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e student temporarily present In the United Slates. Under U.S. law, this student will become a resident alien for tax purposes h his or her stay in the United Stales exceeds 5 calendar years. However, paragraph 2 of the rust Protocol to the U.S.-China treaty (dated Apnl 30. 1984) allows the provisions of Article
s only.) 10 I certify that (check al that apply) a O The beneficial owner is a resident of within the meaning of the income tax treaty between the United Slates and that country. b ID The beneficial owner derives the item (or items) of income for which the treaty benefits are claimed, and. if applicable• m
s agent or nominee for a Beneficial Owner, please check the item that best describes the Beneficial Owner.) Please check one: K Individual that is a United States person— (or a trust of such a person) K Broker-dealer K Insurance company K Investment company registered with the SEC K Private fund' K No
any of ils political subdivisions, agencies. or Instrumentalities 5—A corporation 6—A dealer in securities or commodities required to register in the United Slates. the District of Columbia. or a U.S. commonweallh or possession 7—A lutures commission merchant registered with the Commodity Futures Trading Commi
ntity: • Each direct holder of an equity interest in the investment entity is an exempt beneficial owner described in §1.1471.6 or in an applicable Modell or Model 2 IGA: • Each direct holder of a debt interest in the investment entity is either a depository institution (with respect to a loan made to
e student temporarily present In the United Slates. Under U.S. law, this student will become a resident alien for tax purposes h his or her stay in the United Stales exceeds 5 calendar years. However, paragraph 2 of the rust Protocol to the U.S.-China treaty (dated Apnl 30. 1984) allows the provisions of Article
3 purposes only) (see instructions) 9 I certify that the beneficial owner is a resident of within the meaning of the income tax treaty between the United Slates and that country. 10 Special rates and conditions (it applicable—see instructions): The beneficial owner is claiming the provisions of Article and p
s agent or nominee for a Beneficial Owner, please check the item that best describes the Beneficial Owner.) Please check one: K Individual that is a United States person— (or a trust of such a person) K Broker-dealer K Insurance company K Investment company registered with the SEC K Private fund' K No
any of ils political subdivisions, agencies. or Instrumentalities 5—A corporation 6—A dealer in securities or commodities required to register in the United Slates. the District of Columbia. or a U.S. commonweallh or possession 7—A lutures commission merchant registered with the Commodity Futures Trading Commi
ntity: • Each direct holder of an equity interest in the investment entity is an exempt beneficial owner described in §1.1471.6 or in an applicable Modell or Model 2 IGA: • Each direct holder of a debt interest in the investment entity is either a depository institution (with respect to a loan made to
Yea S•pature it a misted serviceman ol visa Yaa[rrnai n31 185 Vera Signahre cede cads ad LEG Wa darn cads ae issued byU(358ml USA web mammon from U SA hoorpseatcd UBS Financial Servers Inc Pay 201407 SDNY_GM_00023377 EFTA 001;3997 EFTA01275768 4tUBS UBS Financial Services Inc 299 Park Avenu
eufaiclike. Based upon the residence of the account holder, account type. or product type, same interest ands dvidend payments may not bo subject to United Slates (US) ardor Puerto Rico (PR) Income tars The tient monthly statement is not intended to be used and cannot be retied upon for to purposes. Clients s
erspective. Based upon the residence of the arount holder. &count type, of product type, some i Merest arida dividend payments may not be subject to United Stales (US) arklat Puerto FlicoLFT0 income tars The tient manta/ statement is not intended to be used and carrot be meted upon fee las purposes. Clients s
may date from the malt prices wench the weir May st• sold Cask-Wine only stole units ow be hold in You nowt t you re entrird to arm:alma a a ewe Modell:rid wren or othenvise. the Firm wt ether tel partial Wes a make' ince a awl), an wow, ilmenred by a registered clang army. arnfaede you account W
evaluation of your credit history. Payments: Pamela may be made by mail, electronic transfer, or at a branch in person. NI payments must be made In U.S. &dart Par nla you mail must be addressed to Navy Federal, `Boa Merrifield, VA 22119 Payments we receive by mail at this address by 5:00 pm ET will
PA 77.00- 1.492.46 03.04 ATM Withdrawal 03-02-19 7Eleven.FC Brooklyn Ny 100.00- 1.392.46 03.04 POS Debt - Debit Card 3275 Transaction 03.02-19 Modell's a86 Brooklyn Ny 13.49- 1.378.97 03.04 POS Debt- Debit Card 3275 03-01-19 Mid China Brooklyn Ny 13.95- 1.365.02 03.04 POS Debt- Debit Card 327
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