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ntity identified on line 1 of this form. Faint W-8 B E N-E Rev. 4-2016) DOC ID - 26358443.8 36 EFTA00604503 Forn,W-81MY (Rev. September 2016) Department of the Treazuy Internal Revenue Service Do not use this form for: Instead, use Form • A beneficial owner solely claiming foreign status a treaty benefits W-SB
ed with the conduct of a trade or business in the United States 8ECI Certificate of Foreign Intermediary, Foreign Flow-Through Entity, or Certain U.S. Branches for United States Tax Withholding and Reporting ► Section references are to the Internal Revenue Code. ► Information about Form W-8IMY and its sepa
entation for the persons for whom it receives a payment: and • Has provided or will provide a withholding statement. as required. Part VI Certain U.S. Branches 17a K I certify that the entity identified in Part I is receiving payments that are not effectively connected with the conduct of a trade or busines
e Forms 480, foe tax reporting information it is the practice of UBS to file the acoticatie tac reponing forms with tne US !memo Revenue Service and PR Treasury Department and in such loans accuratsy classify tbsciends arcIrcr Interest as t& eetrept or 'arab* imeme. neat (Gram your inagdual tax preparer. November 201
credit line, short account Dawes. • Cash/money balances. Total of uninvested avalabie cash balances, olds deprave balances a UBS Bank USA, UBS AG U.S. Branches ad nxcey ma'am mutual fad sweep balances. at the cbse of the statement prod Non.corrmoclity free ova balmen in you accost are not sorrowed from ot
the Forms 480, for lax reporting information his the practice of UBS to file the appirade tar reporting forms vdth the US uatern3 Revenue sentce and PR neasury Department and in such forms accurately (Ussery cindena, and' Cr Infect% a1 tar egrrpt or tenable axone Please corsuk your insistdual tax preparer. April 201
ns, credit line, shin account Dances. • Cashlmoney balances. Total of uninweted avalabb cash balances, PM deposit balances at UBS Bank USA, UBS AG U.S. Branches and money makes mutual find sweep balances. at the cbse of the starerrem period Non-commoclity free crock balthors in you. meant are not sevegved
Farm 480, for tar reporting information It is the practice of UBS to file the 4301}CaUe lag reporting forms With the US internal Revenue Senate and PR Treasury Department. and in such forms accurately classify diadem:1s andicr interest as tar cerrpt or tack.* income. Ileac consult yap inchrclual Its preparer. Octobe
loans, credit line, chat account Dances. • Cash/money balances. Total of uninned anon cash balances, otis dep7at balances as UB5 Bank USA, UBS AG U.S. Branches ad nxrey motet intuit fired sweep balances, as the cbse of the steerrem period Non.commeclity froe creek balances in you. =ant MY not sevegvad fro
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