Case File
efta-01583683DOJ Data Set 10OtherEFTA01583683
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01583683
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
111PORTAN1 TAX
WOE/NATION
FOREIGN PERSONS
TAX STATUS
O.S. Gillian
ANO
REGIMENT MANS
TAX CIPITIPICATtOU
A *DIMON PERSON SAY NAYS TO COMPLETE IRS FORM VI4SEN OR CORN INSINY
• 'FOREIGN PERSON•
NONRESIDENT ALIEN INDTVICHTAL. A FOREIGN CORPORATION, A FOI1EI
IP. A FOREIGN
TRUST, A FOREIGN ESTATE, ENO ANY OTHER PINION THAT IS NOT AEU S. PINION. IT ALSO INCLUDES A
FOREIGN MANCH OR OFFICE OF AN U.S. FINANCIAL INSTITUTION OS U.S. CLEANING ORGANISATION It TUE
PORTION SOANCH IS • QUALIPIIO eNTERINE0iART.
O
i AM A 10000% PEOSOL THEREFORE. I ACKNOWLEDGE THAT YOU ADVISE NI r0 READ THE IRE Wt
INSTRUCTIONS IINCLOSED IN THIS RACKAGEICAREFuLLY AND THAT I HAVE SEEN ADVISED TO CONSULT
NY TAX ADVISOR. Please sign and return the attached
torm(s)
IF I HAVE NOT CHECKED THE FOREIGN PERSONS TAX STATUS BOX ABOVE.
PENALTIES OF MUER., I CERTIFY, As THE ACCOWITITOLDEIL SIGNING MOVE, THAT (II Till
Nuellilh SHOWN ON THIS •POLTCATIOM Is NY CORRECT %
IDENTIFICATION
(ON I AN
WAITING FOR A POLNISER TO SE invite TO Olt AND (1) TWAT I AO NOT SUSJECT TO SACK UP
wmoroLonto SICAUSE:
AV EXEUNT IRON SACKER WiTENDLOING, 00 WI NAVE NOT HEN NOTIONIO
S Y THE 1
SERVICE (NM THAT 1 AN SuilltCT TO SACK•VP WITHHOLDING Al A RESULT
Or A PAILURI TO MONT ALL INTER/St AND OlvIDENOS. 04 ICI THE IRS HAS NOTIFIED ME THAT IAN NO
imam SUBJECT TO BACKUP wITEN0LEHRG. AND pit I AN A U.S. PERSON oNCLVDINO A U.S. RESIDENT
ALIEN).
THAT IF I NAVE SEEN NOTIFIED ST THE IRS THAT 1 AN SUGJECT TO SACK-VP WITHHOLDING
Al A RESULT OF DIVIDEND OR I
UMDENRE►OPTING. AND I HAVE NOT RECEIVED A NOTICE IRON
THE IRS *OVIEDO NE THAT LEMUR WITHHOLDING IS TERMINATED. I MUST !MICROS CROSS ONT THE
INPORNATION CONTAINED IN ITEM I III TR. PREVIOUS PARAGRAPH T PHI IRS 0045 NOT RIOVINI
CONSENT TO ANY PROVISION Or THIS DOCUMENT OTHER THAN THE CINTIFICA TIDY REoNIRED TO AVOID
SACK UP vorrnot0nos.
•LILTEC) LIABILITY COMPANIES ONLY • FOR PICIERAL IAA PURPOSES IF THE IMMO
HAVE CHOSEN TO
It CLASSIFIED AS AN ASSOCiATiON TAXABLE Al A CORPO4ATiCili YOU Oust CHECK THE SOX TO THE LEFT
Ow THE NORM EXEMPT TO St
P105 BACKUP wiTHKOLDiNG ON I
AND oustOINO
OTHININISE, 1Nt CLASSIFICATION WILL SE DEFAULTED TO A
P OR Al A MOLE
OWNER DISREGARDED Al AN Win
I400 ITS OWNER.
ICLASIOFIED AS AN ASSOCIATION
Al A
ONT.
SIGN HERE rg>
ALL ACCOUNT
TIER ARE REQUIRED TO SIGN BELOW'
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Confidential Treatment Requested by JPMorgan Chase
JPM-SDNY-00063392
EFTA01583683
Technical Artifacts (3)
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SWIFT/BIC
ASSOCIATIONSWIFT/BIC
DISREGARDEDSWIFT/BIC
ICLASIOFIEDForum Discussions
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