Case File
efta-01583258DOJ Data Set 10OtherEFTA01583258
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01583258
Pages
1
Persons
0
Integrity
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tkutided031
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Part I
Taxpayer Identification NumberSTIN)
Enter your TIN in the appropriate box. The TIN provided muss match the mune given C.
to avoid backup with: voiding. For inolviduas, this is your social security nuniba (SSN).
resident aeon, sole proprietor, or disregarded entity, see the Part I betructiors on posh
entities. it Is your employer Identlioation numberMet If I.:ludo riot have a number. at
TIN on page 3.
Note. It the account bin rrore than one name, see the chart on page 4 for O.iltierrntir3
number to enter.
Part II
Certification
Under penalties of perjury. I arty that.
I The number shown on tale form ha my correct taxpayer Identification minter (isle
2. I am not subject to backup evlihnokang because WI am exempt from beeline with
Service (ITM that I am abject to backup witttioting es a result of a fain 10 repo
no tenger subject to backup withhokling. and
3. I am a U.S. citizen or other U.S. person (defined betowi
Certification Instructions. You must
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Confidential Treatment Requested by JPMorgan Chase
JPM SDNY-00062897
EFTA01583258
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