{% if formLabel == 'W-8 Tax Information' or formLabel == 'Tax Info (Canada)' %}<div class="row"><div class="col-12"><div class="alert alert-warning font-weight-bold"><p>In order to comply with the United States Internal Revenue Service (IRS) regulations, we require taxpayer identification information. This information will be used to determine whether you will receive a Form 1042-S for payment(s) made to you through the Jewelry Rewards program, and whether payments are subject to Federal withholding.</p><p>The information you provided below must match the information that you provide to the IRS for income tax reporting. Federal law requires us to take backup withholding from certain future payments if you fail to provide the information requested.</p><p><strong>We utilize and maintain industry standard encryption and store all sensitive data behind a firewall on a secured server with strict access protocols (SOC2 Compliant).</strong></p><p>Click here for more information <a target="_blank" href="https://www.irs.gov/pub/irs-pdf/fw8ben.pdf" class="btn-link">IRS Form W-8BEN</a></p></div><table class="table table-condensed table-bordered"><tr><td><strong>Name (as shown on your income tax return)</strong><br>{{ user.fullName }}</td></tr><tr><td><strong>Federal tax classification of the person</strong><br>Individual/sole proprietor or single-member LLC</td></tr><tr><td><strong>Mailing Address</strong><br>{{ user.address1 }} {{ user.address2 }}</td></tr><tr><td><strong>State or Province</strong><br>{{ user.state }}</td></tr><tr><td><strong>City or Town</strong><br>{{ user.city }}</td></tr><tr><td><strong>Postal code</strong><br>{{ user.zip }}</td></tr><tr><td><strong>Country</strong><br>{{ user.country }}</td></tr>{% if user.foreignTaxId %}<tr><td><strong>Foreign Tax Identifying Number</strong><br>{{ user.foreignTaxId }}</td></tr>{% endif %}</table><div class="card card-info mb-3"><div class="card-header bg-warning">Under penalties of perjury, I certify that:</div><div class="card-body"><ul><li>I am the individual that is the beneficial owner (or am authorized to sign for the individual that is the beneficial owner) of all the income or proceeds to which this form relates or am using this form to document myself for chapter 4 purposes;</li><li>The person named on line 1 of this form is not a U.S. person;</li><li>This form relates to:<ol type="a"><li>income not effectively connected with the conduct of a trade or business in the United States;</li><li>income effectively connected with the conduct of a trade or business in the United States but is not subject to tax under an applicable income tax treaty;</li><li>the partner's share of a partnership's effectively connected taxable income; or</li><li>the partner's amount realized from the transfer of a partnership interest subject to withholding under section 1446(f);</li></ol></li><li>The person named on line 1 of this form is a resident of the treaty country listed on line 9 of the form (if any) within the meaning of the income tax treaty between the United States and that country; and</li><li>For broker transactions or barter exchanges, the beneficial owner is an exempt foreign person as defined in the instructions.</li></ul><p>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. I agree that I will submit a new form within 30 days if any certification made on this form becomes incorrect.</p><p><b>Certification Instructions</b>: To certify the statement above, complete your information below.</p><p>By typing my name and contact email address, I confirm that I agree to the electronic submission of my completed W-8 Form and that I accept the information provided constitutes a legally binding digital signature.</p>{{ form_row(form.w8Name) }}{{ form_row(form.w8Email) }}{{ form_row(form.countryOfCitizenship) }}{{ form_row(form.dateOfBirth) }}{% if form.foreignTaxId is defined %}{{ form_row(form.foreignTaxId) }}{% endif %}</div></div></div></div>{% endif %}