Case File
efta-02299171DOJ Data Set 11OtherEFTA02299171
Date
Unknown
Source
DOJ Data Set 11
Reference
efta-02299171
Pages
2
Persons
0
Integrity
Extracted Text (OCR)
EFTA DisclosureText extracted via OCR from the original document. May contain errors from the scanning process.
I
W-9
(Rey-arum% Mr)
In/km(00
be Tri•Nr•
an
Ow". sou
~Peat for Taxpayer
Identification Number and Certification
Obi Farm» thea
nearatatear. De net
and re the PD.
tl
1:hiCh 100rOVIDIC bar Vim
hi
tax
5 cie~once nisagai
ine.al•re,
renew
k I
if
3 c cncercn
. , SCAromiarr
F. rwinnno 7
C
i ~.3
remy =ma,
Crew Tram ~slim.
:-.:0c0bwailC0.5:410:•••••••• o•pertninholl •
C
Net mil:v.:cost►
Pan
ntairral•
C lama Myam
Ibsen
• nine pra•lrem• ..Pisa
Taxpayof IdonOlitation MUSS (TIN]
Foie "'Ls TN in 11.• erss~ts
Do. 'no Boo orcroded omol mirth 'h. "erne tow Goyim lookropv re".
••1\1/1"
10 •-ad Ur -4w yaYOlefg co! ~wham PM
gamy iimairity hints 1,94).
b•
~Sell
ON" a.* prarerar. ar dginglreled el"
we we Pan ~web" on cap 7 tor olhSr
onoTa, It II e.).JI •floioya. arelbraironambut It01.. e nu do not ria,•• a tongs It
wow 2D gpig g
!St ta pop,
klala, R it. metro me In MN* IN, ;no
••• Ca Owl on 0004 fop tru0IL-« or *tog.
"IrlY
lo •Mge.
EZIE=reglicatIon
um* poNtrao or ~In'. WI" Tit
I tha ehletta •IlDan sn inrs forn. • nly Oon•erl•µ'a'yY caln•Fitarkin ?goober
arr Gem. str a mower lo Os Mama lo InA, altd
2 Ism re« tuttlirl
Obakia, airittiOng ~4444
Men
*flit
horn hula* sdilltedeSna ar bl l 'moon« bean ~Aid In Ts lolernal Amon»
Sorr-24 445: tH. örn 'Mulct ro ~KS 'r~r0;1 In ••ir 4f • tan
1C ‘con at intratt Jr alireencla. ot :cl Ito Ill •••• not••••••• If& I am
no banger sulk•CI to Oats." •trOne24rfra .10
3
an • V 3 «WY Ot tots U.S «non •oulroo [Mogul
Celelkållon Inalndaen. •<••• PreLal eeoµaul Rim. 2 above., rag. reena eel reoulid tr. Co IRS Pal 'ea, IN CNanlly WOMCI b batiodo wiritor•IfiD
b4c.1,411 yarrgolleel4K1 lo r•porl a> Mora 4/10 71• 107•ne. cm >goo tax inn
For ,MI airs liareuryv.
44rnj doe fen wok. fbr rrgrt9.0►
wine
paid •41O•StOn 0< Synomrent O• wend ProO•Oh.. contlialew eeel deal contiOn$
/0 an revandi ramermerm nyorream
and
ganwret,. pitorantik 01
54ta
instoccOn$ ion me 4
Sign
Hem
I
I
I
Monona Inatru
Steen Morn
se. ar• to did
%spina Coo, nms, 01~
101•0
Purpose of Form
A POW' era n rarind Ib eta an ~Kan
firl" *lb ear IRS erson
°blurb Ow :707•G1 tarPtear
nurnte .71NI 10 realit Iv
«wog.
irogrl• peg t0 .o.. rill
trallhef tot rwilrjepo leftward
you Pod. ac pall Ion 4/ aniSnrilm
of
.air
arle•hrin
01 0•12 Or co~cr•
YOL woo 10 an IRA
Lk* sar.. IN 4 ON)
~as
• 1. S person iInCholtin
~den`
So onswa• yO4 Caned flN b de yrron rwarallrg *yew
niCsani,i
*Mr, «pleat itc.
1. Gerdy tsal the
NiSio an ;ern la conC1 (Or Nu pi• erns ror a
ntrAggl• KO 01 NUS.
2. CatIty trd yo.•
ele1 barer 53 backup ~OM.
:I
2. twin Nina«,
green ealtyp anntanilna IF 0:ro or* ...5 roiwripl
pays il applabit
an shoo cartiVing 74Il
e V.S. ~ION 14../
*loom* gran of sch, putnyPip ;mains Sri ■ U S !redo DI baffle«
lit% 141019e tc Ito olthroarlino !s. on low panners' nib of
~Sy
Cline4(100 n0C1111.
raCiar
YO•ir '14‘ ear mat age OW MikkarS IOW .05 SIVIIMIA11910,
ta Ta rpm. 10/.9
0•111•3•41 ra V.1..~.
for nu
to. Durposm
consider« a U.S. won
å mu are
• As. Naha*
am»
• U 5 calls•••• V 5 eggeteg aggn
• A ~la
cOlppp11Oa. COMNIgly. Of amompoon coded or
°Wiled
r tM Unshed SUM* Or utder rea *flume unread Srine,
• an aitlala atlas ewe e baler smoree•
• et dexenten trUst al.4"11.7 It %%Ithaca. ipacoe 54:II :701- n
op.~ Mn sr ~ins
Partnitilmps alln corcluct • Yak 0/
INA/MI tri tie tined 51teal an goner^ requNIC 10 Itai • •le• 10• 20.9
len en any tOrtign pennon. MIrr1 a nel,"• 7-00, s.enbollrells
Flab«. In WOW can ~re
a• own W • has nor bp*" rflai wn
0frtminnra • maid
to preporn• Cal a Oallsar • • taw iron,
ano Day Pit allrlbatirg tan NM«,
rau an
*non~ la e
planar Pr a Pennon.lp corclucl4 “r4040, Charon IC Ms Untold
Stain. Poo0ma Polo W-9 to We parlrersre ip ~Won ~rut
GUNS IIV teceld weirtraidend On Our Vier• af weranhe exert
•:d.
