[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-304814-105":3,"detail-sidebar-cat-1-en-105":80,"doc-detail-304814-en":126},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":73,"head_meta":75,"extra_data":77,"updated_unix":79},105,"en","new-account-form-request-for-taxpayer-identification-number-tin-and-certification","New Account Form - Request for Taxpayer Identification Number (TIN) and Certification","","New Account Form for providing a Taxpayer Identification Number (TIN) and related certifications to American Express National Bank. The form requests primary account owner name and address details, then requires the TIN to match the name to avoid backup withholding. Under penalties of perjury, the signer certifies the correctness of the TIN, backup withholding status, U.S. person status, and—where applicable—FATCA exemption code accuracy. 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To change the TIN, complete and sign the form and return a copy of your Social Security Card for verification.","https://schema.org",{"og:url":32,"og:type":74,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":76,"canonical":32},"index,follow",{"doc_id":78,"site_id":7},304814,1790221957,{"code":4,"msg":81,"data":82},"success",[83,88,93,98,103,108,112,117,122],{"id":84,"doc_module":22,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},11,"Presentations",90,"presentations",{"id":89,"doc_module":22,"doc_module_name":25,"category_name":90,"show_sort_weight":91,"slug":92},12,"Resumes",80,"resumes",{"id":94,"doc_module":22,"doc_module_name":25,"category_name":95,"show_sort_weight":96,"slug":97},14,"Invoices",70,"invoices",{"id":99,"doc_module":22,"doc_module_name":25,"category_name":100,"show_sort_weight":101,"slug":102},15,"Posters",60,"posters",{"id":104,"doc_module":22,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},16,"Social Media",50,"social-media",{"id":109,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":110,"slug":111},17,40,"forms",{"id":113,"doc_module":22,"doc_module_name":25,"category_name":114,"show_sort_weight":115,"slug":116},18,"Letters",30,"letters",{"id":118,"doc_module":22,"doc_module_name":25,"category_name":119,"show_sort_weight":120,"slug":121},21,"Paper Templates",5,"papers-templates",{"id":123,"doc_module":22,"doc_module_name":25,"category_name":124,"show_sort_weight":4,"slug":125},158,"General","general-158",{"code":4,"msg":81,"data":127},{"doc_id":78,"user_id":128,"nickname":42,"user_avatar":129,"doc_module":22,"category_id":109,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":30,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":135,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":12,"update_tm":139,"read_time":4},1099523882182,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","New Account Form  \n\n| Request for Taxpayer Identiÿcation Number (TIN) and Certiÿcation |\n| --- |\n| Please complete and return this New Account Form to American Express National Bank immediately. You will be subject to backup withholding until we receive this form. If you have any questions, please call 1-800-446-6307.\u003Cbr>Primary Account Owner Name:  \u003Cbr>Primary Account Owner Address:  Street City State ZIP Code Please enter your Taxpayer Identiÿcation Number (TIN) in the boxes below. The TIN you enter must match the name given on the“Primary Account Owner Name”line to avoid backup withholding. Please note, for individuals, this is usually your Social Security number (SSN) . |\n| \u003Cbr>|\n| Under penalties of perjury, I certify that:\u003Cbr>1. The Taxpayer Identification Number (TIN) submitted with this application is my correct TIN.\u003Cbr>2. I am not subject to backup withholding because (a) I am exempt from backup withholding,(b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding.\u003Cbr>You must cross out item 2 above if you have been notiÿed by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.\u003Cbr> I am a U. S. citizen or other U. S. person. (For Federal tax purposes, you are considered a U. S. person if you are an individual who is a U. S. citizen or U. S. resident alien.)\u003Cbr> The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.\u003Cbr>FATCA reporting codes apply to persons submitting this form for accounts maintained outside of the United States by certain foreign financial institutions. Since your American Express National Bank accounts are held in the United States, you are not required to enter FATCA codes, and we have eliminated the box in which they would have been provided.\u003Cbr>The Internal Revenue Service (IRS) does not require your consent to any provision of this document other than the certiÿcations required to avoid backup withholding.\u003Cbr>Primary Account Owner Signature:   Date (MM/DD/YYYY):   |\n\nTo change the TIN on your American Express Savings account(s), you must complete and sign this New Account Form and return with a copy of your Social Security Card to demonstrate your updated TIN for verification purposes.  \nPLEASE SUBMIT REQUEST VIA FAX OR MAIL TO ONE OF THE FOLLOWING  \nFax: 1-800-542-0779  \nMail: American Express National Bank, PO Box 30384, Salt Lake City, UT 84130-0384  \n24/7 Account Access | Member FDIC | World-Class Service  \nAccounts o°ered by American Express National Bank. Member FDIC.","cbCaivKufVSerSTB","https://ap.wps.com/l/cbCaivKufVSerSTB","pdf",300030,"English","# Primary Account Owner Information\n## Taxpayer Identification Number (TIN)\n# Certifications Under Penalties of Perjury\n## Backup Withholding and IRS Notifications\n## U.S. Person Status and FATCA Codes\n# Signature and Submission Instructions","[{\"question\":\"What information must be completed on the New Account Form?\",\"answer\":\"The form collects the primary account owner’s name and address and requires entering the Taxpayer Identification Number (TIN) in the provided boxes.\"},{\"question\":\"Why does the form require the TIN to match the primary account owner name?\",\"answer\":\"The TIN entered must match the name on the “Primary Account Owner Name” line to avoid backup withholding.\"},{\"question\":\"How should the completed form be submitted and what verification may be required to change a TIN?\",\"answer\":\"Submit the request via fax or mail to the listed American Express National Bank addresses. To change the TIN, complete and sign the form and return a copy of your Social Security Card for verification.\"}]","New Account Form - Request for Taxpayer Identification Number (TIN) and Certification | PDF",1789817689]