EFTA Document EFTA01583683

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' CD St ire hitt:min* ) Due Ofb leftti €131$ fitaideitt Phil PLeemliiP 61);Shenet fl ab3b41.410.2- ® lob D2e ann Hanel No Knay beaa_ , Seacirto ntt I VottTate e IAANNeSAtametkederl Case Spas leuedcand leueentoUa) aft Pow NareTale Depalt &Veen Art we 014algan Oak Mane NA of Minx, Tent Company. NA a (hut Btu GSA, O A 841 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00063392 EFTA01583683