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efta-01583282DOJ Data Set 10Other

EFTA01583282

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efta-01583282
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EFTA Disclosure
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Form W-9 IFtev. Decerster 201e Depannwe or the T Firrenu•S ruer! Inane vica Request for Taxpayer identification Number and Certification Give Form to the requester. Do net send to the IRS. tame iss shoe, en your Income tax tarn) csi i isuaimeei noarewasnigarded tray name, I T een Iran /MOW i ) us afripswy -Mc. ' b I 0 Check epoteenne box for retest cassiticsien 0 weelouatisoie °Medea Id C Corporation 0 5 Corperedon 0 Partners,* 0 Trust/estate 0 LOWSliebety company. Enter the tax ciasseication (C-C art:aeon S4 corocrsticn. naPumorshin) 8 Other (see instructions), 0 Exempt payee "S ra tinti ner Repave, I gra ri 6404 .6 &3 WS name ancl acidess (Cap nall end lend* Cal. ST littiMAS u5vi o%oa tel eccomI earnests) here loptlocute la taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN prodded root match the name given en the 'Name kne Social security number to avoid be:kuP Withhehing. For Individuals, this le your social security number (SSN) However. feta resident seen. sole proprielct. Or disregarded entity. see the Part I instructions on page 3 For other entities, It is your emPlOyer identification number OW If you do not have a number. see Now ro der a "'— - - TIN on page 3. Note. If the account b in more than one name, see the chart on page 4 for gurderines on whose number to enter. I Envoys, ittentleartion number Lelilll Certification Under penalties of perjury. I certify that: I. The number shown on tNt form is my correct taxpayer identification number (Or I am walling forfora numbs to be issued to me). and 2. I am not subject to backup withholding because: (a) I am exempt from backup vnthholding. Or 0)1 have not been notified by the internal Revenue Service ORS) that I ant subject to backup withhOlding as a result of a failure to report as Interest or ("Trident's. or (c) the IRS has nailed me that tam 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 I item 2 above if you have been notified because you have fated to report dividends on your taA interest paid. acquisition or aba lid pr generally. payments other era instructions on page a. Sign Here 719 8 6 Signature of U.S. persona General Instructions Section references are to the Internal Revenue Code fl oss Othenvlse noted. Purpose of Form A posy. who Is required to fin an information return with the IRS must obtain your correct taxpayer Identification number (TIN) to report. lor example, Income paid to you, real estate transactions, mortgage Interest you paid, acquisition or abandonment of secured property. cancellation of debt or contributons you made to an IRA Use Form W-9 only a you We 8 U.S. person (Including a resident alien), to provide your correct TIN to the person requesting It (the requester) and, when applitable. to: 1. Certify that the 11N you are giving Is coned (or you are waiting for a number to bo issued). 2. Certify that you are not subject to backup withholding or 3. palm exemption from backup withhOlding If you are a U.S. exempt payee. II applicable, you are also certifying that as a U.S. person. your allocable share d any Partnersh0 Won.* from a U.S. trade or btninesS is not subject to the withholding ax on foreign pinnate' share of effecthey connected Income. that you are currently subject to backup velbflaklina estate transactions. item 2 does not apply. For mortgage debt. contributions to an Individual retirement arrangement (IRA), and certification, but you must provide your correct TIN. See the Note. If a requester gives you a term other than Form W-9 to request your TIN, you must use the requester's lam if it is substantially similar to flit Form W-9. Definition of e U.S. person. For federal tax purposes. you are considered a U.S. person If you we: • An individual who is a U.S. citizen or V.S. resident alien, • A partnership. corporation. company, or association crested or organized in the United Stales or under the laws of the United States. • An estate (other than a foreign estate). or • A domestic trust (as defined In Reputations section 301.7701.7). Special rules for partnerships. Partnerships that conduct a trade or business n the United States are perversity required to pay a withholding lax on any foreign partners' share of income from such business. Further. In certain cases wham a Form W-9 has nd been received. a partnership * required to presume that a partner is a foreign person, end pay the withholding tax. Therefore, if you ere 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. status and odd wifhtfoloIng on your shwa of partnership Income. Cat. No. 10231% Form W-9 (Rai. t2.2011) Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00062923 EFTA01583282

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