.424•7
~NW »9 %He..
w1•,
EFTA_R1_01164005
EFTA02299171
Pape
REOUEIT FOR TAXPAYER ID NURSER AND CERTIFICATION on
CtellStalfort df Taspagor ID Nontms d Kw Ana ram or Honor%
Otta/nese name illsieseded Mae name. If errant hem fl oe
8.0e0IMES Rea MP MRS IAA Itleselkasser Hiquiretg
remear$00 P•oorolor
Co'poiton Ds:conga,
K Parpoesrut J "Lain*
0 Limos.) NOR) croany Era/ re Ur Caler5C0C0'
Ceeparetcn
5.5 Cirocosses. PLAattraressil
K E wires Filyes
PART t: TAXPAYER ICENRFICATION NUMBER rerun
•
YAIT
IM PORrWl•tall
rer INANALANR Irv.. you. *oval
..runty ft/NW Fa ere. ewe. t R pi ernMoyer dienefiramor
flJnbe. R you art e Toroisa p.na'. it
do root tompioto Oil
Ism Mind
•
AereernerP
*acid lecurily
lepers, ID f
(Fei Usti
Or
PAK 2: EERTIFICAT)00.
UNDER PENALTIES OF PERJURY. I CERTIFY THAT;
•
TIE Pa,S4
R 3•15NYN 410Vt 5 W CORRECT
/RAPA4ER
ICENTIFICATIONAAJMER AND
AM rdC't suUTCI
41AC•UP AM THIN:LOIN° 5CCAVit
F ifseFT FISOW RACAJPNITT4nOLOIhG OR U,1 .AVE NOT BEEN NO1no
Br THE IN,R, ML. REVENUE SERVIM ORS. T1-0' • AM SUBJECT TO
ba;KUR •NITHICLC.P.P3 AS A **SIR' OP A MILO* TO eft
ALL
reENTS' ANC D".'Otwos ce .ci nit Rs ..AS NO".41) ME THAI AN
1.0 ..ORCERSulLEcy TV
el Aaktp
AND
3
AMA US CITIZEN OR OteRR J5 P51.501\ 111 omits s• nie
'vs r ROC 'OM ON .R5 'AM We.
ONTHRAGOK IRSTPU5SPI: 'CU moll croft oat Nen 2 EXIVII
▪
0•41
00 by 'M IRS Ma *Feu ore nrertif outwit '0 jegligo
or•ric•OnT booe.so yod tifnet it Jed Io refort al weirs, SW (WORMS
OP vet, 'art retire
etc cocLosvaEla Maki
caa
a as
SIORQstES POIJCY TO PROTECT THE CONFIDENTIALITY
MONAD' INFORMATION HOINEVPJIL THE LAW REQUIRES
•
. UPON AN ISSUER'S REQUEST, TO PROVIDE 1NE
ES.
SOORESIES
AND
srcuRrnEs
poRMONS
OF
TOWERS s000 AM RENEWERS OWNERS OF THE
MON STOCK AND WHO HAVE NOT OBJECTED TO
LOISURE OF 114,101 PMFORsuMOu
BY INITUWNG THE
SECTION. YOU 00 NOT WANT INTORMATION ABOUT YOU OR
YOUR IIECURMES HOLDINGS DISCLOSED TO ANT ISSUERS.
..X44.0
dnd
I
Cool
BY SIGNING TMS AGIOEMEITT, YOU ACKNOWLEOGE THAT.
1
`POO HAVE RECEIVED A COPY OF
HAVE READ Tilt
MALE SENT AND AGREE TO ITS TOM MD CONDITIONS:
Z.
SECUTOTIE3 IS YOUR MARGIN ACCOUNT'S) AND ANY
SKUINTTEM FOR WhiCH YOU HAVE NOT FULLY PAM.
TOGETHER MTh ALL ATTENDANT OWNERSHIP RIGHTS, MAY
BE UsEO BY THE CLEARING AGENT GROUP OR 501.0 OR
PLEDOE0 TO THE CLEARING AGENT GROUP OR TO OTHERS:
3.
TIC
AcatemigNy
CONTAINS A lollE.DIIPLITE
AARITRATION CLAUSE AT
SECTION IT. PROF 1, OF
TIRO AGREEMENT
4.
THE
IRS
DOES
NOT
REQUIRE YOUR CONSENT TO
ANY
PROVISION
OF
THIS
0000400 OTHER IMAM THE
Cern' PucATiom REQUIRED TO
AVOID BACKUP WITHHOLDING.
Alk
X
Sr Fiore
j.1yPOCI Or 'Hinted Nome;
(11.. if 4PPlicat44:
•
1.7C •I 'nem
QC
EFTA_R1_01164006
EFTA02299172
Forum 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.