Case File
efta-01583375DOJ Data Set 10OtherEFTA01583375
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01583375
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
Request for Taxp
Identification Number and
Name tea an own on ray tyre tax /eon
scorecroun
0 Pt".
0 United Reilly comma., Enter the tax desstkation (C--C corporvien. SAS cargos'
0 Otter Emielmaructkine)•
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owe.
Demme 2011
DNS( Ol the Treasury
Met Pallearatin
Check ai/Csoprfaie box for federal lax Masi:cation
K (rctivicluoscse proprietor
id C COrpCtat On
8
bi
Taxpayer Identification NumberSTIN)
4
Part I
Enter your TIN in the appropriate box. The TIN provided must snatch the name given
to avoid backup whmoiding. For inolviduas, this is your social security member (33N).
resident even, sole proprietor, or disregarded entity, see the Part I betructiors on posh
entities. it Is your employer Identlication numberMet If you do not have a number. at
TIN on page 3.
Note. It the accotnt bin rrore than one name, see the chart on page 4 for O.iltiefintit3
number to enter.
Part II
Certification
Under penalties of perjury. I tort& that.
I. The number sho'sn on tale forrn is my correct taxpayer Identification number (isle
2. I am not subject to backup wlintiokang because
I am exottot bombed(%) with
Service (ITM that I am subject to backup *Mines:ling es a result of a fain 10 repo
no tongs' subject to backup withhokling. and
3. I am a U.S. citizen or out U.S. person (defined betowi
Certification Instructions. Ycu must
kern 2 above it yOU nave been °Gilled
two-AiO4M yr.l haul f altar In ranee al
Int A
car %Rita tax retuseekneftg
Confidential Treatment Requested by JPMorgan Chase
JPM SDNY-00063031
EFTA01583375
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