INCAPACITATED CLASS MEMBERS. 1. Claims may be submitted by a Legally Authorized Representative on behalf of an incapacitated Settlement Class Member.
INCAPACITATED CLASS MEMBERS. 109. Claims may be submitted by a Legally Authorized Representative on behalf of an incapacitated Settlement Class Member. XIX. TAX OBLIGATIONS 110. Tax obligations which may arise by virtue of the Settlement Class Payments made pursuant to this Agreement, if any, are solely the responsibility of the Persons who receive such Settlement Class Payments, and are not in any way the responsibility of Nationwide or Class Counsel. The Parties to this Agreement do not in any way express any belief or opinion regarding the existence of such tax obligations and do not undertake to provide any advice to any Settlement Class Member regarding any tax obligations which may arise by virtue of any Settlement Class Payments made pursuant to this Agreement.
INCAPACITATED CLASS MEMBERS. If you are submitting this Claim Form on behalf of a class member who has passed away or become incapacitated, provide details about the capacity in which you are submitting this Claim Form on separate sheets and include them with this completed Claim Form. TAXPAYER IDENTIFICATION NUMBER CERTIFICATION Substitute IRS Form W-9. Enter the last four digits of your Social Security Number: XXX—XX–_ . I certify that:
