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the NIS mcs nothed IM Depositor matins no tripe sass( a backup withholding or it n CAMP( tom baCkns nittaloadnd. (3) bin DePaSiler n a U.S entity. (Cross out subpart 2(a) if It Is not true. If Statismom 3 is not Ulm cats out and oompiete an speropriate Form W4) The Internet Revenue Service does nod r
t to beekup weineg cons exempt hem peda* ~tn. (3) the Deposit:r is a U.S. why. (Cross out subpart 2(a) il it as not that II Statement 3 is not tn., Gross out and ~eh an afereortate Fern. ?he) The Internal Revenue Service dom not require you consent to we prevision of this document omer then the Certi
Balance 0.00 IVR 1000.00 Ln Av 0.00 Sav Avail 0.00 MMDA NO Dt Opened OS/23/07 Bank Unavail 0.00 Charge Card? NO Dt Lst Cust Actv 05/23/07 Cust Unavail 0.00 Spec Inst? NO Dt Lst Dep OS/23/07 Min DDA Bal 0.00 NSF? NO OD? NO DC Lat. Maint Avg Co/1 Bal 1000.00 Bal Hist? YES Sign c Lao Nbr MTD
the IRS has named Ole Depositor that annals:neer subject to backup sainncldng or a is mow from imams eitmoiding. (3) the 0eMitzlor is a V.S. entity (Cross out subpart 2(a) if his not true. It Statement 3 Is not true. cross out and complete an appropriate Fern W-8) The internal Revenue Service does not
lance 0.00 IVR 37043. 64 Ln Av 0.00 Sav Avail 0.00 MMDA NO Dt Opened 05/01/01 Bank Unavail 0.00 Charge Card? NO Dt Lst Cust ACtv 05/21/07 Cust Unavail 0.00 Spec Inst? NO Dt Lst Dep 05/21/07 Min DDA Bal 0.00 NSF? NO OD? NO Dt Lst Maint 07/19/04 Avg Coll Bal 17220.42 Bal Hist? YES Sign 0 Loe
a dradenda. Or (D) that me IRS No notified the Depoetor that i is no loon/ subject to backup horn backup wilktoldrit (3) the Geooster s a U.S. may. (Cross out subpart 2(a) if Siena true. If Statement 3 knot true, an appropriate Fenn W4) dte ~ma Revenue Sena does not require you Confent to any provisio
rlr Bal 0.00 IVR 192398. 80 Ln Av 0.00 Sav Avail 0.00 MMDA Dt Opened 02/02/07 Bank Unavail 0.00 Charge Card? NO Dt Let Cust Actv 12/19/19 Cust Unavail 0.0C Spec Inst? YES Dt Lst Dep 12/19/19 Min DDA Bal 0.0C NSF? NO OD? NO Dt Lst Maint 12/05/19 Avg Coll Bal 184241.96 Bal Hist? YES Sigr. 0
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