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📄 Extracted Text (931 words)
Form W - 9
Request for Taxpayer Give Form to the
(Rev. eottneer2014)
temerity* ot the Treaty Identification Number and Certification requester. Do not
mend Fltreweegenao. send to the IRS.
1 Nan* an shays on your Income tax return). en hl reneed
On Ow. Ira: do eel 'we the we bak
The 2017 catatonic* Trust
ti I Stearn nemaAlanaparded snag Mow. If Wane Otto above
.,., 3 CM* eFOreteOte box for federal tu clasbecaterc Owe only ens el!Meow:w
ale seven boxes: at Serra:en Soden WI Vie to
a O IntIlAdualhole Pewaaaba 01 O C c.w.o., O
sensetuntinter LIS
9 Cement on O ParirenhO Cr r,,,vieww: ;`,..,•"^entat,rner'Llt.
11 O United ludelny Consoarry. Emotes tee tTalasece non (CeC COrpOreilaa. 9 e9 °doorme Emmet wow code Ill sral
n. P•opmenron •
3I Hattie& a tieldromemba AC le; is ouregenhen. docent chedc Eyernolfol from COCA feccnin;
ens etagere:Wien a We neherfemembor eheae• LW:cheek the womovaie box in the hoe Seam is
a. z0 O 0.,- (...i.......i. code Of „y,
.g %WWI iCr4,0n4M.O.V.Peet/5)
m • Atkins evariber, street PIO am. Or ruse rod
1 6100 Red Hook Quarter EQ.
2 • Qty. Nate. arid ZIP code
rictueure AGM* and Sae* Cootit.40
St Thomas 0 .08002
7 List account neneeds) hen tooten(
Lail Taxpayer Identification Number MN)
Enter your TIN in the appropriate box. The nu amigo
must match the name ghee on be 1 to avoid Sec* seaulty renew
backup withhokrang For indMduatt this le gone/oily yen
tdefat security number (SEtha. However, for a
resident Mien. sole proonetor. or disregarded entity, ace the Pert
I instnuctiona on page 3. For other
entitles. it Is your employer identification number (Elul II you do
not mare a number. see How to get a
TW on page 3.
or
Note. I( the account Is In more then one name see me Instructio
ns lee /inland It,. than on page 4 for emerge Identeicatte4 nurfeen
guidelines on whose number to anon
izialeal Certification
Under penalties of palsy. I certify that
I. The number shown on this tome Is my correct taxpayer
idene9CaliOn number (whim waiting fa a number to be issued
to me). and
2. I am not subject to bedwp withholding bedews*: (el I
am exempt from backup uFeaiadglg. a (6) I hey, not been flanked
Service (IRS) Menem magect to backup vinheolding as by the ireernal Revenue
of a failure Mreport ell Intentsi or dvIdends. or (C) the IRS
no tenger sublect 10 backup withholcluig; and has notified me Mat I am
3. I em a U.S. citizen to other U.S. Orden (defined
boAtest and
4. The FATCA coders) entered on nits form (If any)
inceatbg natter, exempt from FATCA reporting IS Correct.
Cerrnication Instructions. You Mutt won out item 2 atter
e f you have been notiged by the IRS MO you
because you hove faded to report all truant end dividend are coirentle abject both* MtheddIng
s on your tot return. For real estate transeCtions. Item
interest paid acquisition or shandionrretra of 2 Wes net Fa MOrtglge
Peeler IV. CanCtillaton el debt, ConlebutIone to on individual retire/owspay. anangsement 0.4 and
generally, payments other than Intent and , gat ere net
instruction on page 3, • to sign the cerlalcea lon. but you 'rat WWI"y ourcarnt TIN. See ITat
Sign Slanetwe a 62) ,
Here IAA Innen In
Oola therl D019
General I nstructlo litter- motes Meese. Keen (MAW, loan neeres),
SCCUO3 reernonces an co the leteffiel Revolva uOna One nolfpfl. • Fenn tent-C transited *ebb
Future Oreelepenents intormaky, about envelope* e Owing Form wiggli
▪ widlonon owned nee we release nn as at vienrein vevi9. er\
• Form 10119-A faeernAtion at ebanoComent OS secure° oilmen.)
Purpose of Form Use Fenn W4 only ir you we a VS. personPinang a inure*
monde your coven TW. alert io
An irowdual or inlay (Form W4 MUMS, wan iStegureo to tar I/you do netmum Form W-10 to 2. requests mime Tut
return Atn the MS neat Obtain your correct wawa icrernicaeonen Abeenefon
to bonito annnabing See needs beet
you ntgrMa• *teer
wen maybe your sachet secunty MnbM CiSh). 'Whetted texparsironixr aim
•Attreation
weerbermor n pap 2.
runtelMN).adaPlleal TANYA adentliCantin bumf:SIM INA d . 3)1St1.0 ay signev the need-out loom. eau:
lidentlbcalhan comber (EDO. ta Men on an ineormallOn Velum vie 1. Cwelly Inn lee TIN you ate gives 46 *Wig Of you", nil";
amount pat to
you. W Olnee *moon; reoCetabte on an AformatiOn return. Exeletake for I numbs.
of Abernethy, to be istionce.
rem it {Ida b1 4/1, ate not Omit W. the Weary 2. Or* that eau we rat 'OAS to backup vfilbnofovq.
• Form 1099-INTIWArost earned a Paid a
Gaits lottotaJfiliCiT OSClusp ogr.O0o1) I you Ate a US.
• Form 109S.DWIdetchavdt. indoelne those Sem Pocks 000101pens. II
or wont Soda VCOCarde . you are ado orukte4) tat n a u.9. person. year Amok two et
• Fenn IONA.= OPOOO‘a renown interne. peters sweet, at roastaw try let arsrm incrie ttOrn • U S. ira0a or ovalness Ic not
eadel twintseStas MA On :wear Prancer Inert of etleatfetwf cavemen now mate
• Fan 3099-8 (Neck or mund fund sates One 41•101at.., cramseelA annals. and
On:Ars) ns by 4. gentry Iten FATCA coding nee on this loon
non* Iron sty FATCA r•Porlifis h correct See Mar 0r and reading net Pin Me
• Form 1C119.5 (proceeds tram roe *stale tialintiO 4 FeTCAMPriliff, On
nl Pea 1to tortNet intreonsect
• done 1099.K (merchen cod and ink, r
rathmet Irenanottemi
Cat fro. 70231X 'gm tai-1) gem new
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0054553
CONFIDENTIAL SDNY GM_00200737
EFTA01364052
ℹ️ Document Details
SHA-256
5491afc59c8125cf0d8cfeb86ae1d2fae008e68e8bacb295f00b0adbc180cdf8
Bates Number
EFTA01364052
Dataset
DataSet-10
Type
document
Pages
1
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