Other Reminders. You must provide date of birth, signature, and a completed Substitute IRS Form W-9, which is attached as part 5 to this form. • If you desire to do a rollover and you fail to complete all of the rollover information in Part 4, below, payment will be made to you by check. • If you change your address after sending in your Former Participant Rollover Form, please provide your new address to the Settlement Administrator.
Appears in 2 contracts
Samples: Class Action Settlement Agreement, Class Action Settlement Agreement
Other Reminders. You must provide your date of birth, social security number, signature, and a completed Substitute IRS Form W-9, which is attached as part 5 to this form. • If you desire to do a rollover and you fail to complete all of the rollover information in Part 4, below, payment will be made to you by check. • If you change your address after sending in your Former Participant Rollover Form, please provide your new address to the Settlement Administrator.
Appears in 2 contracts
Samples: Class Action Settlement Agreement and Release, Settlement Agreement
Other Reminders. You must provide date of birth, social security number, signature, and a completed Substitute IRS Form W-9, which is attached as part 5 to this formthisform. • If you desire to do a rollover and you fail to complete all of the rollover information in Part 4, below, payment will be made to you by check. • If you change your address after sending in your Former Participant Rollover Form, please provide your new address to the Settlement Administrator.
Appears in 1 contract
Samples: Action Settlement Agreement
Other Reminders. You must provide date of birth, signature, and a completed Substitute IRS Form W-9, which is attached included as part 5 to this form. • If you desire to do a rollover and you fail to complete all of the rollover information in Part 4, below, payment will be made to you by check. • If you change your address after sending in your Former Participant Rollover Form, please provide your new address to the Settlement Administrator.
Appears in 1 contract
Samples: Settlement Agreement and Release