 4 withhold-
             tity that receives the payment on behalf of   of income that is subject to a single rate of with-  ing responsibility or primary Form 1099 report-
             the payee.                      holding  and  that  is  reported  on  Form  1042-S   ing  and  backup  withholding  responsibility  for
           • Any other information the withholding   under a single Chapter 4 exemption code. Pay-  the  payment,  you  can  reliably  associate  the
             agent reasonably requests in order to fulfill   ments made to U.S. exempt recipients also may   payment  with  valid  documentation  only  to  the
             its obligations under Chapter 4.  be included in a Chapter 3 withholding rate pool   extent you can reliably determine the part of the
            A Chapter 4 withholding statement is permit-  to which withholding does not apply.  payment  that  relates  to  each  withholding  rate
         ted to provide pooled allocation information with   A QI is required to provide you with informa-  pool for foreign and U.S. payees. Unless the al-
         respect to payees that are treated as nonpartici-  tion regarding U.S. nonexempt recipients (U.S.   ternative  procedure  applies  and  the  QI  is  per-
         pating FFIs.                        persons  subject  to  Form  1099  information  re-  mitted to include U.S. nonexempt recipients in a
                                             porting)  and  to  provide  you  withholding  rate   Chapter 4 withholding rate pool of U.S. payees,
         Qualified Intermediary (QI)         pool information separately for each such U.S.   the  QI  must  provide  you  with  a  separate  with-
                                                                                 holding rate pool for each U.S. nonexempt re-
                                             person  unless  it  has  assumed  primary  Form
         In most cases, a QI is any foreign intermediary   1099 reporting and backup withholding respon-  cipient that must be reported on Form 1099. If
                                                                                 you and the QI agree, the QI may apply the al-
                                             sibility  and  meets  the  requirements  to  include
         that  has  entered  into  a  QI  agreement  (dis-  these  recipients  in  a  U.S.  payee  pool.  For  the   ternative procedures for U.S. nonexempt recipi-
         cussed  earlier)  with  the  IRS.  A  foreign  entity   alternative  procedure  for  providing  withholding   ents  by  establishing  a  single  withholding  rate
         that  is  a  QI  acting  as  a  QDD  or  that  is  acting   rate  pool  information  for  U.S.  nonexempt  per-  pool (not subject to backup withholding) for all
         with  respect  to  payments  of  substitute  interest   sons  not  included  in  a  Chapter  4  withholding   U.S.  nonexempt  recipient  account  holders  for
         (as permitted by the QI agreement) can act as a   rate pool of U.S. payees, see the Form W-8IMY   whom the QI is required to report on Form 1099
         QI even though it is not receiving payments as   instructions.          and has provided you with Forms W-9 prior to
         an  intermediary.  A  foreign  entity  that  has  re-  The withholding statement must:  you making the reportable payment, or, if appli-
         ceived  a  QI  employer  identification  number                         cable,  designated  broker  proceeds  to  which
         (QI-EIN) may represent on Form W-8IMY that it   1. Designate those accounts for which it acts   backup  withholding  does  not  apply.  The  QI
         is a QI. The QI can claim that it is a QI until the   as a QI;          must provide a Form W-9 or, in the absence of
         IRS revokes its QI-EIN.
                                               2. Designate those accounts for which it as-  the form, the name, address, and TIN, if availa-
                                                 sumes primary Chapters 3 and 4 withhold-  ble, for each U.S. nonexempt recipient.
            A  QI  can  be  either  an  FFI  or  an  NFFE.  An   ing responsibility and/or primary Form
         FFI that is a QI must be a participating FFI (in-  1099 reporting and backup withholding re-  Primary  Chapters  3  and  4  withholding
         cluding  a  reporting  Model  2  FFI),  a  registered   sponsibility;   responsibilities assumed.  If you make a pay-
         deemed-compliant  FFI  (including  a  reporting                         ment to a QI that assumes primary Chapters 3
         Model  1  FFI  and  a  nonreporting  Model  2  FFI   3. If applicable, designate the accounts for   and  4  withholding  responsibilities  (but  not  pri-
         treated as a registered deemed-compliant FFI),   which it acts as a qualified securities   mary  Form  1099  reporting  and  backup  with-
         or  an  FFI  treated  as  a  deemed-compliant  FFI   lender with respect to any U.S. source   holding  responsibility),  you  can  reliably  asso-
         under an applicable Model 1 IGA that is subject   substitute dividend payments;  ciate the payment with valid documentation only
         to  similar  due  diligence  and  reporting  require-  4. If applicable, designate those accounts for   to the extent you can reliably determine the part
         ments with respect to its U.S. accounts as those   which it acts as a QDD;  of  the  payment  that  relates  to  the  Chapter  4
         applicable  to  a  registered  deemed-compliant                         withholding rate pools and Chapter 3 withhold-
         FFI  (including  the  requirement  to  register  with   5. Provide sufficient information for you to al-  ing rate pools, as applicable, and the part of the
         the IRS) (defined in the QI agreement as a “reg-  locate the payment, as applicable, to   payment  attributable  to  withholding  rate  pools
         istered  deemed-compliant  Model  1  IGA  FFI”).   Chapter 3 withholding rate pools and, for   for  each  U.S.  nonexempt  recipient,  unless  the
         Thus, you must identify the Chapter 4 status of   payments that are withholdable payments,   alternative procedure applies for Form 1099 re-
         an FFI, certifying its status as a QI as one of the   Chapter 4 withholding rate pools of non-  porting  and/or  backup  withholding  purposes.
