Case File
efta-01392984DOJ Data Set 10OtherEFTA01392984
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01392984
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
Corn W-9
(Rew. Dann 2011)
Othassental tee hewn
mime Rear Seem
Request for Taxpayer
Identification Number and Certification
Give Form to the
reclUeSter. Do not
sand to the IRS.
ni
•
c oweiraseroprieta
a
ii 1
I
2
(75
*we us mown on yew num* Ia* sauna
Southern Trust Company. Inc.
awns faeletart9iRled ratty an x dikeent born aeon
Southern Financial LLC
ear ler felony to elleallkeeas
0
trielvkfueesalectoprielior
0 C Corporation
CI 6 Careoreat
0
Pannerahlp 0
Tnietheitate
...„ tread Hatay company Enterer*. ciessifatiat (C.0 caporeflon.S•8 eavaretket Peeetherekleill
n
-
0
Othir two ristnycloris)•
0 Exempt eaves
Mows Krebs% stem and apt a ails no.)
6100 Red Hoak Quarter B3
Requests?. name anit worms lomat*
City. stet aid ZIP ewe
St. Themes, USV1 00802
tat account ntenbenq has emtionali
Pawl I
Taxpayer Identification Number (TIN)
Enter your TINin the speroatate box. The TIN provided must match the name given on Me *Name" line
foamed backup withholding. For individuals, this rs your wide security number (SW). However. for a
resident alien, sole proprietor, or disregarded entity, sae the Part I nstructions on page 3. For other
entitles, h Is your employer identification (lumbar (El N) If you do rot have a number, see How to get a
7W on page 3.
Note. If the account is in more than one name. see the child on page 4 for guidelines on whose
number to enter.
Sods seoarity nun*.
Employer Moneareeen mate
Part
Certification
Under penalties at perjury, I caddy that:
1. The number shown on this form is my correct taxpayer identification number (atom waiting fore number to be issued to me), and
2. I em not subject to backup withhclang because: (attain exempt from backup withholding, or (b) I have not been Waded by the Internal Revenue
Service gRS) that I ern subject to backup withholding as a result or a failure to report WO intreeSt or dividends, or (e)the IRS Pas notified me Malian
no laver sublect to backup withholding. and
3. I am a U.S. citizen or other U.S. person (defined below).
Certification Insboctions. You must aces out item 2 above if you have been notified by the IRS that you are Currenty stbjea to backup withholding
because you have failed Is report al Interest and divide*. on your tax return. For real estate transactions. item 2 does not apply. For mortgage
Merest paid. acquisition or attandonment
secured property. cancellation of debt, contributions to an individeal retirement arrangement gRA), and
generally. payments other then Interest and (vidands, you we not t.Nuisscl to Elio the eereSeeeen• but you must Provide your correct 11N. Seethe
instructions on page 4.
Sign
teener/es
Here
us. penal te
General Instructions
Section references we to the Internet Revenue
noted.
Purpose of Form
A person who Is requIred to Me w information return with the IRS must
obtain your correct lax payer Identification number fr1/4) to report, 'er
example, income paid to you, real estate transactions, mortgage interest
you paid. acquisition a abandonment of secured property. cancellation
debt. or contributions you made to an IRA.
Use Form W4 only if yoo are a U.S. person (Ini:axing a resident
alien). to prodde your correct TIN to the person requesting It (the
requester) and, when applicable. to:
1. Certify that the TIN you we giving is correct (or you are waiting for a
number to be Issued),
2. unify that you we not subject to backup withholding. or
3. Claim exemption from backup withholding if you ere a US. exempt
payee. If applicable, you are also certifying thet ass U.S. person. your
allocable share of any partnership Income Iron, a U.S. trade or business
Is not sablect to the withholding tax on foreign partners' Share of
effectively coonested fccOMO.
ono. 1-a-13
Not. If a requester gives you a form Other than Form W-9 to request
yew TIN, you must use the requester's kern If It is substandelly slinSer
to this Form W4.
Definition of a US. parson. For fader* tax parpoSat you are
Considered e U.S. person if you we:
• An individual who is • U.S. eitten or U.S. resident teen,
• A partnership. corporation, company, or association created or
organized In the United States or under the laws of the United States.
• An estate (other then a Imago aerate), or
• A domestic trust (as defined in Regulations section 301.77(H-7).
Special rules for partnerships. Partnerships that conduct a tied* or
business In the United States Ste generally required to pay a we nhowng
tax on any foreign partners' share of InoOme from such business.
Further, in certain cases where a Form W9 has not been received, a
partnership is required to presume that a partner is a foreign person.
and pay d*withhokling tax. Therefore)" you area U.S. person that is a
partner in a partnereNp conducting a trade or business In the United
•• Stales, provide Form W-9 to the partnership to estabish your U.S.
status and avoid withhotding on your amain of partnership Income.
Can so. tellie
Fenn W-9 (Rey. 12.2011)
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0098324
CONFIDENTIAL
SDNY_GM_00244508
EFTA01392984
Technical Artifacts (1)
View in Artifacts BrowserEmail addresses, URLs, phone numbers, and other technical indicators extracted from this document.
Wire Ref
referencesForum Discussions
This document was digitized, indexed, and cross-referenced with 1,400+ persons in the Epstein files. 100% free, ad-free, and independent.
Annotations powered by Hypothesis. Select any text on this page to annotate or highlight it.