Case File
efta-01282042DOJ Data Set 10OtherEFTA01282042
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01282042
Pages
1
Persons
0
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Form W-9
(Flea December 2011)
Dapaimea tithe Treason
ham. Revenue Sena
Request for Taxpayer
Identification Number and Certification
Give Form to the
requester. Do not
send to the IRS.
Print or type
Sete Specific Instmotions on Pact 2.
Name has shown on your beano tax rattan)
Jeffrey E. Epstein
Sanaa nemekrareatreded Cray norm r dflerent from above
Check ebpropriete
0 irdi,kk.v.,k,
•
Listed iablay
El Caw On trabuctionst
box for fadaral tax ciessticaoon.
e
Exempt ayes
wow.,
D C Corporation 0 s Corporation
E paten* 0 Tonuestate
company. Enter the tax citaacelkn (C-C corpOratka S S ccorporation.Pawannerehip)
a
Ill
AddisWeber, stet and apt or s ito no)
6100 Red Hook Quarter B3
Requesters name and address (optional
City.
ZIP code
00902
state. end
St. Biomes, U.S.V.I.
List
NM
scoant ntenbab)
k9t10440
tag
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on the 'Name* fine
to avoid backup withholding. For individuals, this is your social security number (SSN). However, for a
resident alien, sole proprietor, or disregarded entity, see the Part I bonnie-lions on page 3. For other
entities, it is your employer Identification number (am. If you do not have a number, see How to get a
77N an page 3.
Note. if the account is in more than one name, see the chart on page 4 for guidanee on whose
number to enter.
Social @abaft number
Employer Identafication raertte
Part II
Certification
Under penalties of perdulY. I certify that:
1. The number shown on this form Is my correct taxpayer identification number (or I an, waiting for a number to be issued to me). and
2. I an, 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 ern subject to backup withholding as a result of a failure to report all interest or dividend; or (o) the IRS 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).
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you we currently subject to backup withholding
because you have failed to report all Interest and dividends on your tax return. For real estate transaction; hem 2 does not apply. For mortgage
interest paid, acquisition or abandonment of seciared property. cancellation of debt contributions to an individual retirement arrangement (IRA), and
generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the
instructions on page 4.
Sign
&gnawe d
H...
US. person e /
General Instructions
Section references are to the Internal Revenue Code unless otherwise
noted.
Purpose of Form
A person who Is required to file an Information Mum with the IRS must
obtain your correct taxpayer identification number (TIN) to report, for
example, income paid to you, real estate transactions, mortgage interest
you paid, acquisition or abandonment of secured property, cancellation
of debt or antrbutions you made to an IRA.
Use Form W-9 only rf you are a U.S. person (including a resident
alien), to provide your correct TIN to the person requesting it (the
requester) and, when applicable, to:
1. Certify that the TIN you are giving is correct (or you are waiting for a
number to be issued),
2. Certify that you we not subject to backup withholding, or
3. Claim exemption from backup withholding if you are a U.S. exempt
payee. N appicable. you are also certifying that as a U.S. person, your
allocable share of any partnership income from a U.S. trade or business
is not subject to the withholding tax on foreign partners' share of
effectively connected income.
Date a
Note. If a requester gives you a form other than Form W-9 to request
your TIN, you must use the requests?. form Nit is substantially similar
to this Form W4.
Definition of a U.S. person. For federal tax purposes, you are
considered a U.S. person tf you art
• An individual who Is a U.S. citizen or U.S. resident alien.
• A partnership, corporation, company, or association created or
organized in the United States or under the laws of the United States.
• An estate (other than a foreign estate), or
• A domestic trust (as defined in Regulations section 301.7701-7).
Special rules for partnereNps. Partnerships that conduct a trade or
business In the United States are generally required to pay a withholding
tax on any foreign partners' share of income from such business.
Further, in certain cases where a Form W-9 has not been received, a
partnership b required to presume that a partner is a foreign pinion,
and pay the withholding tax. Therefor; If you are a U.S. person that Is a
partner in a partnership conducting a trade or business In the United
States, provide Form W-9 to the partnership to establish your U.S.
statue and avoid withholding on your share of partnership income.
Cat No. 1023IX
CONFIDENTIAL - PURSUANT TO FED. tcyNFIDENTIAL
Form W-9 (Rev. 12.2011)
SDNY_GM_00037294
DI3-SDNY-0000118
EFTA_00 I 47907
EFTA01282042
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View in Artifacts BrowserEmail addresses, URLs, phone numbers, and other technical indicators extracted from this document.
Phone
301.7701Wire Ref
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