Do not use this for:
*Questions on any of these exceptions contact the IRS at www.IRS.com
If you have a U.S. Taxpayer identification number and are making a claim of Treaty Benefits; please complete PART 3
Do not use this form if: You are a citizen or other U.S. person, including a resident alien individual; instead, use the U.S. New Supplier Set-up/W-9
Under penalties of perjury, I declare that I have examined the information
on this form and to the best of my knowledge and belief it is true, correct
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 on this form becomes incorrect.
Nike will accept the signature that appears below
as legal and binding only if it is that of a principal or designated
principal of the payee. Do not sign this form if you are not a
principal or designated principal. This form must be signed by a
principal or designated principal. Under penalties of perjury, I
declare that (1) the information provided is true and complete; (2) I
am not subject to backup withholding; and (3) I am not a U.S. person (or
U.S. resident alien).
By typing your legal name and email address in the signature line below
you are signing this form electronically and thus you are verifying and
authenticating the statements in this submission.