Declaration by Non-Israeli Residents (see instructions) so Eligible Israeli Brokers should not complete this PART II tart II A. To he completed only by Individuals. I hereby declare that (if the statement is correct, mark X in the following…
Declaration of Custodian of Records Pursuant to 28 U.S.C. § 1746. I. the undersigned, hereby declare: My name is rlizIL V. Haas (name of declarant) I am a Unital States citizen and I am over eighteen years of age…
Declaration by Non-Israeli Residents (see instructions) so Eligible Israeli Brokers should not complete this PART II tart II A. To he completed only by Individuals. I hereby declare that (if the statement is correct, mark X in die following…
Part 3 Declaration and Signature If Non-US Beneficiary/Non-US Beneficial Owner is an individual: 1. I hereby certify that for the purposes of taxation I am not a tax resident in any country other than the country/countries…
Part 3 Declaration and Signature If Non-US Beneficiary/Non-US Beneficial Owner is an individual: 1. I hereby certify that for the purposes of taxation I am not a tax resident in any country other than the country/countries…
Part 3 Declaration and Signature If Non-US Beneficiary/Non-US Beneficial Owner is an individual: 1. I hereby certify that for the purposes of taxation I am not a tax resident in any country other than the country/countries…
Part 3 Declaration and Signature If Non-US Beneficiary/Non-US Beneficial Owner is an individual: 1. I hereby certify that for the purposes of taxation I am not a tax resident in any country other than the country/countries…
Part 3 Declaration and Signature If Non-US Beneficiary/Non-US Beneficial Owner is an individual: 1. I hereby certify that for the purposes of taxation I am not a tax resident in any country other than the country/countries…
Part 3 Declaration and Signature If Non-US Beneficiary/Non-US Beneficial Owner is an individual: 1. I hereby certify that for the purposes of taxation I am not a tax resident in any country other than the country/countries…
IV. TAX ELECTION/DECLARATION OF TAX STATUS Please check the box next to the applicable item below. gas Account Agreement Is designed for use by both U.S. Persons and Non-U.S. Persons. …
IV. TAX ELECTION/DECLARATION OF TAX STATUS This Account Agreement is designed for use by both U.S. Persons and Non'U.S. Persons. Please check the box next to the applicable item below. Client certifies that Client will notify…
8453-PE U.S. Partnership Declaration for an IRS e-fiie Return 0 8 No 1545.20%4 Fora I , Fite electronically with the partnership', Mum. Do not file Paper Copes. Egovinant rez Mawr ► n P…
…CASE NO. 09-34791-BKC-RBR 4 IN RE: 5 ROTHSTEIN ROSENFELDT ADLER, P.A., CERTIFIED 6 Debtor. COPY 7 8 9 EXCERPT FROM PROCEEDINGS DECLARATION RE: JOHN H. GENOVESE ON BEHALF OF GENOVESE JOBLOVE & BATTISTA, …
…THAT WISH TO TENDER THEIR SHARES, IN ADDITION TO SUBMITTING INSTRUCTIONS VIA IFA/REOR, MUST COMPLETE AND RETURN A COPY OF THE ISRAELI TAX DECLARATION FORM VIA SERVICE CENTER TO CORPORATE ACTIONS, VOLUNTARY OFFER EXPIRING, INSTRUCTIONS BY PERSHING'S DEADLINE…
MUST WRITE THE ACCOUNT NUMBER ON THE TOP OF THE FORM. INSTRUCTIONS RECEIVED WITHOUT A PROPERLY COMPLETED AND RETURNED TAX DECLARATION FORM WILL BE CONSIDERED NULL AND VOID. A MAILING HAS BEEN MADE TO HOLDERS. IF YOU WISH TO RECEIVE…
… in the position of et 1)05 0 - Opurdium pe dal01- and by reason of my position am authorized and qualified to make this declaration . In my employment with the above-named bank/company …
…to demonstrate that they know their client both at the inception ofa relationship and on an ongoing basis. DECLARATION FOR ALL SIGNERS OF THIS FORM: To the best ofmy knowledge and belief the above information is correct andup to date…
…that they know their client both at the inception ofa relationship and on an ongoing basis. DECLARATION FOR ALL SIGNERS OF THIS FORM: To the best of my knowledge and belief the above Wormation is correct and up to date…
…from Israeli withholding tax obligations, subject to the conditions described below and the submission of non-Israeli residency declarations. The Shares held by Shareholders who do not tender their Shares pursuant to the Offer (including during the Subsequent Offering Period…
…to demonstrate that they know their client both at the inception ofa relationship and on an ongoing basis. DECLARATION FOR ALL SIGNERS OF THIS FORM: To the best ofmy knowledge and belief the above information is correct and up to…
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