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form Is Stie correct tax idealkason rwreber and (2) mot the Demmer is not Subject to baZkup vaihnoldng either because. (a) it has not been meted by the Internal Revenue Service (IRS) that it is subject ho wevrowing as a remit of failure to repot all interest or corwlarels. or (o) that the IRS has named Ole Depositor that an
eon __,----Ceparatis Tee: Physical (Home) Address' Personal Mair9LAddress: Social Security Number Date Of Binh NallsTeØNumber. Ihshass Teptere Minter. Flip Of Cent Citizen OF. Bursa Fat tarter IlitOfta•Rutater. EmellAddress: Taish~ f Photo Manske:~ Type 8 masher. Iderelkation ~Ike Da El OF
with an updated year-end valuation in January 2019 This 2018 year-end value of your IRA (or the updated value, if applicable) will be furnished to the Internal Revenue Service. December 31 value $58,125.23 Beneficiaries you've named for this account The benef iciaries listed below reflect the information in our records
The cost basis may needto be adusted for return d capital payments in order to detem-ine the ad tnted cost bays for tax (P0Orting purposes. Hddng Minter of shares Purchra pacer Average price per share (S) Client rnvestment (I) DOUBLE LINE TOTAL RETURN FUND irlso_ Symbol: DBLTX Trade date: Ma
ding, Of (b) it has not been notified that it is subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the Internal Revenue Service has notified it that the Depositor is no longer subject to backup withholding. (If the Depositor has in fact been notified by the IRS that it is sub
a SB1062192-F1 31 EFTA01661903 .1.1?Morgan Primary -: For 184 Period 1041/09 le 11/3009 Checks Pal Chock Clete Mine« Pea Airefflt Cho! Minter Dole Pal Amami Clue pesebw. OM PM Amount 2093^ 1t.02 26674 2102^ i iiie 13165 2104^ 11/13 3.52862 2099^ 11/10 1.53905 2103^ 11/
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