h as the Forms 1099 and the Forms 480, for lax reporting information. It is the practice of UBS to fie the applicable tax tenoning toms with the US Memel Revenue Service and PR Treaty Department, and n oath forms acarately classify dividends andror interest as tax exempt or taxable acme. Please consult your individu

:Dan VII - 9 Rev. December 2011) aepartment of the Treasury Memel Revenue Service Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. Print or type See Specific In

----------------------- Separate here and give Form W-4 to your employer. Keep the top part for your records. Form W-4 Department of the Treastry !Memel Revenue Service Employee's Withholding Allowance Certificate If- Whether you are entitled to claim a certain number of allowances or exemption from withholding Is