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issued to me). and 2. I am not subject to backup withhdding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue SONIC. (RS) that I ern subject to backup withholding's& mutt of to report all interest or dividends. or (c) the IRS has notified me that I an no l
thholding tax on foreign partners' slurs of offeollysty connected Income. Social security number /Bole. If a requester gives you a toms other than Form W4 to request your TIN, you must use the regards?, form If It is substantially similar to this Form WA. Definition of a U.S. person. For federal tax
mber. Books or records relator) to a form or its irstruCtion must De retained as bang as ther contents may become matenal in the adminsuaton of any Internal Revenue law. Genera/ tax reuses and return information are confidential. as required by Code section 6103. The average time and expenses mewed to complete
pecially if your earnings exceed $130.000 (Single) or $180.000 (Married). Future developments. Information about any future developments affecting Form W4 (such as legislation enacted after we release ill voll be posted at www.its.govArd. Personal Allowances Worksheet (Keep for your records.) A Ente
ssued to me); and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding. or (b) I have not been notified by the Internal Revenue Semite (IRS) that I en subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that
tructions Section references aro to the trAernal Revenue Code uniess otheiv4se noted. Future developments. Information about developments arrectirq Form W4 (such as legislation enacted after we release Itt is al www.es.govIlw9. Purpose of Form Ni InoNiousi or entity (Form W-9 requester) vita is requir
Entities connected to both Internal Revenue and Form W4

Jeffrey Epstein
PERSONDarren Indyke
PERSON
United States
LOCATION
U.S. Virgin Islands
LOCATION
George W. Bush
PERSON
Vicky Ward
PERSON
St Thomas
LOCATIONDoug Band
PERSON
Charlotte Amalie
LOCATION
John Brennan
PERSON
Adriana Ross
PERSON
Michael Jackson
PERSON
Mike Pence
PERSONWerra
PERSON