Inomedee ad e4 . 0w era an. co ant c 010480,2 c a tet, ma ntr, Signature Instructi BI BUREAUOF Purpveo of l late, 1098. 5498. a 20 to the Internal Raven.* Service. Do not use Farm 1096 to transmit Nootronically or magnetically. For insonefic media, see Form 4804,Tronsmicsion of Informaten Returns R

number to be [Med to mot and 2. I arn not suCfect to badivp waits/Ong because, tailor exempt from backup withh0lding, or MI have riot been noWied by the Internal Raven.* Service (p/Si that I am subject to backup withholding as o result of a Wye to repel ell Interest or dividends. or (c) the IRS has notiCod mo that

r to be VMS to me) and 2. I arn not sugect to tedittp withhtheing because, (a) I ern exempt from backup withholding, a Mitt/Ivo riot been nothied by the Internal Raven.* Service fit/St that I ern subject to backup withholding as o /mat of a Wily!a to facial ell interest or divklends. Of the IRS has notified no tha

to be leaved to met and 2. I arn not sugect to tockup within/Ging because, (a) I ern exempt from backup withholding, a Mitt/Ivo riot been nothied by the Internal Raven.* Service fit/St that I ern subject to backup withholding as o /mat of a Wily!a to racial ell interest or cihrktends, or the IRS has notified MO th

'tetrad to met and 2. I am not subtract to backup withhoterng because, (a) I ban exempt from backup withholding, cr. (b) I have riot been nothied by the Internal Raven.* Service ORS) that I ern subject to backup withholding as o result of a lakes to repot all Interest or Oh/Wends. or (e) the IRS has (loaned me that