# Profoundd archive — Epstein Files
# Bates number: EFTA01592623
# Title:        (Rev. December
# Dataset:      10
# Pages:        4
# Tags:         epstein, doj, dataset-10
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=== SUMMARY ===
Form Taxpayer to the (Rev. December 2011) Department of the Treasury Certification the IRS. Internal Revenue Service to Request for Give Form requester. Do not Identification Number and send to Name (as shoyyn on your income tax return fr 04' Business name/disregarded entity name, if different from above Check appropriate box for federal tax classification: 1: Individual/sole proprietor J C Corporation u S Corporation 0 Partnership 0 Trust/estate Limited liability company. Enter the tax classifi


=== EXTRACTED TEXT ===
Form 
Taxpayer 
to the 
(Rev. December 
2011) 
Department of the Treasury 
Certification 
the IRS. 
Internal Revenue Service 
to Request for 
Give Form 
requester. Do not 
Identification Number and 
send to 
Name (as shoyyn on your income tax return 
fr 04' 
Business name/disregarded entity name, if different from above 
Check appropriate box for federal tax classification: 
1: Individual/sole proprietor J C Corporation u S Corporation 0 
Partnership 0 Trust/estate 
Limited liability company. Enter the tax classification (C=C 
corporation, S=S corporation, P=partnership) 1 
J Other (see instructions) 00. 
Address (nu ber, street, and apt. or suite 
no.) Requester's name 
and address (optionai) 
CO 6/00 
City, state, and ZIP code 
List account number(s) here (optional) Vi 
EFTA01592623
Part <I Taxpayer Identification Number (TIN) 
Enter your TIN in the appropriate box. The TIN provided must match the name 
given on the "Name" line I Social security number 
to avoid backup withholding. For Individuals, this Is your social security 
number (SSN). However, for a 
resident alien, sole proprietor, or disregarded entity, see the Part I 
instructions on page 3. For other 
entities, It is your employer identification number (EIN). If you do not 
have a number, see How to get a 
TIN on page 3. 
Note. If the account is in more than one name, see the chart on page 4 for 
guidelines on whose Employer Identification number 
number to enter. 
6 
Certification 
Under penalties of perjury, I certify that: 
1. The number shown on this form is my correct taxpayer Identification 
number (or I am waiting for a number to be Issued to me), and 
2. I am not subject to backup withholding because: (a) I am exempt from 
backup withholding, or (b) I have not been notified by the Internal Revenue 
Service (IRS) that I am subject to backup withholding as a result of a 
failure to report all interest or dividends, or (c) the IRS has notified me 
that I am 
no longer subject to backup withholding, and 
3. I am a U.S. citizen or other U.S. person (defined below) . 
Certification instructions. You must cross out item 2 above if you have been 
notified by the IRS that you are currently subject to backup withholding 
because you have failed to report all interest and dividends on your tax 
returrL.For real-estate transactions, item 2 does not apply. For mortgage 
Interest paid, acquisition or abandonment of secured 
property,, .,cancellation of debt, contributions to an individual retirement 
arrangement (IRA), and 
generally, payments other than Interest and dividerr,is. ,5C1 are not 
required to sign the certification, but you must provide your correct TIN. 
See the 
Instructions on page 4. 
Sign Signature of 
Here U.S. person le. 
EFTA01592624
General 
Instructions 
Note. If a requester gives you a form other than Form W-9 to request 
your TIN, you must use the requester's form if it is substantially 
similar 
Section references are to the internal Revenue Code unless 
otherwise to this Form W-9. 
noted, 
Definition of a U.S. person. For federal tax purposes, you are 
Purpose of 
Form 
considered a U.S. person if you are: 
A person who is required to file an information return with the IRS 
must • An individual who is a U.S. citizen or U.S. resident 
alien, 
obtain your correct taxpayer identification number (TIN) to report, 
for • A partnership, corporation, company, or association 
created or 
example, income paid to you, real estate transactions, mortgage 
interest organized in the United States or under the laws of 
the United States, 
you paid, acquisition or abandonment of secured property, 
cancellation • An estate (other than a foreign estate), or 
of debt, or contributions you made to an IRA. 
*A domestic trust (as defined in Regulations section 301.7701-7). 
Use Form W-9 only If you are a U.S. person (including a resident 
alien), to provide your correct TIN to the person requesting it 
(the Special rules for partnerships. Partnerships that 
conduct a trade or 
requester) and, when applicable, 
to: business in the United 
States are generally required to pay a withholding 
tax on any foreign partners' share of income from such business. 
1. Certify that the TIN you are giving is correct (or you are waiting for 
a Further, in certain cases where a Form W-9 has not been received, a 
number to be 
Issued), 
partnership is required to presume that a partner is a foreign person, 
2. Certify that you are not subject to backup withholding, 
or and pay the withholding tax. Therefore, if you are a 
U.S. person that is a 
3. Claim exemption from backup withholding if you are a U.S. 
exempt partner in a partnership conducting a trade or 
business in the United 
EFTA01592625
payee. If applicable, you are also certifying that as a U.S. person, 
your States, provide Form W-9 to the partnership to establish 
your U.S. 
allocable share of any partnership income from a U.S. trade or 
business status and avoid withholding on your share of 
partnership income. 
is not subject to the withholding tax on foreign partners' share of 
effectively connected income. 
Cat. No. 10231X Form W-9 (Rev. 12-2011) 
EFTA01592626