4
Shared Docs
4
Same-Page
4 / 4
Mentions
ral Tax ID number is: TIN#: ( Company mailing address is: 57 Royce Road Newton MA 02459 I understand that this certification may be disclosed to the Internal Revenue Service by the transferee and that any false statement I have made herein could be punished by fine, imprisonment, or both. Under penalties of perjury, I
of other property or services you received or will receive. See Box 4. Box 3. Shows the address or legal description of the property transferred. Box 4. If marked, shows that you received or will receive services or property (other than cash or notes) as part of the consideration for the property tr
. The company Federal Tax ID number is: TIN#: Company mailing address is: Newton MA 02459 I understand that this certification may be disclosed to the Internal Revenue Service by the transferee and that any false statement I have made herein could be punished by fine, imprisonment, or both. Under penalties of perjury, I
of other property or services you received or will receive. See Box 4. Box 3. Shows the address or legal description of the property transferred. Box 4. If marked, shows that you received or will receive services or property (other than cash or notes) as part of the consideration for the property tr
2 3,967.22 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 This Is Important tax information and is being furnished to the Internal Revenue Service. II you are required to file a return, a negligence penalty or other sanction may be imposed on you it this income is taxable and the IRS determines
or loss when you sell your stock. But if you get back all your cost (or other basis). report future distributions as capital gains. See Pub. 550. Box 4. Shows backup withholding. A payer must backup withhold on certain payments if you did not give your TIN to the payer. See Form W-9. Request for Tax
State Tax Withheld $ 0.00 Amount Total 932.41 0.00 0.00 0.00 0.00 0.00 0.00 This Is important tax Information and Is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction may be imposed on you If this income is taxable and the IRS determines
his may or may not alt be taxable. See Pub. 550. This interest is exempt from state and local income taxes. This interest is not included in box 1. Box 4. Shows backup withholding. Generally. a payer must backup withhold if you did not furnish your taxpayer idenlification number (TIN) or you did not
Entities connected to both the Internal Revenue Service and Box 4

Jeffrey Epstein
PERSON
George W. Bush
PERSON
Samantha Power
PERSON
Lesley Groff
PERSON
Prince Charles
PERSON
Martha Stewart
PERSON
New Hampshire
LOCATIONFILER
ORGANIZATIONBox 5
ORGANIZATIONDepartment of the Treasury-Internal Revenue Service
ORGANIZATIONBradford
LOCATIONBox la
LOCATIONFiler
PERSONNew London
LOCATIONMerrimack State
LOCATIONBradford County
LOCATIONSTEWART TITLE GUARANTY
ORGANIZATIONFederal Tax ID
ORGANIZATIONRealtor
ORGANIZATIONRichard Yospin
PERSON