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Form 1059

Substitute Certificate

Tax to be Paid at Source

Form 1059 may be substituted in lieu of Form 1000 by collecting agents and responsible banks and bankers receiving for collection, interest coupons on bonds and other similar obligations of domestic or resident corporations containing a "tax-free" covenant, when owned by

(1) citizens or residents (individuals and fiduciaries) not claiming exemption;

(2) resident partnerships;

(3) personal service corporations.*

The requirements governing its execution are similar to those set forth on page 31, in connection with Form 1058.

Forms 1000 when detached by collecting agents shall be forwarded directly to the Commissioner of Internal Revenue. Forms 1059 should be forwarded to the Commissioner of Internal Revenue by the debtor corporation or withholding agent with Return Form 1012.

*See page 6.

Form 1078

Revised June, 1919

S. INTERNAL REVENUE CERTIFICATE OF ALIEN CLAIMING RESIDENCE IN THE UNITED STATES

(To be filed with withholding agent by alien residing in the United States, for the purpose of claiming the benefit of such residence for income tax purposes)
THIS CERTIFICATE HAS NO EFFECT ON CITIZENSHIP

NAME..

ADDRESS..

EMPLOYER

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EMPLOYEE

POST OFFICE

I HEREBY declare that I am a citizen or subject of

on or about

; that I arrived in the United States or mailed to me is as stated above. that I am living in the United States and have no definite intention as to when (if at all) I will make another country my home; that the address in the United States where any notices relative to income tax may be sent

Sworn to and subscribed before me this

day of

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Form 1078

Certificate of Alien Claiming Residence in the United States

Form 1078 is to be filed with withholding agents by aliens residing in the United States who desire to establish their status as resident aliens for the purpose of claiming the benefit of such residence for income tax purposes.

An alien living in the United States who is not a mere transient is a resident of the United States for purposes of the income tax. Whether he is a transient or not is determined by his intentions with regard to his stay.

When certificate Form 1078 is filed with an employer, an alien employee may be treated as a resident of the United States with respect to withholding income tax at the source and it is not necessary for the employer to secure from the alien employee a new certificate for each year. Aliens employed in the United States are prima facie regarded as nonresidents, but this presumption is overcome if the alien files with the employer Form 1078 or an equivalent certificate, giving his residence. The employer may rely on such certificate, unless the statement was false, and he has reasonable cause to believe it was false, until the alien ceases to be a resident.

If an alien has been living in the United States for as long as one year immediately prior to the time he entered the employment of the withholding agent, or if he has been regularly employed by an individual resident in the United States or by a resident corporation in the same city or county for as long as three months immediately prior to any payment by the employer, he may be treated as a resident, provided no facts are known to the employer that he is, in fact, a transient.

Where the status of an alien changes during the year the status which exists at the end of the taxable year governs his right to exemption as to the whole year. If an employer has withheld wages from a nonresident alien during part of a year and thereafter the employee became a resident (before the employer has paid over to the United States the amount withheld) the employer is authorized, upon receiving proof of the change, to refund to the employee the amount so withheld.

Every withholding agent with whom certificates on Form 1078 are filed is required to make a record thereof and file the certificates with the Commissioner of Internal Revenue (Sorting Division), Washington, D. C., not later than the 20th day of the month succeeding that during which such certificates were received, accompanied by a letter of transmittal.

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Ownership Certificate-DISCLOSING ACTUAL OWNER OF STOCK.

(For use of Foreign Principal to disclose actual ownership of stock of domestic corporation registered in name of representative in United States.)

RECORD OWNER.

ACTUAL OWNER.

TREASURY DEPARTMENT,

INTERNAL REVENUE-INCOME TAX.

Ed 200,000-F C., Apr. 21-19.

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I (we) hereby declare that I am (we are) the actual owner of the above-described stock or that the record
owner of said stock holds it for my (our) account and the actual owner is as stated above; that I am (we are) or
the actual owner is (are) nonresident alien as to the United States; that the record owner of said stock is
correctly listed above and that said record owner is the representative in the United States of the undersigned
with respect to said stock; and that all the information given herein is true and correct.

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By

(If organization signature of official authorized to sign and official position.) 2-2771

(Full post-office address of actual owner or representative.)

Form 1087

Ownership Certificate Disclosing Actual Owner

of Stock

Form 1087 is used for the purpose of disclosing the actual ownership of stock of domestic corporations registered in the name of a representative in the United States, when the actual owner is a nonresident alien. Unless this certificate is filed, the record holder of the stock is considered the owner of the dividends, for income tax purposes, and required to pay tax thereon accordingly. The certificate should be executed by the actual owner or his agent.

The certificate once filed disclosing the actual owner will be sufficient until ownership changes, when it will be necessary to disclose the actual owner by a new certificate.

In all cases where the actual owner is a nonresident alien individual and the record owner is a person in the United States, the record owner will be considered for tax purposes to have the receipt. custody, control and disposal of the dividend income, and will be required to make return for the actual owner, regardless of the amount of the income, and to pay any surtax found by such return to be due.

Certificates have not been provided for disclosing ownership where the actual owner is a citizen or resident of the United States, although the regulations do not confine such disclosure to cases in which the actual owner is a nonresident alien (Article 405, Reg. 45).

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