Sample beneficial ownership form 2025

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  1. Click ‘Get Form’ to open the sample beneficial ownership form in the editor.
  2. Begin by filling out the 'Customer Information' section. Enter the legal entity name and address, ensuring no PO Box is used.
  3. Select the appropriate business formation type from the options provided, such as Corporation or Limited Liability Company.
  4. If applicable, indicate any exemption information. If you are exempt, enter the exemption number and complete the Control Person section if required.
  5. In the 'Individual Information' section, identify all beneficial owners with 25% or more ownership. Fill in their legal names, SSNs/Tax IDs, and other requested details.
  6. Complete the Control Person section by providing information about an individual responsible for managing the customer entity.
  7. Finally, certify your information by signing as the Natural Authorized Person and entering your position and date of birth.

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About Form W-8 BEN-E, Certificate of Status of Beneficial Owner for United States Tax Withholding and Reporting (Entities) Internal Revenue Service.
Companies that are required to report their beneficial ownership information to FinCEN, need to do so electronically through a secure filing system available via the FinCEN website. Information on beneficial owners includes names, dates of birth, addresses and identifying numbers such as a passport or drivers license.
The form requires, among other information, the name, business address or primary residence address, date of birth, Social Security Number (as applicable), the name of the issuing state or country, and number of the passport or drivers license for the Beneficial Owners and Control Person as applicable.
Completed forms require the signature of the individual providing the information. This form cannot be digitally signed. The completed form should be provided to the Bank by the individual who will be opening the business account, in addition to all other business identity documents (see the FAQs below).
A beneficial owner is someone who owns at least part of a property or other asset, even if its legal title is owned by someone else. That person can also vote on or otherwise influence decisions regarding transactions involving that asset or property. An example is a corporate shareholder.
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The threshold of 5% of ownership and/or control will apply for all entities required to file beneficial ownership information.

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