📄 Extracted Text (863 words)
,,,,,, W-9
(Rev Decreer 20I1)
Request for Taxpayer Give Form to the
requester. Do not
Ooperwd ol the Tremor Identification Number and Certification send to the IRS.
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Name (r slam o yrxr Income lax retwM
Jeffrey E. Epstein
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6100 Red HOC* GUIrterr B3
t City. stale. or ZIP code
aS St. Thermal, U.S.V.I. 00802
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Para I Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on the *Herne* INS Seder security
to avoid backup withholding. For individuals, this is your social security number (SSN). However, for a
resident alien, ea* proprietor, or disregarded entity, ea the Part I instructions on page 3. For other
entities, it is your employer Identification number (EIN). If you do not have a number, see How to get a
TIN on page 3.
Note. if the account is in more than one name, see the chart on page 4 for guidelines on whose Employer lemberbon number
number to enter.
Clifin Certification
Under penalties of perjury, I certify that:
1. The number shown an this form is my correct taxpayer identification number (or I am waiting to a number to be *sued to me), and
2. lam not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
Service (IRS) that I am subject to backup withholding as a result of a faiure to report all interest or drvklends or (o) the RS has notified me that I an,
no longer subject to backup withholding, and
3. I am a U.S. citizen or other U.S. person (defined below).
Calf cation instructions. You must cross out item 2 above If you have been notified by the IRS that you we current/ subject to backup withholding
because you have failed to report all Internet and dividends on your tax return. For real estate transactions, item 2 dose not apply. For mortgage
interest paid, acquisition or abandontent of securgproperty, cancellation of debt. contributions to an individual retirement arrangement (IRA), and
generally, payments other then interest and divides, you are not requked to sign the certification, but you must provide your cornet TIN. See the
instructions on page 4.
Sign remetur of
Here U.S. person e Dale e
General Instructions Note. If a requester gives you a form other then Fonn W-9 to request
your TIN, you must use the requester's tarn If it a substantially similar
Section references are to the Internal Revenue Code unless othe se to this Form W-9.
noted.
Dellnkion of a U.S. person. For federal tax PUrPosons you are
Purpose of Form ooneidered a U.S. person d you we:
A person who is required to file an information return with the IRS must • An inervidual who is a U.S. citizen or U.S. resident
obtain your correct taxpayer identification number (TIN) to report, for • A partnership, corporation, company, or association created or
wean** income paid to you, real estate transactions, mortgage Interest organized in the United States or under the laws of the United States.
you paid, acquisition or abandonment of secured property. cancellation • An estate (other than a foreign estate), or
of debt, or contributions you made to an IRA
• A domestic Matt (as defined in Regulations section 301.7701-7).
Use Form W-9 only W you are a U.S. carbon (nduding a resident
alien), to provide your correct TIN to the person requesting it (the Special Min for partnerships. Partnerships that conduct a trade or
requester) and, when applicable, to business In the United States are generally required to pay a wkhholding
tax on any foreign partners' share of income from such business.
1. Certify that the TIN you we giving is correct (or you are waiting for a Further, in certain cases where a Form W-9 has not been received, a
number to be issued). partnership is required to presume that a partner is a foreign person.
2. Certify that you we not subject to backup withholding, or and pay the withholding tax. Therefore, if you we a U.S. person that Is a
3. Claim exemption from backup withholding If you we a U.S. exempt partner in a partnership conducting a trade or business in the United
payee if applicable, you are also certifying that as a U.S. person, your States, provide Form W-9 to the partnership to establish your U.S.
alkcable share of any partriership income from a U.S. trade or business status and avoid withholding on your share of partnership Some
is not subject to the withholding tax on foreign partners' share of
effectively connected inoome.
Cat. No. 10231)( Fan) W-9 (Res 12-2011)
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(0). DB-SONY-0000116
USAO_001082
EFTA_00018992
EFTA00168739
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EFTA00168739
Dataset
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