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axpayer lientilianion Number and Ceitfication. for information on backup wthholdng. Include this amount on your inocene tax return as tax withheld. Box 5. Shows your share of *menses of a nonsubncle offered regulated investment company, generally a nonputricly offered mutual Itmd If you fib Form 1040,
es of colkrctbles. If required. use this amount when completing the 28% Rea Gain Worksheet-Line 18 in the instructions for Schedule D (Form 1040). Box 3. Shows the pan of the detrbution that is nontaxable because it is a return of your 1099-INT Instructions for Recipient Recipient's klentilkation nu
yer Identification Number and Certification, for information on backup withholding. Include this amount on your income tax return as tax withheld. Box 5. Shows dividends eligible for the 20% qualified business income deduction under section 199A. See the Instructions for Form 1040. Box 6. Shows your
s of collectibles. If required. use this amount when completing the 28% Rate Gain Worksheet-Line 18 in the Instructions for Schedule D (Form 1040) Box 3. Shows the part of the distribution that is nontaxable because it is a return of your cost (or other basis). You must reduce your cost (or other bas
ayer Identification Number and Certification, for information on backup withholding. Include this amount on your income tax return as tax withheld. Box 5. Shows your share of expenses of a nonpublicly offered regulated investment company. generally a nonpublicly offered mutual fund. If you file Form
of collectibles. If required. use this amount when completing the 28% Rate Gain Worksheet-Line 18 in the instructions for Schedule D (Form 1040). Box 3. Shows the part of the distribution that is nontaxable because it is a return of your cost (or other basis). You must reduce your cost (or other ba
Entities connected to both Box 5 and Box 3

the Internal Revenue Service
ORGANIZATIONBox 2d
ORGANIZATION
Lesley Groff
PERSONBox la
LOCATIONBox 4
ORGANIZATION
Jeffrey Epstein
PERSONBox 1
ORGANIZATIONthe Internal Revenue Service Center
ORGANIZATIONComplete
ORGANIZATIONDetail Information of Dividends
ORGANIZATIONU.S. Savings Bonds
ORGANIZATIONSchwab
PERSON
Prince Charles
PERSONBox 7
ORGANIZATIONShort-Term Capital Gains
ORGANIZATIONDepartment of the Treasury-Internal Revenue Service
ORGANIZATIONLESLEY KATHERINE GROFF
PERSON