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(3) Its Delscalti d a U.S emity. (Goa Out subpart Val if it is not true. N Statement 3 is not true. cross out and complete an apprepliste Rem V&S) The Internal Revenue Service does not require your consent to any provision of this document other than the Certification required to avoid I backup withholding. Date n 5. In
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SI O • MAG-PRM 97 O 1099-0 01 O 1099-R 98 O 100.0 75 O 049E OA O 6408-EfIn 72 O 6491-m5A Sr • 969 Return this entire page to the Internal Revenue Service. Photocopies ere not acceptable. Under penalties of penury, I dooltro that I have examined the return end accompanying docUmarda, end, to Ihn ban o1
ium products to a tenor McGlone for wale i• &APAR, or In Sou 04 Stet or Nast 10 Crop !neurone* proceeds 2nd TIN not. 13 Mose golden pereehute Maass 15b Sidon 400A Income 6 14 Gloat proceeds paid to in attorney $ 17 Eltele/Payor's Butte N. For Privacy A and Paperwo Reduction A Notice, se
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
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