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efta-efta01298004DOJ Data Set 10Correspondence

EFTA Document EFTA01298004

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efta-efta01298004
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EFTA Disclosure
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Form W-9 (Rev. December 20t1) Deena or me Treasury internal Parvenus Sank* Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. Print or type See Specific Instructions on page 2. N Check appropriate box for Were tax • cation: 2 Irdreiduairsole proprietor O C Corporation O s Corporation O Partnership O Tnavestate tensed liability company. Enter itie tax classification (C-C OCOPOlatiOn. S•S corporation Pipettes:add to O Other (see instructiora)e (optional) ti Exempt payee Address (number, street and opt. es W 3 0 i b ) te{ , 4 8 Requester's name and address 6 1151 Gay suds. and ZP code ,.. 11,?.././ }1,01. Ai,/ 1006C list acorns numbehn here (ootionai) Part I Taxpayer Identification Number (TIN) Enter your flu in the appropriate box. The TIN provided must match the name elven on the 'Name Me to avoid backup withholding. For individuals, this Is your social security number (SSN). However. for a resident alien, sot° proprietor, or disregarded entity. see the Part I instructions on page 3. For other entities, it is your employer identification number (EIN). If you do not have a nurnber, see How to get a TIN on page 3. Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose number to enter. Employer Identification number CZEL— Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my coned taxpayer identification number (or I am waiting for a number to be issued to me), and 2. I am 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 am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that 1 am no longer subject to backup withholding. and 3. I am a V.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 are currently subject to backup withholding because you have failed to resert all interest and dridendS on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured orooertv. cancellation of debt. contributions to an Individual retirement strantgarnant ORAN and generally, payments oth certification, but you must provide your correct TIN. Seethe Instructions on doe 4. Sign &gnaw* of Here U.S. person Os I. 114 7;2,1203 General Instrua Section references are to iltr4iternal Revenue Code unless otherwise noted. Purpose of Form A person who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) to rePart, for example, income paid to you, real estate transaction*, mortgage interest you paid, acquisition or abandon:n:0 of secured property, cancellation of debt. or contributions you made to an IRA. Use Form W-9 only if you are a U.S. person anokiding 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 Id you are waiting for a number to be issued). 2. Certify that you are not subject to backup withholding, or 3. Claim exemption from backup withholding if you are a U.S. exempt payee. If appecade, you aro also certifying that as a U.S. penon, your allocable sham of any partnership Income from a U.S. trade or business is not subject to the wahhoid ng tax on foreign partners' share of effectively connected income. requester gives you a form other than Form W-9 to request your TIN, you must use the requester's form if It Is substantlay similar to this Form W-9. Definition of a 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 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 partnerships. 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 is required to presume that a partner is a foreign person, and pay the withholding tax. Therefore, if you are a U.S. person that is a partner in a partnership conducting a trade or business in the United Slates. provide Form W-9 to the partnership to establish your U.S. status and avoid withholding on your share of partnership income. Cat No.1023tX Farr, W-9 (Rev. 12-2011) SONY_Gfil_00061771 CONFIDENTIAL - PURSUANT TO FED. R.QP AKE I DENTIAL DB-SDNY-0024596 EFTA_00172283 EFTA01298004

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