         Chapter 4 statuses referenced in the preceding   participating FFIs and recalcitrant account   The QI must provide a Form W-9 or, in the ab-
         sentence on a Form W-8IMY when a Chapter 4   holders when the QI has not assumed pri-  sence of the form, the name, address, and TIN,
         status is required for Chapter 4 purposes.  mary Chapter 3 or 4 withholding responsi-  if available, for such person.
                                                 bility; and                        Primary  Chapters  3  and  4  withholding
         Responsibilities  and  documentation.  Pay-  6. Provide sufficient information for you to al-  responsibilities  and  Form  1099  reporting
         ments made to a QI that does not assume pri-  locate payments to each U.S. nonexempt   and backup withholding responsibilities as-
         mary Chapters 3 and 4 withholding responsibili-  recipient or to a pool of U.S. payees to the   sumed.   If you make a payment to a QI that as-
         ties are treated as paid to its account holders.   extent described earlier under this head-  sumes primary Chapters 3 and 4 withholding re-
         However,  a  QI  is  not  required  to  provide  you   ing.             sponsibilities and primary Form 1099 reporting
         with  documentation  it  obtains  from  its  foreign                    and backup withholding responsibility, you can
         account holders or from U.S. exempt recipients   The extent to which you must have withhold-  reliably associate the payment with valid docu-
         (U.S.  persons  exempt  from  Form  1099  report-  ing rate pool information depends on the with-  mentation  provided  that  you  receive  a  valid
         ing). Instead, it provides you with a withholding   holding  and  reporting  obligations  assumed  by   Form W-8IMY. It is not necessary to associate
         statement  that  contains  either  Chapter  3  or   the QI.             the  payment  with  any  Chapter  3  or  Chapter  4
         Chapter  4  withholding  rate  pool  information.  A   If a QI that is permitted to do so by the QI   withholding rate pools.
         Chapter 4 withholding rate pool is a payment of   agreement  obtains  documentary  evidence  un-  If you make a payment to a QI that also is a
         a  single  type  of  income  that  is  a  withholdable   der  the  “know-your-customer”  rules  that  apply   QDD, the QI must provide a withholding state-
         payment  that  is  allocated  to  payees  that  are   to the QI under local law, and the documentary   ment designating the accounts for which it acts
         nonparticipating  FFIs  or  recalcitrant  account   evidence is of a type specified in an attachment   as a QDD even if it assumes primary withhold-
         holders (in a single pool). A Chapter 4 withhold-  to the QI agreement, the documentary evidence   ing  responsibility  for  all  payments,  unless  it  is
         ing rate pool also means a payment of a single   remains valid until there is a change in circum-  acting as a QDD for all payments it receives.
         type of income that is allocated to U.S. payees   stances  or  the  QI  knows  the  information  is  in-
         when the QI provides the certification required   correct. A QI may rely on a Form W-8 until its   Example.  You  make  a  payment  of  U.S.
         on Form W-8IMY for allocating payments to this   validity  expires  under  Regulations  section   source dividends to a QI. It has five customers:
         pool and a withholding statement. A QI may in-  1.1441-1(e)(4)(ii) and may rely on documentary   two  are  foreign  persons  who  have  provided
         clude in its Chapter 4 withholding rate pools its   evidence   not   obtained   pursuant   to   documentation  entitling  them  to  a  15%  rate  of
         direct account holders as well as account hold-  “know-your-customer” rules until its validity ex-  withholding  on  dividends;  two  are  foreign  per-
         ers of another QI or a participating FFI or regis-  pires under Regulations section 1.6049-5(c).  sons  subject  to  a  30%  rate  of  withholding  on
         tered deemed-compliant FFI. With respect to a                           dividends; and one is a U.S. individual who pro-
         payment to a foreign person for which no Chap-  Primary  Chapters  3  and  4  withholding   vides it with a Form W-9. Each customer is enti-
         ter 4 withholding is required, a Chapter 3 with-  responsibilities  not  assumed.  If  a  QI  does   tled  to  20%  of  the  dividend  payment.  The  QI

         Publication 515 (2020)                                                                               Page 13
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